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| Content Provider | frontiers |
|---|---|
| Author | Ding, Qidi Liu, Jianghua Wu, Jinxian Du, Juan Li, Xiao Wang, Meng Sun, Yunliang Yu, Yan Wang, Jingyu Sun, Ting Zhang, Chi Lv, Changjun Strohl, Kingman P. Han, Fang Dong, Xiaosong |
| Abstract | Subjective: Sleep-disordered breathing (SDB) is highly prevalent in polio survivors. Obstructive sleep apnea (OSA) is the most frequent type. Full polysomnography (PSG) is recommended for OSA diagnosis in patients with cormobidities by current practice guidelines, but it is not always accessible. The purpose of this study was to evaluate whether type 3 portable monitor (PM) or type 4 PM might be a viable alternative to PSG for the diagnosis of OSA in postpolio subjects. Methods: A total of 48 community-living polio survivors (39 males and 9 females) with an average age of 54.4±5.3 years referred for evaluation of OSA volunteered to participate were recruited. First, they completed the Epworth Sleepiness Scale (ESS) questionnaire, underwent pulmonary function testing and blood gas tests the day before PSG night. Then, they underwent an overnight in-laboratory PSG with a type 3 PM and type 4 PM recording simultaneously. Results: The AHI from PSG, respiratory event index (REI) from type 3 PM, ODI3 from type 4 PM was 30.27±22.51/h vs 25.18±19.11/h vs 18.28±15.13/h, respectively (P< 0.001). For AHI ≥5/h, the sensitivity and specificity of REI were 95.45% and 50%, respectively. For AHI ≥15/h, the sensitivity and specificity of REI was 87.88% and 93.33%. The Bland–Altman analysis of REI on PM versus AHI on PSG showed a mean difference of -5.09 (95% confidence interval [CI]: -7.10,-3.08; P <0.001) with limits of agreement ranging from −18.67 to 8.49 events/h. ROC curve analysis for patients with REI ≥15/h showed an area under the curve (AUC) of 0.97. For AHI ≥5/h, the sensitivity and specificity of ODI3 from type 4 PM were 86.36% and 75%, respectively. For patients with AHI ≥15/h, the sensitivity was 66.67%, and the specificity was 100% . Conclusions: Type 3 PM and Type 4 PM could be alternative ways to screen OSA for polio survivors, especially for moderate to severe OSA. |
| ISSN | 16642295 |
| DOI | 10.3389/fneur.2023.1137535 |
| Volume Number | 14 |
| Journal | Frontiers in Neurology |
| Language | English |
| Publisher Date | 2023-05-09 |
| Access Restriction | Open |
| Subject Keyword | Neuromuscular disorder Portable monitor Postpolio Sleep-disordered breathing Obstructive sleep apnea |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Neurology (clinical) |
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