Capability of a neck worn device to measure sleep/wake, airway position, and differentiate benign snoring from obstructive sleep apnea
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| 024 | 7 | 0 | |a 10.1007/s10877-014-9569-3 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s10877-014-9569-3 | ||
| 245 | 0 | 0 | |a Capability of a neck worn device to measure sleep/wake, airway position, and differentiate benign snoring from obstructive sleep apnea |h [Elektronische Daten] |c [Daniel Levendowski, Bratislav Veljkovic, Sean Seagraves, Philip Westbrook] |
| 520 | 3 | |a To evaluate the accuracy of a neck-worn device in measuring sleep/wake, detecting supine airway position, and using loud snoring to screen for obstructive sleep apnea. Study A included 20 subjects who wore the neck-device during polysomnography (PSG), with 31 records obtained from diagnostic and split-night studies. Study B included 24 community-based snorers studied in-home for up to three-nights with obstructive sleep apnea (OSA) severity measured with a validated Level III recorder. The accuracy of neck actigraphy-based sleep/wake was measured by assessing sleep efficiency (SE). Differences in sleep position measured at the chest and neck during PSG were compared to video-editing. Loud snoring acquired with an acoustic microphone was compared to the apnea-hypopnea index (AHI) by- and acrosspositions. Over-reported SE by neck actigraphy was inversely related to OSA severity. Measurement of neck and chest supine position were highly correlated with video-edits (r=0.93, 0.78). Chest was bias toward over-estimating supine time while the majority of neck-device supine position errors occurred during CPAP titrations. Snoring was highly correlated with the overall, supine, and non-supine PSG-AHI (r=0.79, 0.74, 0.83) and was both sensitive and specific in detecting overall, supine, and non-supine PSGAHI >10 (sensitivity=81, 88, 82%; specificity=87, 79, 100%). At home sleep testing-AHI>10, the sensitivity and specificity of loud snoring was superior when users were predominantly non-supine as compared to baseline (sensitivity=100, 92%; specificity=88, 77%). Neck actigraphy appears capable of estimating sleep/wake. The accuracy of supine airway detection with the neck-device warrants further investigation. Measurement of loud snoring appears to provide a screening tool for differentiating positional apneic and benign snorers. | |
| 540 | |a The Author(s), 2014 | ||
| 690 | 7 | |a OSA |2 nationallicence | |
| 690 | 7 | |a Positional |2 nationallicence | |
| 690 | 7 | |a Snoring |2 nationallicence | |
| 690 | 7 | |a Screening |2 nationallicence | |
| 690 | 7 | |a Actigraphy |2 nationallicence | |
| 690 | 7 | |a Validation |2 nationallicence | |
| 700 | 1 | |a Levendowski |D Daniel |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | |
| 700 | 1 | |a Veljkovic |D Bratislav |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | |
| 700 | 1 | |a Seagraves |D Sean |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | |
| 700 | 1 | |a Westbrook |D Philip |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | |
| 773 | 0 | |t Journal of Clinical Monitoring and Computing |d Springer Netherlands |g 29/1(2015-02-01), 53-64 |x 1387-1307 |q 29:1<53 |1 2015 |2 29 |o 10877 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s10877-014-9569-3 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s10877-014-9569-3 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Levendowski |D Daniel |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Veljkovic |D Bratislav |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Seagraves |D Sean |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Westbrook |D Philip |u Advanced Brain Monitoring Inc., Carlsbad, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Journal of Clinical Monitoring and Computing |d Springer Netherlands |g 29/1(2015-02-01), 53-64 |x 1387-1307 |q 29:1<53 |1 2015 |2 29 |o 10877 | ||