caa a22 4500 605509573 CHVBK 20210128100641.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10877-014-9569-3 doi (NATIONALLICENCE)springer-10.1007/s10877-014-9569-3 Capability of a neck worn device to measure sleep/wake, airway position, and differentiate benign snoring from obstructive sleep apnea [Elektronische Daten] [Daniel Levendowski, Bratislav Veljkovic, Sean Seagraves, Philip Westbrook] 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. The Author(s), 2014 OSA nationallicence Positional nationallicence Snoring nationallicence Screening nationallicence Actigraphy nationallicence Validation nationallicence Levendowski Daniel Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut Veljkovic Bratislav Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut Seagraves Sean Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut Westbrook Philip Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/1(2015-02-01), 53-64 1387-1307 29:1<53 2015 29 10877 https://doi.org/10.1007/s10877-014-9569-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9569-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Levendowski Daniel Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut NATIONALLICENCE 700 1- Veljkovic Bratislav Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut NATIONALLICENCE 700 1- Seagraves Sean Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut NATIONALLICENCE 700 1- Westbrook Philip Advanced Brain Monitoring Inc., Carlsbad, CA, USA aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/1(2015-02-01), 53-64 1387-1307 29:1<53 2015 29 10877