Title
Airflow From Nasal Pulse Oximetry In The Screening Of Obstructive Sleep Apnea
Abstract
Obstructive Sleep Apnea (OSA) is recognized as an increasing health risk, leading to daytime sleepiness and various medical conditions, such as hypertension and heart failure. Polysomnography (PSG), the gold standard to diagnose OSA, is a resource-intensive and expensive investigation confined to the hospital.Portable home monitoring, i.e. pulse oximetry, may become an acceptable OSA screening method. The novel nasal pulse oximeter sensor (Xhale Alar) adds the possibility of combining pulse oximetry (SpO2) with airflow analysis by an integrated thermistor, which might increase the diagnostic accuracy.In the Alar pilot study, 39 adults were measured during an overnight PSG recording together with the Alar sensor. This study aims to investigate the additional value of an airflow signal compared to SpO2 analysis in OSA screening. Both time and spectral features were extracted from SpO2 and airflow signals recorded with the Alar sensor. Leave one out cross-validation was used to develop Random Forest models in screening for apnea-hypopnea index (AHI) thresholds 5 and 10. Using both AHI >= 5 and AHI >= 10 as the diagnostic cutoff, the airflow signal shows respectively an AUC of 89% and 80% compared to 78% and 77% with SpO2 analysis, showing a higher performance using an airflow signal in screening adults for OSA.
Year
DOI
Venue
2019
10.1109/EMBC.2019.8857586
2019 41ST ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY (EMBC)
Field
DocType
Volume
Health risk,Obstructive sleep apnea,Computer vision,Heart failure,Computer science,Internal medicine,Cardiology,Pulse (signal processing),Airflow,Artificial intelligence,Polysomnography,Pulse oximetry
Conference
2019
ISSN
Citations 
PageRank 
1557-170X
0
0.34
References 
Authors
0
5
Name
Order
Citations
PageRank
Xenia L. R. Hoppenbrouwer100.34
Timon Fabius200.34
Michiel Eijsvogel300.34
Frans de Jongh400.34
Ainara Garde500.34