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Volume 15 No. 02
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Accepted Papers





Scientific Investigations

Comparison of Apnea Detection Using Oronasal Thermal Airflow Sensor, Nasal Pressure Transducer, Respiratory Inductance Plethysmography and Tracheal Sound Sensor

AbdelKebir Sabil, PhD1; Martin Glos, PhD2; Alexandra Günther, MD2; Christoph Schöbel, MD2; Christian Veauthier, MD2; Ingo Fietze, MD, PhD2; Thomas Penzel, PhD2,3
1Research and Development at CIDELEC, Sainte Gemmes, France; 2Interdisciplinary Sleep Medicine Center, Charité – Universitätsmedizin Berlin, Berlin, Germany; 3International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic

Study Objectives:

Evaluation of apnea detection using a tracheal sound (TS) sensor during sleep in patients with obstructive sleep apnea.

Methods:

Polysomnographic recordings of 32 patients (25 male, mean age 66.7 ± 15.3 years, and mean body mass index 30.1 ± 4.5 kg/m2) were analyzed to compare the detection of apneas by four different methods of airflow signals: oronasal thermal airflow sensor (thermistor), nasal pressure transducer (NP), respiratory inductance plethysmography (RIPsum) and TS. The four used signals were scored randomly and independently from each other according to American Academy of Sleep Medicine rules. Results of apnea detection using NP, RIPsum and TS signals were compared to those obtained by thermistor as a reference signal.

Results:

The number of apneas detected by the thermistor was 4,167. The number of apneas detected using the NP was 5,416 (+29.97%), using the RIPsum was 2,959 (−29.71%) and using the TS was 5,019 (+20.45%). The kappa statistics (95% confidence interval) were 0.72 (0.71 to 0.74) for TS, 0.69 (0.67 to 0.70) for NP, and 0.57 (0.55 to 0.59) for RIPsum. The sensitivity/specificity (%) with respect to the thermistor were 99.23/69.27, 64.07/93.06 and 96.06/76.07 for the NP, RIPsum and TS respectively.

Conclusions:

With the sensor placed properly on the suprasternal notch, tracheal sounds could help detecting apneas that are underscored by the RIPsum and identify apneas that may be overscored by the NP sensor due to mouth breathing. In the absence of thermistor, TS sensors can be used for apnea detection.

Clinical Trial Registration:

Registry: German Clinical Trials Register (DRKS), Title: Using the tracheal sound probe of the polygraph CID102 to detect and differentiate obstructive, central, and mixed sleep apneas in patients with sleep disordered breathing, Identifier: DRKS00012795, URL: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00012795

Citation:

Sabil A, Glos M, Günther A, Schöbel C, Veauthier C, Fietze I, Penzel T. Comparison of apnea detection using oronasal thermal airflow sensor, nasal pressure transducer, respiratory inductance plethysmography and tracheal sound sensor. J Clin Sleep Med. 2019;15(2):285–292.




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