Is portable monitoring accurate in the diagnosis of obstructive sleep apnea syndrome in chronic pulmonary obstructive disease?
Abstract
Background No scientific evidence supports the use of portable devices to diagnose obstructive sleep apnea syndrome (OSAS) in patients with co-morbities. Our aim was to evaluate the accuracy of a portable monitoring device (Stardust - STD) in the detection of patients with chronic obstructive pulmonary disease (COPD). Methods Patients with COPD and clinical suspicion of OSAS were recruited for a prospective randomized study. The STD was used on two different nights: (1) at home (STDHome) and (2) at the sleep laboratory simultaneous with polysomnography (PSG-STDLab). Results A total of 72 patients underwent the proposed recordings. Forty-six volunteers were excluded due to recording problems, and data from 26 subjects were analyzed. The mean age was (mean±SD) 62.8±8.5 years, 50% were male, and the mean forced expiratory volume in the first second was 55±11%. Significant intraclass correlation was observed between apnea-hypopnea index (AHI)-PSG vs. AHI-STDLab (r=0.61, p Conclusion Despite the agreement found in a small number of patients between AHI, a large number of failures in the recording limits the use of this portable device for the diagnosis of OSAS in patients with COPD.
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In patients with stable COPD (GOLD stage II and III) and symptoms of OSA, only 26 of 72 patients (36%) had HSAT studies of reasonable quality.
“Of 72 patients with stable COPD (GOLD stage II and III) and symptoms of OSA, only 26 patients (36%) had HSAT studies of reasonable quality.118”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [118]
When comparing HSAT to PSG in those patients, the intraclass correlation coefficient was 0.47 (accuracy not provided).
“When comparing HSAT to PSG, the intraclass correlation coefficient was 0.47 (accuracy not provided).118”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [118]
Cites
Obstructive Sleep Apnea Syndrome in the Sao Paulo Epidemiologic Sleep Study
Tufik, S., Santos-Silva, R., Taddei, J. A., & Bittencourt, L. R. A. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.10.005 · Cited by 1,069 · cited 1× · see citing works
“9%, more frequent in men, in age groups above 50 years, and in obese individuals [2].”
BackgroundSelf-citationSleep and Sleep-disordered Breathing in Adults with Predominantly Mild Obstructive Airway Disease
Sanders, M. H., Newman, A. B., Haggerty, C. L., Redline, S., Lebowitz, M., Samet, J., O'Connor, G. T., Punjabi, N. M., & Shahar, E. (2003) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2203046 · Cited by 408 · see citing works
Masa, J. F., Corral, J., Pereira, R., Duran-Cantolla, J., Cabello, M., Hernandez-Blasco, L., Monasterio, C., Alonso, A., Chiner, E., Rubio, M., et al. (2011) · Thorax · doi:10.1136/thx.2010.152272 · Cited by 161 · see citing works
Nakayama-Ashida, Y., Takegami, M., Chin, K., Sumi, K., Nakamura, T., Takahashi, K.-I., Wakamura, T., Horita, S., Oka, Y., Minami, I., et al. (2008) · SLEEP · doi:10.1093/sleep/31.3.419 · Cited by 119 · see citing works
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Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6506 · Cited by 3,253 · see citing works
Chang, Y., Xu, L., Han, F., Keenan, B. T., Kneeland-Szanto, E., Zhang, R., Zhang, W., Yu, Y., Zuo, Y., Pack, A. I., et al. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7720 · Cited by 44 · see citing works
Andrés-Blanco, A. M., Álvarez, D., Crespo, A., Arroyo, C. A., Cerezo-Hernández, A., Gutiérrez-Tobal, G. C., Hornero, R., & del Campo, F. (2017) · PLOS ONE · doi:10.1371/journal.pone.0188094 · Cited by 28 · see citing works
- Authors
- Oliveira, M. G., Nery, L. E., Santos-Silva, R., Sartori, D. E., Alonso, F. F., Togeiro, S. M., Tufik, S., & Bittencourt, L.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Corresponding author
- Bittencourt, Lia
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 13
- Issue
- 8
- Pages
- 1033-1038
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W2066412597
- Cited by
- 45
- References
- 4
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 3 · 2019: 3 · 2018: 1 · 2017: 6 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 1
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- obstructive sleep apnea, chronic obstructive pulmonary disease, home sleep monitoring, home sleep testing, diagnostic accuracy, apnea-hypopnea index, polysomnography comparison, comorbidities
- MeSH terms
- Aged, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Prospective Studies, Severity of Illness Index, Reproducibility of Results, Polysomnography, Monitoring, Ambulatory, Sleep Apnea, Obstructive, Pulmonary Disease, Chronic Obstructive
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