脉搏血氧仪
医学
艾普沃思嗜睡量表
阻塞性睡眠呼吸暂停
睡眠呼吸暂停
呼吸系统
内科学
心脏病学
呼吸暂停
麻醉
多导睡眠图
作者
Eduardo Borsini,Magalí Blanco,Glenda Ernst,Alejandro Salvado,Ignacio Bledel,Carlos Nigro
出处
期刊:PubMed
日期:2021-06-10
卷期号:14 (1): 77-81
被引量:3
标识
DOI:10.5935/1984-0063.20200042
摘要
To compare pulse oximetry with manual analysis against all signals of respiratory polygraphy.This retrospective study estimated sensitivity (S), specificity (Sp) and positive/negative likelihood ratio (LR+/-) of the oxygen desaturation index (ODI-test) and apnea-hypopnea index (AHI-reference).3854 patients (61.5% men) were included. Age, BMI, Epworth sleepiness scale and AHI were: 55 years (44-65), 30.9kg/m2 (27-36), 7 points (4-11), and 14 events/hour (6-25), respectively. 18% showed an AHI <5 events/hour, 34% = 5 and <15, 27% = or > 15 and < 30, and 31% > 30. The S, Sp, and LR+/- of ODI for AHI = 5 events/hour was 93%, 92%, 12 and 0.08 with an accuracy of 93%. For AHI = 15 events/hour, the values were: S 94%, Sp 94%, LR+ 15 and LR- 0.06 and 94% accuracy (r(2) Spearman: 0.92).In a population at a high risk for OSA, home-based pulse oximetry had a diagnostic accuracy > 90% when is compared against all respiratory signals obtained from simplified home sleep testing.
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