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Age related disparities in sleep apnea diagnosis using a wearable device: Implications of 4% vs. 3% hypopnea scoring criteria.
- Source :
-
Sleep Medicine . Jun2024, Vol. 118, p88-92. 5p. - Publication Year :
- 2024
-
Abstract
- Obstructive sleep apnea (OSA) diagnosis relies on the Apnea-Hypopnea Index (AHI), with discrepancies arising from the 3% and 4% desaturation criteria. This study investigates age-related variations in OSA severity classification, utilizing data from 1201 adult patients undergoing Home Sleep Apnea Testing (HSAT) with SleepImage Ring@. The study employs Bland-Altman analysis to compare AHI values obtained with the 3% and 4% desaturation criteria. Age-stratified analysis explores discrepancies across different age groups. The analysis reveals a systematic bias favoring the 3% criterion, impacting the quantification of apnea events. Age-specific patterns demonstrate diminishing agreement between criteria with increasing age. This comprehensive study underscores the importance of standardized criteria in OSA diagnosis. The findings emphasize age-specific considerations and ethical concerns, providing crucial insights for optimizing patient care and advancing sleep medicine practices. •Sleep hypopnea is defined as a drop of ≥30% in breathing amplitude and in oxygen saturation >3% (AASMedicine), or >4% (CMMS). •This study reveals a systematic bias, with the 3% criterion consistently yielding higher apnea/hypopnea index values. •The choice of desaturation level influences respiratory event ndexes, causing differences obstructive sleep apnea assessment. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 13899457
- Volume :
- 118
- Database :
- Academic Search Index
- Journal :
- Sleep Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 176924102
- Full Text :
- https://doi.org/10.1016/j.sleep.2024.03.046