Oxygen Desaturation Index calculation: impact of different methodologies
Abstract
Obstructive Sleep Apnea (OSA) is a syndrome characterized by episodes of airway obstruction, which causes oxygen desaturation events. These events can be identified by oximetry analysis and are used as one of the parameters to diagnose OSA. However, desaturation events have an inaccurate definition in manuals and in most of the literature. Thus, this work aims to evaluate whether different methodologies for the calculation of desaturation events impact the Oxygen Desaturation Index (ODI) and the diagnosis of OSA. The results indicated that the ODI values are significantly different from each other (p <0.001) and the methodologies provided variable performance for the diagnosis of OSA.
References
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Jones, S. (2009). Sleep Disordered Breathing and Mortality: Eighteen-Year Follow-up of the Wisconsin Sleep Cohort. Yearbook of Pulmonary Disease, 31(8):1071–1078.
Ling, I. T., James, A. L., and Hillman, D. R. (2012). Interrelationships between Body Mass, Oxygen Desaturation, and Apnea-Hypopnea Indices in a Sleep Clinic Population. Sleep, 35(1):89–96.
Nigro, C. A., Dibur, E., and Rhodius, E. (2011). Pulse Oximetry for the Detection of Obstructive Sleep Apnea Syndrome: Can the Memory Capacity of Oxygen Saturation Inuence Their Diagnostic Accuracy? Sleep Disorders, 2011:1–9.
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Romem, A., Romem, A., Koldobskiy, D., and Scharf, S. M. (2014). Diagnosis of obstructive sleep apnea using pulse oximeter derived photoplethysmographic signals. Journal of Clinical Sleep Medicine, 10(3):285–290.
Yamashiro, Y. and Kryger, M. H. (1995). Nocturnal oximetry: Is it a screening tool for sleep disorders? Sleep, 18(3):167–171.
Berry, R. B., Budhiraja, R., Gottlieb, D. J., Gozal, D., Iber, C., Kapur, V. K., Marcus, C. L., Mehra, R., Parthasarathy, S., Quan, S. F., Redline, S., Strohl, K. P., Ward, S. L. D., and Tangredi, M. M. (2012). Rules for Scoring Respiratory Events in Sleep: Update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Journal of Clinical Sleep Medicine, 08(05):597–619.
Chiang, L. K., Kam, C. W., and Ng, L. V. (2017). Overnight pulse oximetry for screening of obstructive sleep apnea in at-risk adult patients in the primary care setting: Prospective case series. Family Medicine and Community Health, 5(3):215–222.
Corral, J., Sanchez-Quiroga, M. A., Carmona-Bernal, C., Sanchez-Armengol, A., De La Torre, A. S., Duran-Cantolla, J., Egea, C. J., Salord, N., Monasterio, C., Teran, J., Luz Alonso-Alvarez, M., Muñoz-Mendez, J., Arias, E. M., Cabello, M., Montserrat, J. M., De La Peña, M., Serrano, J. C., Barbe, F., and Masa, J. F. (2017). Conventional polysomnography is not necessary for the management of most patients with suspected obstructive sleep apnea noninferiority, randomized controlled trial. American Journal of Respiratory and Critical Care Medicine, 196(9):1181–1190.
Epstein, L. J., Kristo, D., Strollo, P. J., Friedman, N., Malhotra, A., Patil, S. P., Ramar, K., Rogers, R., Schwab, R. J., Weaver, E. M., and Weinstein, M. D. (2009). Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine, 5(3):263–276.
Erman, M. K., Stewart, D., Einhorn, D., Gordon, N., and Casal, E. (2007). Validation of the ApneaLink™ for the screening of sleep apnea: A novel and simple single-channel recording device. Journal of Clinical Sleep Medicine, 3(4):387–392.
Flemons, W. W., Buysse, D., Redline, S., Oack, A., Strohl, K., Wheatley, J., Young, T., Douglas, N., Levy, P., McNicolas, W., Fleetham, J., White, D., Schmidt-Nowarra, W., Carley, D., and Romaniuk, J. (1999). Sleep-related breathing disorders in adults: Recommendations for syndrome denition and measurement techniques in clinical research. Sleep, 22(5):667–689.
Hirotsu, C., Haba-Rubio, J., Andries, D., Tobback, N., Marques-Vidal, P., Vollenweider, P., Waeber, G., and Heinzer, R. (2019). Effect of three hypopnea scoring criteria on OSA prevalence and associated comorbidities in the general population. Journal of Clinical Sleep Medicine, 15(2):183–194.
Jones, S. (2009). Sleep Disordered Breathing and Mortality: Eighteen-Year Follow-up of the Wisconsin Sleep Cohort. Yearbook of Pulmonary Disease, 31(8):1071–1078.
Ling, I. T., James, A. L., and Hillman, D. R. (2012). Interrelationships between Body Mass, Oxygen Desaturation, and Apnea-Hypopnea Indices in a Sleep Clinic Population. Sleep, 35(1):89–96.
Nigro, C. A., Dibur, E., and Rhodius, E. (2011). Pulse Oximetry for the Detection of Obstructive Sleep Apnea Syndrome: Can the Memory Capacity of Oxygen Saturation Inuence Their Diagnostic Accuracy? Sleep Disorders, 2011:1–9.
Rashid, N. H., Zaghi, S., Scapuccin, M., Camacho, M., Certal, V., and Capasso, R. (2021). The Value of Oxygen Desaturation Index for Diagnosing Obstructive Sleep Apnea: A Systematic Review. Laryngoscope, 131(2):440–447.
Romem, A., Romem, A., Koldobskiy, D., and Scharf, S. M. (2014). Diagnosis of obstructive sleep apnea using pulse oximeter derived photoplethysmographic signals. Journal of Clinical Sleep Medicine, 10(3):285–290.
Yamashiro, Y. and Kryger, M. H. (1995). Nocturnal oximetry: Is it a screening tool for sleep disorders? Sleep, 18(3):167–171.
Published
2021-06-15
How to Cite
DOMINGUES, Diego Munduruca; SOARES, Filipe Vilela; LORENZI-FILHO, Geraldo; MORIYA, Henrique Takachi.
Oxygen Desaturation Index calculation: impact of different methodologies. In: BRAZILIAN SYMPOSIUM ON COMPUTING APPLIED TO HEALTH (SBCAS), 21. , 2021, Evento Online.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2021
.
p. 37-47.
ISSN 2763-8952.
DOI: https://doi.org/10.5753/sbcas.2021.16051.
