Can We Use Home Sleep Testing for the Evaluation of Sleep Apnea in Obese Pregnant Women?
Joint Authors
Wisniewski, Stephen
Facco, Francesca L.
Lopata, Victoria
Wolsk, Jennifer M.
Patel, Sanjay
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-08-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To evaluate the performance of a type III home sleep testing (HST) monitor including its autoscoring algorithm, in a population of obese pregnant women.
Methods.
This was an ancillary study of an ongoing prospective study of obese (BMI of ≥30) pregnant women.
For the primary study, women undergo serial in-lab polysomnograms (PSG) during pregnancy.
Sleep apnea was defined as an apnea hypopnea index (AHI) of ≥ 5 events/hour.
A subgroup of women were asked to wear an ApneaLink HST device for 1 night, within 2 weeks of a late pregnancy PSG (≥ 28 weeks’ gestation).
The AHI obtained from PSG was compared to the AHI from the HST via autoscoring (HST-auto) as well as the AHI via technician scoring (HST-tech).
We calculated Shrout Fleiss Fixed correlation coefficients (ICC) and looked at positive-positive and negative-negative agreement.
Results.
43 women were recruited and we obtained 30 valid HST.
The mean PSH AHI was 3.3 (±3.2, range 0.5-16.6).
Six (20%) women had a positive PSG study.
ICCs were 0.78 for HST-auto versus HST-tech, 0.76 for HST-auto versus PSG, and 0.70 for HST-tech versus PSG.
Categorical agreement was also strong, with 24/30 (80.0%) for HST-auto versus HST-tech, 25/30 (83.3%) for HST-auto versus PSG, and 23/30 (76.7%) for HST-tech versus PSG.
Conclusion.
In obese women evaluated in late pregnancy, we found relatively high intraclass correlation and categorical agreement among HST-auto scores, HST-tech scores, and in-lab PSG results obtained within a two-week window.
These results suggest that HST may be used to screen pregnant women for OSA.
American Psychological Association (APA)
Facco, Francesca L.& Lopata, Victoria& Wolsk, Jennifer M.& Patel, Sanjay& Wisniewski, Stephen. 2019. Can We Use Home Sleep Testing for the Evaluation of Sleep Apnea in Obese Pregnant Women?. Sleep Disorders،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1210688
Modern Language Association (MLA)
Facco, Francesca L.…[et al.]. Can We Use Home Sleep Testing for the Evaluation of Sleep Apnea in Obese Pregnant Women?. Sleep Disorders No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1210688
American Medical Association (AMA)
Facco, Francesca L.& Lopata, Victoria& Wolsk, Jennifer M.& Patel, Sanjay& Wisniewski, Stephen. Can We Use Home Sleep Testing for the Evaluation of Sleep Apnea in Obese Pregnant Women?. Sleep Disorders. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1210688
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1210688