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Sleep Med. 2012 Sep;13(8):1033-8. doi: 10.1016/j.sleep.2012.06.011. Epub 2012 Jul 25.

Is portable monitoring accurate in the diagnosis of obstructive sleep apnea syndrome in chronic pulmonary obstructive disease?

Author information

1
Disciplina de Pneumologia, Departamento de Clínica Médica, Universidade Federal de Sao Paulo - UNIFESP, Sao Paulo/SP, Brazil.

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<0.0001) and AHI-STDHome (r=0.47, p<0.007). Kappa analysis also showed a significant agreement for severe group.

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.

PMID:
22841038
DOI:
10.1016/j.sleep.2012.06.011
[Indexed for MEDLINE]

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