Addition of frontal EEG to adult home sleep apnea testing: does a more accurate determination of sleep time make a difference?
Addition of frontal EEG to adult home sleep apnea testing: does a more accurate determination of sleep time make a difference?
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DOI：
10.1007/s11325-018-1735-2
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发表时间：
2018-12-01
影响因子：
2.5
通讯作者：
Rapoport, David M.
中科院分区：
文献类型：
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作者：
Light, Matthew P.;Casimire, Thalia N.;Rapoport, David M.
基本原理家庭睡眠呼吸暂停测试（HSAT）通常不包括用于睡眠评估的脑电图（EEG）监测。在失眠和睡眠效率低的患者中，由于缺乏EEG，可能会导致对睡眠时间的高估，这将降低睡眠呼吸障碍（SDB）指数，并可能导致假阴性结果。然后检查将该单通道EEG添加到标准HSAT以防止假阴性结果的效用。首先在21名受试者中进行单通道EEG与全PSG的睡眠评分的历元验证。随后对在大学附属睡眠中心使用Somte（Compumedics）HSAT进行的207例连续HSAT进行了单独的回顾性分析，其中包括一个额叶EEG以及下巴EMG、鼻气流、氧合血红蛋白饱和度、呼吸努力、脉率和体位。每项研究评分两次，有（HSAT（EEG））和没有EEG信号可见（HSAT（多导睡眠图）），以计算AHI4和RDI以及对OSA诊断和严重程度的影响。对69例提示失眠的睡眠不佳患者加埃普沃思嗜睡量表进行重复分析
Rationale Home sleep apnea testing (HSAT) typically does not include electroencephalogram (EEG) monitoring for sleep assessment. In patients with insomnia and low sleep efficiency, overestimation of the sleep period can result from absence of EEG, which will reduce sleep disordered breathing (SDB) indices and may lead to a false-negative result.Objective To validate a single channel frontal EEG for scoring sleep versus wake against full EEG during polysomnography, and then to examine the utility of adding this single channel EEG to standard HSAT to prevent false-negative results.Methods Epoch-by-epoch validation for sleep scoring of single channel EEG versus full PSG was first performed in 21 subjects. This was followed by a separate retrospective analysis of 207 consecutive HSATs in adults performed in a university-affiliated sleep center using the Somte (Compumedics) HSAT with one frontal EEG as well as chin EMG, nasal airflow, oxyhemoglobin saturation, respiratory effort, pulse rate, and body position. Each study was scored twice, with (HSAT(EEG)) and without the EEG signal visible (HSAT(Polygraphy)), to calculate AHI4 and RDI and the effect on OSA diagnosis and severity. Analyses were repeated in 69 patients with poor sleep suggesting insomnia plus Epworth Sleepiness Scale