Diagnostic accuracy of a questionnaire and simple home monitoring device in detecting obstructive sleep apnoea in a Chinese population at high cardiovascular risk

Respirology

Volumn 15, Issue 6, 2010, Pages 952-960

  Gantner, Dashiell ^a   Ge, Ji Yong ^b   Li, Li Hua ^b   Antic, Nick ^c   Windler, Sam ^c   Wong, Keith ^d   Heeley, Emma ^a   Huang, Shao Guang ^d   Cui, Ping ^e   Anderson, Craig ^a   Wang, Ji Guang ^b   McEvoy, Doug ^c  

^a ROYAL PRINCE ALFRED HOSPITAL   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

^c REPATRIATION GENERAL HOSPITAL   (Australia)

^d SHANGHAI JIAO TONG UNIVERSITY SCHOOL OF MEDICINE   (China)

^e Xuhui District Tianping Street Community Health Center   (China)

Author keywords

ApneaLink; diagnosis; home monitoring; sleep apnoea

Indexed keywords

ADULT; ARTICLE; BERLIN SLEEP QUESTIONNAIRE; CARDIOVASCULAR RISK; CHINESE; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE SEVERITY; FEMALE; HOME MONITORING; HUMAN; MAJOR CLINICAL STUDY; MALE; OXIMETRY; POLYSOMNOGRAPHY; PRESSURE MEASUREMENT; PRIORITY JOURNAL; QUESTIONNAIRE; SENSITIVITY AND SPECIFICITY; SLEEP; SLEEP APNEA SYNDROME;

AGED; ASIAN CONTINENTAL ANCESTRY GROUP; CARDIOVASCULAR DISEASES; COMORBIDITY; FEMALE; HUMANS; MALE; MANOMETRY; MIDDLE AGED; OXIMETRY; POLYSOMNOGRAPHY; QUESTIONNAIRES; SLEEP APNEA, OBSTRUCTIVE; SMOKING;

EID: 77954919283     PISSN: 13237799     EISSN: 14401843     Source Type: Journal    
DOI: 10.1111/j.1440-1843.2010.01797.x     Document Type: Article

References (45)

1. Arzt M, Young T, Finn L et al. Association of sleep-disordered breathing and the occurrence of stroke. Am. J. Respir. Crit. Care Med. 2005 172 : 1447 1451.
2. Gami AS, Howard DE, Olson EJ et al. Day-night pattern of sudden death in obstructive sleep apnea. N. Engl. J. Med. 2005 352 : 1206 1214.
3. Peppard PE, Young T, Palta M et al. Prospective study of the association between sleep-disordered breathing and hypertension. N. Engl. J. Med. 2000 342 : 1378 1384.
4. Shahar E, Whitney CW, Redline S et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am. J. Respir. Crit. Care Med. 2001 163 : 19 25.
5. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am. J. Respir. Crit. Care Med. 2002 165 : 1217 1239.
6. Huang SG, Li QY. [Prevalence of obstructive sleep apnea-hypopnea syndrome in Chinese adults aged over 30 yr in Shanghai]. Zhonghua Jie He He Hu Xi Za Zhi 2003 26 : 268 272.
7. Ip MS, Lam B, Lauder IJ et al. A community study of sleep-disordered breathing in middle-aged Chinese men in Hong Kong. Chest 2001 119 : 62 9.
8. Sharma SK, Kumpawat S, Banga A et al. Prevalence and risk factors of obstructive sleep apnea syndrome in a population of Delhi, India. Chest 2006 130 : 149 156.
9. Caterson ID, Hubbard V, Bray GA et al. Prevention Conference VII: obesity, a worldwide epidemic related to heart disease and stroke: Group III: worldwide comorbidities of obesity. Circulation 2004 110 : e476 83.
10. Kushida CA, Littner MR, Morgenthaler T et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep 2005 28 : 499 521.
11. Flemons WW, Douglas NJ, Kuna ST et al. Access to diagnosis and treatment of patients with suspected sleep apnea. Am. J. Respir. Crit. Care Med. 2004 169 : 668 672.
12. Young T, Evans L, Finn L et al. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 1997 20 : 705 706.
13. Yusuf S, Reddy S, Ounpuu S et al. Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 2001 104 : 2746 2753.
14. Lopez AD, Murray CJL, World Health Organization, World Bank, Harvard School of Public Health. The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Harvard School of Public Health on behalf of the World Health Organization and World Bank; Distributed by Harvard University Press
15. Du S, Lu B, Zhai F et al. A new stage of the nutrition transition in China. Public Health Nutr. 2002 5 : 169 174.
16. Wang H, Du S, Zhai F et al. Trends in the distribution of body mass index among Chinese adults, aged 20-45 years (1989-2000). Int. J. Obes. (Lond) 2007 31 : 272 278.
17. Collop NA, Anderson WM, Boehlecke B et al. Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Portable Monitoring Task Force of the American Academy of Sleep Medicine. J. Clin. Sleep Med. 2007 3 : 737 747.
18. Alonso Alvarez Mde L, Teran Santos J, Cordero Guevara J et al. [Reliability of home respiratory polygraphy for the diagnosis of sleep apnea-hypopnea syndrome: analysis of costs]. Arch. Bronconeumol. 2008 44 : 22 8.
19. China NBSPR. China Statistical Yearbook 2007, 26th edn. China Statistics Press, 2007.
20. Ip M, Chung KF, Chan KN et al. Previously unrecognized obstructive sleep apnea in Chinese subjects with essential hypertension. Lung 1999 177 : 391 400.
21. Netzer NC, Stoohs RA, Netzer CM et al. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann. Intern. Med. 1999 131 : 485 491.
22. ICH Harmonised Tripartite Guideline, Guideline for Good Clinical Practice, E6(R1). 1996 Accessed 3 June 2010]. Available from URL: http://www.ich.org/LOB/media/MEDIA482.pdf
23. Barzi F, Patel A, Gu D et al. Cardiovascular risk prediction tools for populations in Asia. J. Epidemiol. Community Health 2007 61 : 115 121.
24. Zhou BF. Effect of body mass index on all-cause mortality and incidence of cardiovascular diseases - report for meta-analysis of prospective studies open optimal cut-off points of body mass index in Chinese adults. Biomed. Environ. Sci. 2002 15 : 245 252.
25. Chobanian AV, Bakris GL, Black HR et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003 289 : 2560 2572.
26. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991 14 : 540 545.
27. Heitman SJ, Atkar RS, Hajduk EA et al. Validation of nasal pressure for the identification of apneas/hypopneas during sleep. Am. J. Respir. Crit. Care Med. 2002 166 : 386 391.
28. EEG arousals: scoring rules and examples: a preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association. Sleep 1992 15 : 173 184.
29. Rechtschaffen A, Kales A. A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. University of California Los Angeles, Brain Information Service, 1968.
30. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999 22 : 667 689.
31. Iber C, Redline S, Kaplan Gilpin AM et al. Polysomnography performed in the unattended home versus the attended laboratory setting - Sleep Heart Health Study methodology. Sleep 2004 27 : 536 540.
32. Golbin JM, Somers VK, Caples SM. Obstructive sleep apnea, cardiovascular disease, and pulmonary hypertension. Proc. Am. Thorac. Soc. 2008 5 : 200 206.
33. Ruehland WR, Rochford PD, O'Donoghue FJ et al. The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Sleep 2009 32 : 150 157.
34. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986 1 : 307 310.
35. Wilson EB. Probable inference, the law of succession, and statistical inference. J. Am. Stat. Assoc. 1927 22 : 209 212.
36. Flemons WW, Littner MR. Measuring agreement between diagnostic devices. Chest 2003 124 : 1535 1542.
37. Shanghai Municipal Office of Medical Insurance. Shanghai Municipal Human Resources and Social Security Bureau
38. Miniati M, Monti S, Bottai M. A structured clinical model for predicting the probability of pulmonary embolism. Am. J. Med. 2003 114 : 173 179.
39. Wicki J, Perneger TV, Junod AF et al. Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Arch. Intern. Med. 2001 161 : 92 7.
40. Vazquez JC, Tsai WH, Flemons WW et al. Automated analysis of digital oximetry in the diagnosis of obstructive sleep apnoea. Thorax 2000 55 : 302 307.
41. Ragette R, Wang Y, Weinreich G et al. Diagnostic performance of single airflow channel recording (ApneaLink) in home diagnosis of sleep apnea. Sleep Breath. 2009 10.1007/s11325-009-0290-2.
42. Erman MK, Stewart D, Einhorn D et al. Validation of the ApneaLink for the screening of sleep apnea: a novel and simple single-channel recording device. J. Clin. Sleep Med. 2007 3 : 387 392.
43. Chen H, Lowe AA, Bai Y et al. Evaluation of a portable recording device (ApneaLink) for case selection of obstructive sleep apnea. Sleep Breath. 2009 13 : 213 219.
44. Ng SS, Chan TO, To KW et al. Validation of a portable recording device (ApneaLink) for identifying patients with suspected obstructive sleep apnoea syndrome. Intern. Med. J. 2009 39 : 757 762.
45. Ghegan MD, Angelos PC, Stonebraker AC et al. Laboratory versus portable sleep studies: a meta-analysis. Laryngoscope 2006 116 : 859 864.