Sleep apnea monitoring and diagnosis based on pulse oximetery and tracheal sound signals

Medical and Biological Engineering and Computing

Volumn 48, Issue 11, 2010, Pages 1087-1097

  Yadollahi, Azadeh ^a,b   Giannouli, Eleni ^c   Moussavi, Zahra ^a,b  

^a UNIVERSITY OF MANITOBA   (Canada)

^b TRLabs Winnipeg   (Canada)

^c UNIVERSITY OF MANITOBA   (Canada)

Author keywords

Obstructive sleep apnea; Portable monitoring; Simple snorer; Snore sounds; Tracheal sounds

Indexed keywords

OBSTRUCTIVE SLEEP APNEA; PORTABLE MONITORING; SIMPLE SNORER; SNORE SOUNDS; TRACHEAL SOUND;

DROPS; OXYGEN; SIGNAL DETECTION;

SLEEP RESEARCH;

OXYGEN;

ABNORMAL RESPIRATORY SOUND; ADULT; AGED; ARTICLE; BLOOD; BODY MASS; BREATHING; EVALUATION; FEMALE; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; OXIMETRY; PATHOPHYSIOLOGY; PHYSIOLOGY; POLYSOMNOGRAPHY; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROME; SNORING; TRACHEA;

ADULT; AGED; BODY MASS INDEX; FEMALE; HUMANS; MALE; MIDDLE AGED; OXIMETRY; OXYGEN; POLYSOMNOGRAPHY; RESPIRATION; RESPIRATORY SOUNDS; SENSITIVITY AND SPECIFICITY; SLEEP APNEA, OBSTRUCTIVE; SNORING; TRACHEA; YOUNG ADULT;

EID: 78649326702     PISSN: 01400118     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11517-010-0674-2     Document Type: Article

References (54)

1. S Quan J Gillin M Littner J Shepard 1999 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 22 667 689
2. C Kushida M Littner T Morgenthaler C Alessi D Bailey JJ Coleman L Friedman M Hirshkowitz S Kapen M Kramer T Lee-Chiong D Loube J Owens J Pancer M Wise 2005 Practice parameters for the indications for polysomnography and related procedures: an update for 2005 Sleep 28 4 499 521 16171294
3. W Flemons M Littner J Rowley P Gay W Anderson D Hudgel R McEvoy D Loube 2003 "Home diagnosis of sleep apnea: a systematic review of the literature" Chest 124 1543 1579 10.1378/chest.124.4.1543 14555592
4. T Young M Palta J Dempsey J Skatrud S Weber S Badr 1993 The occurrence of sleep-disordered breathing among middle-aged adults N Engl J Med 328 1230 1235 1:STN:280:DyaK3s3hvVKlug%3D%3D 10.1056/NEJM199304293281704 8464434
5. J Pagel 2009 Excessive daytime sleepiness Am Fam Physician 79 5 391 396 1:STN:280:DC%2BD1M7pvFalsA%3D%3D 19275068
6. E Kezirian S Harrison S Ancoli-Israel S Redline K Ensrud A Goldberg D Claman A Spira K Stone 2009 Study of osteoporotic in men research group, behavioural correlates of sleep-disordered breathing in older men Sleep 32 2 253 261 19238813
7. R Rakel 2009 Clinical and societal consequences of obstructive sleep apnea and excessive daytime sleepiness Postgrad Med 121 1 86 95 10.3810/pgm.2009.01.1957 19179816
8. R Bhattacharjee L Kheirandish-Gozal G Pillar D Gozal 2009 Cardiovascular complications of obstructive sleep apnea syndrome: evidence from children Prog Cardiovasc Dis 51 5 416 433 10.1016/j.pcad.2008.03.002 19249448
9. A Calvin V Somers 2009 Obstructive sleep apnea and risk of stroke: time for a trial Nat Clin Pract Cardiovasc Med 6 2 90 91 10.1038/ncpcardio1418 19065125
10. N Takama M Kurabayashi 2009 Influence of untreated sleep-disordered breathing on the long-term prognosis of patients with cardiovascular disease Am J Cardiol 103 5 730 734 10.1016/j.amjcard.2008.10.035 19231343
11. G Hamilton I Meredith A Walker P Solin 2009 Obstructive sleep apnea leads to transient uncoupling of coronary blood flow and myocardial work in humans Sleep 32 2 263 270 19238814
12. F Barb J Perics A Muoz L Findley J Ant A Agust 1998 Automobile accidents in patients with sleep apnea syndrome. An epidemiological and mechanistic study Am J Respir Crit Care Med 158 1 18 22
13. J Tern-Santos A Jimnez-Gmez J Cordero-Guevara 1999 The association between sleep apnea and the risk of traffic accidents cooperative group Burgos-Santander N Engl J Med 340 11 847 851 10.1056/NEJM199903183401104
14. T Shiomi A Arita R Sasanabe K Banno H Yamakawa R Hasegawa K Ozeki M Okada A Ito 2002 Falling asleep while driving and automobile accidents among patients with obstructive sleep apnea-hypopnea syndrome Psychiatry Clin Neurosci 56 3 333 334 10.1046/j.1440-1819.2002.01004.x 12047620
15. F Pizza S Contardi S Mondini L Trentin F Cirignotta 2009 Daytime sleepiness and driving performance in patients with obstructive sleep apnea: comparison of the MSLT, the MWT, and a simulated driving task Sleep 32 3 382 391 19294958
16. C Fornas E Ballester E Arteta C Ricou A Diaz A Fernandez J Alonso J Montserrat 1995 Measurement of general health status in obstructive sleep apnea hypopnea syndrome Sleep 18 10 876 879 1:STN:280:DyaK28zlslOltg%3D%3D 8746395
17. W Flemons W Tsai 1997 Quality of life consequences of sleep-disordered breathing J Allergy Clin Immunol 99 2 S750 S756 1:STN:280:DyaK2s7psVKhuw%3D%3D 10.1016/S0091-6749(97)70123-4 9042067
18. A Pack I Gurubhagavatula 1999 Economic implications of the diagnosis of obstructive sleep apnea Ann Intern Med 130 6 533 534 1:STN:280: DyaK1M7msFCjsQ%3D%3D 10075623
19. H Rauscher W Popp H Zwick 1991 Computerized detection of respiratory events during sleep from rapid increases in oxyhemoglobin saturation Lung 169 6 335 342 1:STN:280:DyaK38%2FpvFKktg%3D%3D 10.1007/BF02714170 1758202
20. J Hosselet R Norman I Ayappa D Rapoport 1998 Detection of flow limitation with a nasal cannula/pressure transducer system Am J Respir Crit Care Med 157 5 Pt 1 1461 1467 1:STN:280:DyaK1c3msValsQ%3D%3D 9603124
21. J Salisbury Y Sun 2007 Rapid screening test for sleep apnea using a nonlinear and nonstationary signal processing technique Med Eng Phys 29 3 336 343 10.1016/j.medengphy.2006.05.013 16807053
22. S Grover S Pittman 2008 Automated detection of sleep disordered breathing using a nasal pressure monitoring device Sleep Breath 12 4 339 345 10.1007/s11325-008-0181-y 18368430
23. K Wong D Jankelson A Reid G Unger G Dungan J Hedner R Grunstein 2008 Diagnostic test evaluation of a nasal flow monitor for obstructive sleep apnea detection in sleep apnea research Behav Res Methods 40 1 360 366 10.3758/BRM.40.1.360 18411561
24. L Olson A Ambrogetti S Gyulay 1999 Prediction of sleep-disordered breathing by unattended overnight oximetry J Sleep Res 8 1 51 55 1:STN:280:DyaK1M3gtl2msw%3D%3D 10.1046/j.1365-2869.1999.00134.x 10188136
25. R Hornero D Alvarez D Absolo F del Campo C Zamarrn 2007 Utility of approximate entropy from overnight pulse oximetry data in the diagnosis of the obstructive sleep apnea syndrome IEEE Trans Biomed Eng 54 1 107 113 10.1109/TBME.2006.883821 17260861
26. J Cummiskey T Williams P Krumpe C Guilleminault 1982 The detection and quantification of sleep apnea by tracheal sound recordings Am Rev Respir Dis 126 2 221 224 1:STN:280:DyaL383lsV2jtg%3D%3D 7103247
27. H Nakano M Hayashi E Ohshima N Nishikata T Shinohara 2004 Validation of a new system of tracheal sound analysis for the diagnosis of sleep apnea-hypopnea syndrome Sleep 27 5 951 957 15453554
28. A Kulkas E Huupponen J Virkkala M Tenhunen A Saastamoinen E Rauhala S Himanen 2009 New tracheal sound feature for apnoea analysis Med Biol Eng Comput 47 4 405 412 1:STN:280:DC%2BD1M7pvVKrtw%3D%3D 10.1007/s11517-009-0446-z 19205772
29. E Ballester M Solans X Vila L Hernandez L Quint I Bolivar S Bardagi J Montserrat 2000 Evaluation of a portable respiratory recording device for detecting apnoeas and hypopnoeas in subjects from a general population Eur Respir J 16 1 123 127 1:STN:280:DC%2BD3M%2FkvVSksg%3D%3D 10.1034/j.1399-3003. 2000.16a22.x 10933097
30. A Bar G Pillar I Dvir J Sheffy R Schnall P Lavie 2003 Evaluation of a portable device based on peripheral arterial tone for unattended home sleep studies Chest 123 3 695 703 10.1378/chest.123.3.695 12628865
31. D Zou L Grote Y Peker U Lindblad J Hedner 2006 Validation a portable monitoring device for sleep apnea diagnosis in a population based cohort using synchronized home polysomnography Sleep 29 3 367 374 16553023
32. S Ng T Chan K To J Ngai A Tung F Ko D Hui 2009 Validation of a portable recording device (apnealink) for identifying patients with suspected obstructive sleep apnea syndrome (OSAS) Intern Med J 39 757 762 1:STN:280: DC%2BD1MjlsFOjtw%3D%3D 10.1111/j.1445-5994.2008.01827.x 19220528
33. S Goodrich W Orr 2009 An investigation of the validity of the lifeshirt in comparison to standard polysomnography in the detection of obstructive sleep apnea Sleep Med 10 1 118 122 10.1016/j.sleep.2007.11.003 18083629
34. D Claman A Murr K Trotter 2001 Clinical validation of the bedbugg in detection of obstructive sleep apnea Otolaryngol Head Neck Surg 125 3 227 230 1:STN:280:DC%2BD3MrgslahtA%3D%3D 10.1067/mhn.2001.118126 11555758
35. P Tiihonen A Paakkonen E Mervaala T Hukkanen J Toyras 2009 Design, construction and evaluation of an ambulatory device for screening of sleep apnea Med Biol Eng Comput 47 59 66 1:STN:280:DC%2BD1M%2FmslOltw%3D%3D 10.1007/s11517-008-0418-8 18985400
36. A Chesson R Berry A Pack 2003 Practice parameters for the use of portable monitoring devices in the investigation of suspected obstructive sleep apnea in adults. A joint project sponsored by the American Academy of Sleep Medicine, the American Thoracic Society, and the American College of Chest Physicians Sleep 26 7 907 913 14655928
37. H Pasterkamp S Kraman G Wodicka 1997 Respiratory sounds, advances beyond the stethoscope Am J Respir Crit Care Med 156 974 987 1:STN:280: DyaK2svlsFyjsw%3D%3D 9310022
38. A Sovijarvi L Malmberg G Charbonneau J Vanderschoot F Dalmasso C Sacco M Rossi J Earis 2000 Characteristic of breath sounds and adventitious respiratory sounds Eur Respir Rev 10 77 591 596
39. G Soufflet G Charbonneau M Polit P Attal A Denjean P Escourrou C Gaultier 1990 Interaction between tracheal sound and flow rate: a comparison of some different flow evaluations from lung sounds IEEE Trans Biomed Eng 37 4 384 391 1:STN:280:DyaK3c3kvF2htA%3D%3D 10.1109/10.52345 2338351
40. N Gavriely D Cugell 1996 Airflow effects on amplitude and spectral content of normal breath sounds J Appl Physiol 1 5 13
41. A Yadollahi Z Moussavi 2007 Acoustical flow estimation: review and validation IEEE Mag Biomed Eng 26 1 56 61 10.1109/MEMB.2007.289122
42. L Hadjileontiadis S Panas 1997 Adaptive reduction of heart sounds from lung sounds using forth-order statistics IEEE Trans Biomed Eng 44 7 642 648 1:STN:280:DyaK2szlsVGmuw%3D%3D 10.1109/10.594906 9210825
43. A Yadollahi Z Moussavi 2006 A robust method for heart sound localization using lung sounds entropy IEEE Trans Biomed Eng 53 3 497 502 10.1109/TBME.2005.869789 16532776
44. D Floras Z Moussavi G Thomas 2007 Heart sound cancellation based on multiscale product and linear prediction IEEE Trans Biomed Eng 54 2 234 243 10.1109/TBME.2006.886935
45. J Fiz J Abad R Jane M Riera M Mananas P Caminal D Rodenstein J Morera 1996 Acoustic analysis of snoring in patients with simple snoring and obstructive sleep apnea Eur Respir J 9 2365 2370 1:STN:280:DyaK2s7gt1yntQ%3D%3D 10.1183/09031936.96.09112365 8947087
46. A Yadollahi Z Moussavi 2006 A robust method for estimating respiratory flow using tracheal sounds entropy IEEE Trans Biomed Eng 53 4 662 668 10.1109/TBME.2006.870231 16602572
47. Z Moussavi M Leopando H Pasterkamp G Rempel 2000 Computerized acoustical respiratory phase detection without airflow measurement Med Biol Eng Comput 38 2 198 203 1:STN:280:DC%2BD3c3ovVahsA%3D%3D 10.1007/BF02344776 10829413
48. P Hult T Fjallbrant B Wranne O Engdahl P Ask 2004 An improved bioacoustic method for monitoring respiration Technol Health Care 12 323 332 1:STN:280:DC%2BD2crjtF2kug%3D%3D 15502283
49. A Karunajeewa U Abeyratne C Hukins 2008 Silence-breathing-snore classification from snore-related sounds Physiol Meas 29 2 227 243 10.1088/0967-3334/29/2/006 18256454
50. A Kulkas E Huupponen J Virkkala M Tenhunen A Saastamoinen E Rauhala S Himanen 2009 Intelligent methods for identifying respiratory cycle phases from tracheal sound signal during sleep Comput Biol Med 39 1000 1005 1:STN:280:DC%2BD1MnnslOltQ%3D%3D 10.1016/j.compbiomed.2009.07.014 19712930
51. J Bland D Altman 1986 Statistical methods for assessing agreement between two methods of clinical measurement Lancet 1 8476 307 310 1:STN:280: DyaL287hslWqsQ%3D%3D 2868172
52. Duda R, Hart P, Stork D (2001) Pattern classification. Wiley, New York
53. Moussavi Z, Yadollahi A, Camorlinga S (2009) Breathing sound analysis for detection of sleep apnea/popnea events. USPTO patent 20080243014
54. N Ayas S Pittman M MacDonald D White 2003 Assessment of a wrist-worn device in the detection of obstructive sleep apnea Sleep Med 4 5 435 442 10.1016/S1389-9457(03)00111-4 14592285