Validation of an automated algorithm for detecting apneas and hypopneas by acoustic analysis of breath sounds.

Sleep medicine

Volumn 14, Issue 6, 2013, Pages 562-571

  Alshaer, Hisham ^a   Fernie, Geoff R ^b   Maki, Ellen ^b   Bradley, T Douglas ^b  

^a TORONTO REHABILITATION INSTITUTE   (Canada)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ABNORMAL RESPIRATORY SOUND; ACOUSTICS; ADULT; AGED; ALGORITHM; BIOLOGICAL MODEL; BREATHING MECHANICS; CLINICAL TRIAL; DEVICES; FEMALE; HUMAN; MALE; MASK; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; POLYSOMNOGRAPHY; PROCEDURES; REPRODUCIBILITY; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROMES; VALIDATION STUDY;

ACOUSTICS; ADULT; AGED; ALGORITHMS; FEMALE; HUMANS; MALE; MASKS; MIDDLE AGED; MODELS, BIOLOGICAL; POLYSOMNOGRAPHY; REPRODUCIBILITY OF RESULTS; RESPIRATORY MECHANICS; RESPIRATORY SOUNDS; SENSITIVITY AND SPECIFICITY; SLEEP APNEA SYNDROMES;

EID: 84893414682     PISSN: None     EISSN: 18785506     Source Type: Journal    
DOI: 10.1016/j.sleep.2012.12.015     Document Type: Article

References (51)

1. H. Alshaer G. Fernie T.D. Bradley Development and validation of an algorithm for detection of apneas and hypopneas using overnight breath sound recordings Am J Respir Crit Care Med 183 2011 A6317
2. T. Young L. Evans L. Finn M. Palta Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women Sleep 20 9 1997 705 706
3. T.D. Bradley J.S. Floras Sleep apnea and heart failure: Part I: obstructive sleep apnea Circulation 107 12 2003 1671 1678
4. M. Arzt T. Young L. Finn J.B. Skatrud T.D. Bradley Association of sleep-disordered breathing and the occurrence of stroke Am J Respir Crit Care Med 172 11 2005 1447 1451
5. J.M. Marin S.J. Carrizo E. Vicente A.G. Agusti Long-term cardiovascular outcomes in men with obstructive sleep apnoea–hypopnoea with or without treatment with continuous positive airway pressure: an observational study Lancet 365 9464 2005 1046 1053
6. K. Otake K. Delaive R. Walld J. Manfreda M.H. Kryger Cardiovascular medication use in patients with undiagnosed obstructive sleep apnoea Thorax 57 5 2002 417 422
7. Y. Kaneko J.S. Floras K. Usui J. Plante R. Tkacova T. Kubo Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea N Engl J Med 348 13 2003 1233 1241
8. K. Usui T.D. Bradley J. Spaak C.M. Ryan T. Kubo Y. Kaneko Inhibition of awake sympathetic nerve activity of heart failure patients with obstructive sleep apnea by nocturnal continuous positive airway pressure J Am Coll Cardiol 45 12 2005 2008 2011
9. C.M. Ryan K. Usui J.S. Floras T.D. Bradley Effect of continuous positive airway pressure on ventricular ectopy in heart failure patients with obstructive sleep apnoea Thorax 60 9 2005 781 785
10. M.P. Gilman J.S. Floras K. Usui Y. Kaneko R.S. Leung T.D. Bradley Continuous positive airway pressure increases heart rate variability in heart failure patients with obstructive sleep apnoea Clin Sci (Lond) 114 3 2008 243 249
11. P. Ruttanaumpawan M.P. Gilman K. Usui J.S. Floras T.D. Bradley Sustained effect of continuous positive airway pressure on baroreflex sensitivity in congestive heart failure patients with obstructive sleep apnea J Hypertens 26 6 2008 1163 1168
12. R.S. Leung T.D. Bradley Sleep apnea and cardiovascular disease Am J Respir Crit Care Med 164 12 2001 2147 2165
13. W.W. Flemons M.R. Littner J.A. Rowley P. Gay W.M. Anderson D.W. Hudgel Home diagnosis of sleep apnea: a systematic review of the literature. An evidence review cosponsored by the American academy of sleep medicine, the American college of chest physicians, and the American thoracic society Chest 124 4 2003 1543 1579
14. N.A. Collop S.L. Tracy V. Kapur R. Mehra D. Kuhlmann S.A. Fleishman Obstructive sleep apnea devices for out-of-center (OOC) testing: technology evaluation J Clin Sleep Med 7 5 2011 531 548
15. J.A. Fiz R. Jan J. Izquierdo A. Homs M.A. Garca R. Gomez Analysis of forced wheezes in asthma patients Respiration 73 1 2006 55
16. B. Sankur E. Cagatay Guler Y.P. Kahya Multiresolution biological transient extraction applied to respiratory crackles Comput Biol Med 26 1 1996 25 39
17. A.K. Bieger-Farhan N.K. Chadha A.E. Camilleri P. Stone K. McGuinness Portable method for the determination of snoring site by sound analysis J Laryngol Otol 118 2 2004 135 138
18. P.D. Hill B.W. Lee J.E. Osborne E.Z. Osman Palatal snoring identified by acoustic crest factor analysis Physiol Meas 20 2 1999 167 174
19. S. Himanen E. Huupponen A. Kulkas E. Rauhala Compressed tracheal sound analysis as a screening method for obstructive apneas and hypopneas Sleep Med 8 2007 S91–S91
20. M. Cavusoglu T. Ciloglu Y. Serinagaoglu M. Kamasak O. Erogul T. Akcam Investigation of sequential properties of snoring episodes for obstructive sleep apnoea identification Physiol Meas 29 8 2008 879 898
21. U.R. Abeyratne A.S. Wakwella C. Hukins Pitch jump probability measures for the analysis of snoring sounds in apnea Physiol Meas 26 5 2005 779 798
22. J. Sola-Soler R. Jane J.A. Fiz J. Morera Automatic classification of subjects with and without sleep apnea through snoring analysis Conf Proc IEEE Eng Med Biol Soc 2007 2007 6094 6097
23. A.K. Ng K.Y. Wong C.H. Tan T.S. Koh Bispectral analysis of snore signals for obstructive sleep apnea detection Conf Proc IEEE Eng Med Biol Soc 2007 2007 6196 6199
24. 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(2):173–84.
25. A. Rechtschaffen A. Kales A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects 1968 UCLA Brain Information Service/Brain Research Institute Los Angeles
26. 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(5):667–89.
27. Iber C, Ancoli-Israel S, Chesson AL, Quan S. The AASM manual for the scoring of sleep and associated events: rules, terminology, and technical specifications, 1st ed. The American Academy of Sleep Medicine, Westchester, IL, 2007.
28. S. Redolfi D. Yumino P. Ruttanaumpawan B. Yau M.C. Su J. Lam Relationship between overnight rostral fluid shift and obstructive sleep apnea in nonobese men Am J Respir Crit Care Med 179 3 2009 241 246
29. Alshaer H, Fernie GR, Sejdic E, Bradley TD. Adaptive segmentation and normalization of breathing acoustic data of subjects with obstructive sleep apnea. Conf IEEE Sci Technol Human 2009;2009:279–84.
30. M.J. Morrell Y. Arabi B. Zahn M.S. Badr Progressive retropalatal narrowing preceding obstructive apnea Am J Respir Crit Care Med 158 6 1998 1974 1981
31. J.A. Dempsey S.C. Veasey B.J. Morgan C.P. O’Donnell Pathophysiology of sleep apnea Physiol Rev 90 1 2010 47 112
32. T. Young M. Palta J. Dempsey J. Skatrud S. Weber S. Badr The occurrence of sleep-disordered breathing among middle-aged adults N Engl J Med 328 17 1993 1230 1235
33. F.J. Nieto T.B. Young B.K. Lind E. Shahar J.M. Samet S. Redline Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep heart health study JAMA 283 14 2000 1829 1836
34. E. Shahar C.W. Whitney S. Redline E.T. Lee A.B. Newman F.J. Nieto Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study Am J Respir Crit Care Med 163 1 2001 19 25
35. N.A. Collop W.M. Anderson B. Boehlecke D. Claman R. Goldberg D.J. Gottlieb 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 3 7 2007 737 747
36. H. Alshaer, M. Garcia, M.H. Radfar, G.R. Fernie, T.D. Bradley, Detection of upper airway narrowing via classification of LPC coefficients: implications for obstructive sleep apnea diagnosis. Conf IEEE Acoust Speech Signal Process 2011;2011:681–4.
37. Yadollahi A, Alshaer H, Radfar MH, Bradley TD. Relationship of respiratory sounds to alterations in the upper airway resistance. Conf Proc IEEE Eng Med Biol Soc; in press.
38. A. Yadollahi Z.M. Moussavi Acoustical respiratory flow. A review of reliable methods for measuring air flow IEEE Eng Med Biol Mag 26 1 2007 56 61
39. A.K. Ng T.S. Koh E. Baey T.H. Lee U.R. Abeyratne K. Puvanendran Could formant frequencies of snore signals be an alternative means for the diagnosis of obstructive sleep apnea? Sleep Med 9 8 2008 894 898
40. J.A. Fiz J. Abad R. Jane M. Riera M.A. Mananas P. Caminal Acoustic analysis of snoring sound in patients with simple snoring and obstructive sleep apnoea Eur Respir J 9 11 1996 2365 2370
41. Matsiki D, Deligianni X, Vlachogianni-Daskalopoulou E, Hadjileontiadis LJ. Wavelet-based analysis of nocturnal snoring in apneic patients undergoing polysomnography. Conf Proc IEEE Eng Med Biol Soc 2007;2007:1912–5.
42. D.L. Van Brunt K.L. Lichstein S.L. Noe R.N. Aguillard K.W. Lester Intensity pattern of snoring sounds as a predictor for sleep-disordered breathing Sleep 20 12 1997 1151 1156
43. N. Ben-Israel A. Tarasiuk Y. Zigel Obstructive apnea hypopnea index estimation by analysis of nocturnal snoring signals in adults Sleep 35 9 2012 1299 1305
44. N. Ben-Israel A. Tarasiuk Y. Zigel Nocturnal sound analysis for the diagnosis of obstructive sleep apnea Conf Proc IEEE Eng Med Biol Soc 2010 2010 6146 6149
45. A. Yadollahi E. Giannouli Z. Moussavi Sleep apnea monitoring and diagnosis based on pulse oximetry and tracheal sound signals Med Biol Eng Comput 48 11 2010 1087 1097
46. F. Barbe L.R. Mayoralas J. Duran J.F. Masa A. Maimo J.M. Montserrat Treatment with continuous positive airway pressure is not effective in patients with sleep apnea but no daytime sleepiness. A randomized, controlled trial Ann Intern Med 134 11 2001 1015 1023
47. G.V. Robinson D.M. Smith B.A. Langford R.J. Davies J.R. Stradling Continuous positive airway pressure does not reduce blood pressure in nonsleepy hypertensive OSA patients Eur Respir J 27 6 2006 1229 1235
48. D.I. Loube P.C. Gay K.P. Strohl A.I. Pack D.P. White N.A. Collop Indications for positive airway pressure treatment of adult obstructive sleep apnea patients: a consensus statement Chest 115 3 1999 863 866
49. F. Barbe J. Duran-Cantolla M. Sanchez-de-la Torre M. Martinez-Alonso C. Carmona A. Barcelo Effect of continuous positive airway pressure on the incidence of hypertension and cardiovascular events in nonsleepy patients with obstructive sleep apnea: a randomized controlled trial JAMA 307 20 2012 2161 2168
50. L. de Souza A.A. Benedito-Silva M.L. Pires D. Poyares S. Tufik H.M. Calil Further validation of actigraphy for sleep studies Sleep 26 1 2003 81 85
51. D. Yumino H. Wang J.S. Floras G.E. Newton S. Mak P. Ruttanaumpawan Prevalence and physiological predictors of sleep apnea in patients with heart failure and systolic dysfunction J Card Fail 15 4 2009 279 285