ArticleBMJ open2015
Type III home sleep testing versus pulse oximetry: is the respiratory disturbance index better than the oxygen desaturation index to predict the apnoea-hypopnoea index measured during laboratory polysomnography?
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 48 citations in OpenAlex.
- Comparison of two home sleep testing devices with different strategies for diagnosis of OSA.Sleep & breathing = Schlaf & Atmung · 2018Trial
- Validation of ApneaLink™ Plus for the diagnosis of sleep apnea.Sleep & breathing = Schlaf & Atmung · 2017Trial
- Novel Type IV Monitoring Device With Advanced Oximetry Indicators Offers Accurate Diagnosis of Obstructive Sleep Apnea in Adults.The clinical respiratory journal · 2026Observational
- Artificial intelligence-based approaches for sleep-related breathing events identification using EEG and ECG signals.Sleep & breathing = Schlaf & Atmung · 2025Article
- Article
- Yield of overnight pulse oximetry in screening commercial drivers for obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2023Article
- Clinical impact of manual scoring of peripheral arterial tonometry in patients with sleep apnea.Sleep & breathing = Schlaf & Atmung · 2023Article
- Diagnostic Performance of Photoplethysmography-Based Smartwatch for Obstructive Sleep Apnea.Journal of rhinology : official journal of the Korean Rhinologic Society · 2022Article
- Oximetry Indices in the Management of Sleep Apnea: From Overnight Minimum Saturation to the Novel Hypoxemia Measures.Advances in experimental medicine and biology · 2022Article
- Home Sleep Testing of Sleep Apnea.Advances in experimental medicine and biology · 2022Article
- A Minimum Set of Physiological Parameters to Diagnose Obstructive Sleep Apnea Syndrome Using Non-Invasive Portable Monitors. A Systematic Review.Life (Basel, Switzerland) · 2021Review
- Postprandial hyperglycemia in type 2 diabetes and obstructive sleep apnea.Sleep medicine · 2021Article
- Predictive performance of oximetry in detecting sleep apnea in surgical patients with cardiovascular risk factors.PloS one · 2021Article
- Diagnostic accuracy of oximetry for obstructive sleep apnea: a study on older adults in a home setting.Clinics (Sao Paulo, Brazil) · 2021Article
- Diagnostic performance of nocturnal oximetry in the detection of obstructive sleep apnea syndrome: a Brazilian study.Sleep & breathing = Schlaf & Atmung · 2020Article
- The effect of gradually increased mandibular advancement on the efficacy of an oral appliance in the treatment of obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Article
- Usefulness of Home Overnight Pulse Oximetry in Patients with Suspected Sleep-Disordered Breathing.Canadian respiratory journal · 2020Article
- Obstructive Sleep Apnea, Sleepiness, and Glycemic Control in Type 2 Diabetes.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
- Validation of the oxygen desaturation index in the diagnostic workup of obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2019Article
- A comparison between auto-scored apnea-hypopnea index and oxygen desaturation index in the characterization of positional obstructive sleep apnea.Nature and science of sleep · 2019Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIn its guidelines on the use of portable monitors to diagnose obstructive sleep apnoea, the American Academy of Sleep Medicine endorses home polygraphy with type III devices recording at a minimum airflow the respiratory effort and pulse oximetry, but advises against simple pulse oximetry. However, oximetry is widely available and simple to use in the home. This study was designed to compare the ability of the oxygen desaturation index (ODI) based on oximetry alone with a stand-alone pulse oximeter (SPO) and from the oximetry channel of the ApneaLink Plus (ALP), with the respiratory disturbance index (RDI) based on four channels from the ALP to predict the apnoea-hypopnoea index (AHI) from laboratory polysomnography.
designCross-sectional diagnostic accuracy study.
settingSleep medicine practice of a multispecialty clinic.
participantsPatients referred for laboratory polysomnography with suspected sleep apnoea. We enrolled 135 participants with 123 attempting the home sleep testing and 73 having at least 4 hours of satisfactory data from SPO and ALP.
interventionsParticipants had home testing performed simultaneously with both a SPO and an ALP. The 2 oximeter probes were worn on different fingers of the same hand. The ODI for the SPO was calculated using Profox software (ODI(SOX)). For the ALP, RDI and ODI were calculated using both technician scoring (RDI(MAN) and ODI(MAN)) and the ALP computer scoring (RDI(RAW) and ODI(RAW)).
resultsThe receiver-operator characteristic areas under the curve for AHI ≥ 5 were RDI(MAN) 0.88 (95% confidence limits 0.81-0.96), RDI(RAW) 0.86 (0.76-0.94), ODI(MAN) 0.86 (0.77-0.95), ODI(RAW) 0.84 (0.75-0.93) and ODI(SOX) 0.83 (0.73-0.93).
conclusionsWe conclude that the RDI and the ODI, measured at home on the same night, give similar predictions of the laboratory AHI, measured on a different night. The differences between the two methods are small compared with the reported night-to-night variation of the AHI.
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