ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2016
Agreement in the Scoring of Respiratory Events Among International Sleep Centers for Home Sleep Testing.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Analysis of Interrater Reliability and Interpretive Discrepancies in Polysomnography Scoring Across Clinical Subgroups.Life (Basel, Switzerland) · 2026Article
- Integrating psychological and cognitive factors in the association between self-reported and objective sleep measures among healthy older adults: a community-based study.Frontiers in public health · 2025Article
- Deep learning of sleep apnea-hypopnea events for accurate classification of obstructive sleep apnea and determination of clinical severity.Sleep medicine · 2024Article
- The Use of Respiratory Effort Improves an ECG-Based Deep Learning Algorithm to Assess Sleep-Disordered Breathing.Diagnostics (Basel, Switzerland) · 2023Article
- External proficiency testing improves inter-scorer reliability of polysomnography scoring.Sleep & breathing = Schlaf & Atmung · 2023Article
- Using sleep heart rate variability to investigate the sleep quality in children with obstructive sleep apnea.Frontiers in public health · 2023Article
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- Automatic unsupervised respiratory analysis of infant respiratory inductance plethysmography signals.PloS one · 2020Article
- A Global Comparison of Anatomic Risk Factors and Their Relationship to Obstructive Sleep Apnea Severity in Clinical Samples.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
- Characteristics of obstructive sleep apnea in myasthenia gravis patients: a single center study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019Article
- Home sleep apnea testing: comparison of manual and automated scoring across international sleep centers.Sleep & breathing = Schlaf & Atmung · 2019Article
- High-Resolution Pulse Oximetry and Titration of a Mandibular Advancement Device for Obstructive Sleep Apnea.Frontiers in neurology · 2019Article
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- Improving Accuracy of Home Sleep Apnea Testing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017Article
- Home Portable Sleep Testing Has Gone Global.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016Article
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11 authors.
Funding
Abstract
STUDY
objectivesHome sleep testing (HST) is used worldwide to confirm the presence of obstructive sleep apnea (OSA). We sought to determine the agreement of HST scoring among international sleep centers.
methodsFifteen HSTs, previously recorded using a type 3 monitor, were deidentified and saved in European Data Format. The studies were scored by nine technologists from the sleep centers of the Sleep Apnea Global Interdisciplinary Consortium (SAGIC) using the locally available software. Each study was scored separately using one of three different airflow signals: nasal pressure (NP), transformed (square root) nasal pressure signal (transformed NP), and uncalibrated respiratory inductive plethysmography (RIP) flow. Only one of the three airflow signals was visible to the scorer at each scoring session. The scoring procedure was repeated to determine the intrarater reliability.
resultsThe intraclass correlation coefficients (ICCs) using the NP were: apnea-hypopnea index (AHI) = 0.96 (95% confidence interval [CI]: 0.93-0.99); apnea index = 0.91 (0.83-0.96); and hypopnea index = 0.75 (0.59-0.89). The ICCs using the transformed NP were: AHI = 0.98 (0.96-0.99); apnea index = 0.95 (0.90-0.98); and hypopnea index = 0.90 (0.82-0.96). The ICCs using the RIP flow were: AH I = 0.98 (0.96-0.99); apnea index = 0.66 (0.48-0.84); and hypopnea index = 0.78 (0.63-0.90). The mean difference of first and second scoring sessions of the same respiratory variables ranged from -1.02 to 0.75/h.
conclusionThere is a strong agreement in the scoring of the respiratory events for HST among international sleep centers. Our results suggest that centralized scoring of HSTs may not be necessary in future research collaboration among international sites. COMMENTARY: A commentary on this article appears in this issue on page 7.
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