Observational studyJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2016
Short-Term Variability in Apnea-Hypopnea Index during Extended Home Portable Monitoring.
Observational study 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 25 papers.
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Who cites it
25 citing papers in PubMed.
- Efficacy of atomoxetine plus oxybutynin in the treatment of obstructive sleep apnea with moderate pharyngeal collapsibility.Sleep & breathing = Schlaf & Atmung · 2023Trial
- Effects of Medical Therapy on Mild Obstructive Sleep Apnea in Adult Patients.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Trial
- Comparison of two home sleep testing devices with different strategies for diagnosis of OSA.Sleep & breathing = Schlaf & Atmung · 2018Trial
- Mandibular device treatment in obstructive sleep apnea -A structured therapy adjustment considering night-to-night variability night-to-night variability in mandibular devices.Sleep & breathing = Schlaf & Atmung · 2024Article
- Sleep position, patient comfort, and technical performance with two established procedures for home sleep testing.Sleep & breathing = Schlaf & Atmung · 2022Article
- Night-to-night variability of sleep apnea detected by cyclic variation of heart rate during long-term continuous ECG monitoring.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2022Article
- The variability and burden of severe sleep apnea and the relationship with atrial fibrillation occurrence: analysis of pacemaker-detected sleep apnea.Sleep & breathing = Schlaf & Atmung · 2022Article
- Night-to-night variability in obstructive sleep apnea using peripheral arterial tonometry: a case for multiple night testing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Article
- Nightly sleep apnea severity in patients with atrial fibrillation: Potential applications of long-term sleep apnea monitoring.International journal of cardiology. Heart & vasculature · 2019Review
- Sleep disturbances in Wolfram syndrome.Orphanet journal of rare diseases · 2019Article
- Accuracy of portable devices in sleep apnea using oximetry-derived heart rate increases as a surrogate arousal marker.Sleep & breathing = Schlaf & Atmung · 2019Article
- Predictors of Obstructive Sleep Apnea on Home Sleep Apnea Test After a Negative Attended Polysomnography: Not So Fast.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
- Response to Dr. Hunasikatti.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Article
- Detection of sleep-disordered breathing with ambulatory Holter monitoring.Sleep & breathing = Schlaf & Atmung · 2018Article
- Evaluation of body position in upper airway stimulation for obstructive sleep apnea-is continuous voltage sufficient enough?Sleep & breathing = Schlaf & Atmung · 2018Article
- Predictors of Obstructive Sleep Apnea on a Home Sleep Apnea Test After a Negative Attended Polysomnography.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018Article
- Physics and Alchemy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018Article
- Methodological strategies in using home sleep apnea testing in research and practice.Sleep & breathing = Schlaf & Atmung · 2018Review
- Effect of Lifestyle Modification Using a Smartphone Application on Obesity With Obstructive Sleep Apnea: A Short-term, Randomized Controlled Study.Clinical and experimental otorhinolaryngology · 2018Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesApnea-hypopnea index (AHI) is the primary measure used to confirm a diagnosis of obstructive sleep apnea (OSA). However, there may be significant night-to-night variability (NNV) in AHI, limiting the value of AHI in clinical decision-making related to OSA management. We examined short-term NNV in AHI and its predictors during home portable monitoring (PM).
methodsSingle center prospective observational study of patients (n = 84) with newly diagnosed OSA by polysomnography (PSG) AHI ≥ 5/h. All participants underwent 2 to 8 consecutive nights of PM.
resultsParticipants (n = 84) were middle-aged (47 ± 8.3 y, mean ± standard deviation; SD), including 28 women, with mean AHI on baseline PSG (AHIPSG) of 30.1 ± 31.8. Mean AHI on PM (AHIPM) was 27.4 ± 23.7. Intraclass correlation coefficient (ICC) for AHIPM in the entire sample was 0.73 (95% CI 0.66-0.8), indicating that 27% of the variability in AHIPM was due to intra-individual factors. Mild severity of OSA, defined by AHIPSG 5-15/h, was associated with higher NNV (likelihood ratio, -0.4 ± 0.14; p = 0.006) and absence of comorbidity showed a trend towards higher NNV (-0.54 ± 0.27, p = 0.05) on AHIPM.
conclusionsThe intraindividual short-term NNV in AHIPM is higher in mild versus moderately severe OSA, even in the home setting, where first-night effect is not expected. Larger studies of NNV focused on patients with mild OSA are needed to identify characteristics that predict need and timing for repeated diagnostic testing and treatment. COMMENTARY: A commentary on this article appears in this issue on page 787.
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