Evidence map›Paper›PMID 30047487›Full record

ReviewPhysiological measurement2018

Opportunities for utilizing polysomnography signals to characterize obstructive sleep apnea subtypes and severity.

Diego R Mazzotti, Diane C Lim, Kate Sutherland, Lia Bittencourt, Jesse W Mindel, Ulysses Magalang, Allan I Pack, Philip de Chazal, Thomas Penzel

Abstract readReview
In one paragraph

Review in Physiological measurement, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Obstructive Sleep Apnea Endophenotypes.Sleep science (Sao Paulo, Brazil) · 2025
    Review
  4. Article
  5. Review
  6. Sleep Apnea Physiological Burdens and Cardiovascular Morbidity and Mortality.American journal of respiratory and critical care medicine · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Deep learning applied to polysomnography to predict blood pressure in obstructive sleep apnea and obesity hypoventilation: a proof-of-concept study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Diego R MazzottiCenter for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, United States of America.ORCID 0000-0003-3924-9199
Diane C LimCenter for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, United States of America.
Kate SutherlandDepartment Respiratory and Sleep Medicine, Royal North Shore Hospital and Charles Perkins Centre, Northern Clinical School, University of Sydney, Sydney, Australia.ORCID 0000-0001-6106-7303
Lia BittencourtInstituto do Sono, Associação Fundo de Incentivo a Pesquisa (AFIP), São Paulo, Brazil.
Jesse W MindelDivision of Pulmonary, Critical Care and Sleep Medicine, The Ohio State University, Wexner Medical Center, Columbus, United States of America.
Ulysses MagalangDivision of Pulmonary, Critical Care and Sleep Medicine, The Ohio State University, Wexner Medical Center, Columbus, United States of America.
Allan I PackCenter for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, United States of America.ORCID 0000-0002-2879-0484
Philip de ChazalSchool of Electrical and Information Engineering, Charles Perkins Centre, University of Sydney, Sydney, Australia.ORCID 0000-0002-2091-207X
Thomas PenzelCenter for Sleep Medicine, Charite Universitätsmedizin, Berlin, Germany.ORCID 0000-0002-4304-0112

Funding

Understanding the relationship between obesity and tongue fat in humans and ratsP01HL094307 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 2009 to 2020
$23.7M
NHLBI NIH HHS P01 HL094307
6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) is a heterogeneous sleep disorder with many pathophysiological pathways to disease. Currently, the diagnosis and classification of OSA is based on the apnea-hypopnea index, which poorly correlates to underlying pathology and clinical consequences. A large number of in-laboratory sleep studies are performed around the world every year, already collecting an enormous amount of physiological data within an individual. Clinically, we have not yet fully taken advantage of this data, but combined with existing analytical approaches, we have the potential to transform the way OSA is managed within an individual patient. Currently, respiratory signals are used to count apneas and hypopneas, but patterns such as inspiratory flow signals can be used to predict optimal OSA treatment. Electrocardiographic data can reveal arrhythmias, but patterns such as heart rate variability can also be used to detect and classify OSA. Electroencephalography is used to score sleep stages and arousals, but specific patterns such as the odds-ratio product can be used to classify how OSA patients responds differently to arousals.

objectiveIn this review, we examine these and many other existing computer-aided polysomnography signal processing algorithms and how they can reflect an individual's manifestation of OSA. SIGNIFICANCE: Together with current technological advance, it is only a matter of time before advanced automatic signal processing and analysis is widely applied to precision medicine of OSA in the clinical setting.

Indexed as

Diagnosis, Computer-AssistedPolysomnographyAlgorithmsHumansPattern Recognition, AutomatedSeverity of Illness IndexSleep Apnea, Obstructive

Identifiers

PMID30047487
PMCPMC6219393

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.