Evidence map›Paper›PMID 33299372›Full record

ArticleNature and science of sleep2020

Watch-PAT is Useful in the Diagnosis of Sleep Apnea in Patients with Atrial Fibrillation.

Riva Tauman, Murray Berall, Richard Berry, Tamar Etzioni, Noam Shrater, Dennis Hwang, Ibrahim Marai, Prasanth Manthena, Anil Rama, Rebecca Spiegel and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature and science of sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 6% of its field
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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  4. A meta-analysis of diagnostic test performance of peripheral arterial tonometry studies.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
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  6. Obstructive sleep apnea screening performance of the STOP-BANG questionnaire and a home sleep apnea test device in atrial fibrillation ablation candidates.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
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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

13 authors at 12 institutions in 4 countries.

Riva TaumanSleep Disorders Center, Tel Aviv Souraski Medical Center, Tel Aviv, Israel.
Murray BerallCenter of Sleep and Chronobiology, Toronto, ON, Canada.ORCID 0000-0001-6429-8115
Richard BerryUF Health Sleep Center, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-6579-9883
Tamar EtzioniTechnion Faculty of Medicine, Sleep Laboratory, Carmel Medical Center, Haifa, Israel.
Noam ShraterCardiology Department, Soroka Medical Center, Be'er Sheva, Israel.
Dennis HwangKaiser Permanente Fontana Medical Center, Fontana, CA, USA.
Ibrahim MaraiCardiology Department, Rambam Medical Center, Haifa, Israel.
Prasanth ManthenaSleep Clinic, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.
Anil RamaKaiser Permanente San Jose Medical Center, San Jose, CA, USA.
Rebecca SpiegelStony Brook University Hospital, Stony Brook, NY, USA.ORCID 0000-0003-0106-0083
Thomas PenzelCharite Universitätsmedizin Berlin, Sleep Medicine Center, Berlin, Germany.ORCID 0000-0002-4304-0112
Nira Koren MoragSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Giora PillarTechnion Faculty of Medicine, Sleep Laboratory, Carmel Medical Center, Haifa, Israel.ORCID 0000-0002-0553-4226
Carmel Medical Center · ILCharité - Universitätsmedizin Berlin · DEKaiser Permanente · USKaiser Permanente Fontana Medical Center · USKaiser Permanente San Jose Medical Center · USRambam Health Care Campus · ILSoroka Medical Center · ILStony Brook University Hospital · USTel Aviv Sourasky Medical Center · ILTel Aviv University · ILToronto Sleep Institute · CAUniversity of Florida Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly diagnosis and treatment of sleep apnea in patients with atrial fibrillation (AF) is critical. The WatchPAT (WP) device was shown to be accurate for the diagnosis of sleep apnea; however, studies using the WatchPAT device have thus far excluded patients with arrhythmias due to the potential effect of arrhythmias on the peripheral arterial tonometry (PAT) amplitude and pulse rate changes. PURPOSE: To examine the accuracy of the WP in detecting sleep apnea in patients with AF. PATIENTS AND

methodsPatients with AF underwent simultaneous WP and PSG studies in 11 sleep centers. PSG scoring was blinded to the automatically analyzed WP data.

resultsA total of 101 patients with AF (70 males) were recruited. Forty-six had AF episodes during the overnight sleep study. A significant correlation was found between the PSG-derived AHI and the WP- derived AHI (r=0.80, p<0.0001). There was a good agreement between PSG-derived AHI and WP-derived AHI (mean difference of AHI: -0.02±13.2). Using a threshold of AHI ≥15 per hour of sleep, the sensitivity and specificity of the WP were 0.88 and 0.63, respectively. The overall accuracy in sleep staging between WP and PSG was 62% with Kappa agreement of 0.42.

conclusionWP can detect sleep apnea events in patients with AF. AF should not be an exclusion criterion for using the device. This finding may be of even greater importance in the era of the COVID19 epidemic, when sleep labs were closed and most studies were home based.

Indexed as

atrial fibrillationhome sleep apnea testobstructive sleep apneaWatchPAT

Identifiers

PMID33299372
PMCPMC7721305
OpenAlexW3109864712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.