Evidence map›Paper›PMID 33398041›Full record

ArticleNPJ digital medicine2021

Digital oximetry biomarkers for assessing respiratory function: standards of measurement, physiological interpretation, and clinical use.

Jeremy Levy, Daniel Álvarez, Aviv A Rosenberg, Alexandra Alexandrovich, Félix Del Campo, Joachim A Behar

Open access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 1% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Engineering biomarker representations of vital signs data enhances deep learning mortality prediction.Journal of the American Medical Informatics Association : JAMIA · 2026
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  4. Review
  5. Observational
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  8. Review
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  10. Time will heal: a case of resolved central sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  11. The 2023 wearable photoplethysmography roadmap.Physiological measurement · 2023
    Review
  12. Article
  13. Article
  14. A study on the rapid diagnosis of chronic heart failure by measuring the difference in pulse oxygen saturation before and after arm compression.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Article
  15. Review
  16. Article
  17. Article
  18. Exoscope-based videocapillaroscopy system forBiomedical optics express · 2021
    Article
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

6 authors at 2 institutions in 2 countries.

Jeremy LevyFaculty of Biomedical Engineering, Technion Institute of Technology, Haifa, Israel.ORCID http://orcid.org/0000-0001-7498-6413
Daniel ÁlvarezRío Hortega University Hospital Valladolid, Valladolid, Spain.ORCID http://orcid.org/0000-0003-1027-2395
Aviv A RosenbergDepartment of Computer Science, Technion Institute of Technology, Haifa, Israel.ORCID http://orcid.org/0000-0002-3755-6534
Alexandra AlexandrovichFaculty of Biomedical Engineering, Technion Institute of Technology, Haifa, Israel.
Félix Del CampoRío Hortega University Hospital Valladolid, Valladolid, Spain.ORCID http://orcid.org/0000-0002-4554-2167
Joachim A BeharFaculty of Biomedical Engineering, Technion Institute of Technology, Haifa, Israel. jbehar@technion.ac.il.ORCID http://orcid.org/0000-0001-5956-7034
Technion – Israel Institute of Technology · ILUniversidad de Valladolid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulse oximetry is routinely used to non-invasively monitor oxygen saturation levels. A low oxygen level in the blood means low oxygen in the tissues, which can ultimately lead to organ failure. Yet, contrary to heart rate variability measures, a field which has seen the development of stable standards and advanced toolboxes and software, no such standards and open tools exist for continuous oxygen saturation time series variability analysis. The primary objective of this research was to identify, implement and validate key digital oximetry biomarkers (OBMs) for the purpose of creating a standard and associated reference toolbox for continuous oximetry time series analysis. We review the sleep medicine literature to identify clinically relevant OBMs. We implement these biomarkers and demonstrate their clinical value within the context of obstructive sleep apnea (OSA) diagnosis on a total of n = 3806 individual polysomnography recordings totaling 26,686 h of continuous data. A total of 44 digital oximetry biomarkers were implemented. Reference ranges for each biomarker are provided for individuals with mild, moderate, and severe OSA and for non-OSA recordings. Linear regression analysis between biomarkers and the apnea hypopnea index (AHI) showed a high correlation, which reached [Formula: see text]. The resulting python OBM toolbox, denoted "pobm", was contributed to the open software PhysioZoo ( physiozoo.org ). Studying the variability of the continuous oxygen saturation time series using pbom may provide information on the underlying physiological control systems and enhance our understanding of the manifestations and etiology of diseases, with emphasis on respiratory diseases.

Identifiers

PMID33398041
PMCPMC7782845
OpenAlexW3119755710

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.