Evidence map›Paper›PMID 33576734›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021

Screening for obstructive sleep apnea using a contact-free system compared with polysomnography.

Rui Zhao, JianBo Xue, Xiao Song Dong, Hui Zhi, JiaNan Chen, Long Zhao, XueLi Zhang, Jing Li, Thomas Penzel, Fang Han

Abstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Evolving trends in novel sleep tracking and sleep testing technology publications between 2020 and 2022.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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  4. Observational
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  14. Contact-free screening for obstructive sleep apnea: comfort, especially in a physically distanced brave new world.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Rui ZhaoDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.
JianBo XueDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.
Xiao Song DongDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.
Hui ZhiDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.
JiaNan ChenLuohe Central Hospital, Luohe, Hennan Province, China.
Long ZhaoDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.
XueLi ZhangDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.
Jing LiDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.
Thomas PenzelSleep Medicine Center, Charité-Universitätsmedizin, Berlin, Germany.
Fang HanDepartment of Pulmonary and Critical Care Medicine, Peking University People's Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo evaluate the utility of a contact-free device in screening for obstructive sleep apnea.

methodsThree hundred fifty-nine participants (mean age 46 ± 13 years, body mass index 26.1 ± 4.2 kg/m², 67.7% male) underwent overnight monitoring using a contact-free device, the OrbSense, and polysomnography (PSG) in the sleep laboratory simultaneously. The OrbSense recordings were analyzed automatically, and PSG was scored based on recommended guidelines.

resultsThe respiratory event index from the OrbSense was lower than the apnea-hypopnea index (AHI) from PSG (25.5 ± 20.7 vs 27.0 ± 25.2 events/h; P = .007) and was significantly correlated with AHI (Pearson coefficient, 0.92; P < .0001). Bland-Altman analysis showed a mean difference of 1.5 events/h, and the limit of agreement was -18.6 to 21.5 events/h. Use of the OrbSense resulted in larger underestimates of AHI and lower negative predictive values at higher AHI values (especially when AHI ≥ 30 events/h). When we used a PSG diagnostic criterion of AHI > 5 events/h, the optimal diagnostic cutoff value from the OrbSense was 8 events/h, with a sensitivity of 90.4%, a specificity of 77.6%, a 94.6% positive predictive value, and a 65% negative predictive value. For patients with moderate to severe obstructive sleep apnea whose AHI was > 15 events/h, the OrbSense cutoff was 16.6 events/h, with a sensitivity of 87.1% and a specificity of 89.7%. Among the 359 participants, 250 patients (69.6%) had the same obstructive sleep apnea severity division classified by both PSG and the OrbSense.

conclusionsThe contact-free device OrbSense can detect respiratory events during sleep and has close agreement with in-laboratory PSG in screening for obstructive sleep apnea. Further studies are warranted to test its utility in community-based settings and at home.

Indexed as

Sleep Apnea, ObstructiveAdultFemaleHumansMaleMass ScreeningMiddle AgedPolysomnographyPredictive Value of TestsSensitivity and SpecificitySleepapnea-hypopnea indexcontact-free monitorobstructive sleep apneapolysomnography

Identifiers

PMID33576734
PMCPMC8320500

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Registered trials

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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.