Estimation of cardiovascular disease from polysomnographic parameters in sleep-disordered breathing

We aimed to illustrate the causal relationships between cardiovascular diseases (CVDs) and various polysomnographic variables, and to develop a CVD estimation model from these variables in a population referred for assessment of possible sleep-disordered breathing (SDB). Clinical and polysomnographi...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2016-12, Vol.273 (12), p.4585-4593
Hauptverfasser: Turhan, Murat, Bostanci, Asli, Bozkurt, Selen
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Sprache:eng
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Zusammenfassung:We aimed to illustrate the causal relationships between cardiovascular diseases (CVDs) and various polysomnographic variables, and to develop a CVD estimation model from these variables in a population referred for assessment of possible sleep-disordered breathing (SDB). Clinical and polysomnographic data of 1162 consecutive patients with suspected SDB whose comorbidity status was known, were reviewed, retrospectively. Variable selection was performed in two steps using univariate analysis and tenfold cross validation information gain analysis. The resulting set of variables with an average merit value ( m) of >0.005 was considered to be causal factors contributing to the CVDs, and used in Bayesian network models for providing estimations. Of the 1162 patients, 234 had CVDs (20.1 %). In total, 28 parameters were evaluated for variable selection. Of those, 19 were found to be associated with CVDs. Age was the most effective attribute in estimating CVD ( m  = 0.051), followed by total sleep time with oxygen saturation 
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-016-4176-1