WRISTOX 2 is a reliable tool to diagnose obstructive sleep apnoea syndrome
Overnight pulse oximetry is an alternative to polysomnography (PSG) in diagnosing obstructive sleep apnoea syndrome, but its sensitivity is reported to be low. To determine the (a) diagnostic accuracy, interobserver reliability and reliable oxygen desaturation index of 4% (ODI ) score at diagnosing...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2021-12, Vol.151, p.110930 |
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| container_title | International journal of pediatric otorhinolaryngology |
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| creator | Thavagnanam, Surendran H'ng, Shih Ying Nathan, Anna Marie Eg, Kah Peng Chinna, Karuthan Hajar Bte Turbirin, Siti Anne de Bruyne, Jessie |
| description | Overnight pulse oximetry is an alternative to polysomnography (PSG) in diagnosing obstructive sleep apnoea syndrome, but its sensitivity is reported to be low.
To determine the (a) diagnostic accuracy, interobserver reliability and reliable oxygen desaturation index of 4% (ODI
) score at diagnosing obstructive sleep apnoea syndrome in children and (b) correlation between the apnoea hypopnoea index (AHI) with ODI
and oxygen nadir between both PSG and oximetry.
This cross-sectional study included children aged 1-18 years old, undergoing a fully attended overnight PSG for suspected obstructive sleep apnoea syndrome. The Nonin 3150 WristOx
™ [Fig. 2] was worn simultaneously during the PSG. Poor oximetry recordings were excluded. Pulse oximetry was scored using the McGill Oximetry Score (MOS) whereby a score of 2-4 was positive for OSAS. Specificity, sensitivity, positive predictive values (PPV), negative predictive values (NPV) and interobserver reliability of the WristOx
were calculated.
One hundred and sixty-two children with a mean (SD) age of 9.3 (±3.5) years (range 2 years 6 months old - 17 years old) were included after excluding 18 children (poor oximetry data [n = 16] and incomplete PSG [n = 2]). Interobserver agreement of the WristOx
was 0.8763 (95% CI:0.80, 0.95). WristOx
had a sensitivity 50%, specificity 96.7%, PPV 96% and NPV 53% at diagnosing OSAS. ODI
≥ 2 events/hour in oximetry had a sensitivity of 97.6% and negative predictive value of 85.7% at diagnosing OSA.
Overnight pulse oximetry with the Nonin 3150 WristOx
™ is an accurate and reliable tool in diagnosing significant OSAS in children. |
| doi_str_mv | 10.1016/j.ijporl.2021.110930 |
| format | Article |
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To determine the (a) diagnostic accuracy, interobserver reliability and reliable oxygen desaturation index of 4% (ODI
) score at diagnosing obstructive sleep apnoea syndrome in children and (b) correlation between the apnoea hypopnoea index (AHI) with ODI
and oxygen nadir between both PSG and oximetry.
This cross-sectional study included children aged 1-18 years old, undergoing a fully attended overnight PSG for suspected obstructive sleep apnoea syndrome. The Nonin 3150 WristOx
™ [Fig. 2] was worn simultaneously during the PSG. Poor oximetry recordings were excluded. Pulse oximetry was scored using the McGill Oximetry Score (MOS) whereby a score of 2-4 was positive for OSAS. Specificity, sensitivity, positive predictive values (PPV), negative predictive values (NPV) and interobserver reliability of the WristOx
were calculated.
One hundred and sixty-two children with a mean (SD) age of 9.3 (±3.5) years (range 2 years 6 months old - 17 years old) were included after excluding 18 children (poor oximetry data [n = 16] and incomplete PSG [n = 2]). Interobserver agreement of the WristOx
was 0.8763 (95% CI:0.80, 0.95). WristOx
had a sensitivity 50%, specificity 96.7%, PPV 96% and NPV 53% at diagnosing OSAS. ODI
≥ 2 events/hour in oximetry had a sensitivity of 97.6% and negative predictive value of 85.7% at diagnosing OSA.
Overnight pulse oximetry with the Nonin 3150 WristOx
™ is an accurate and reliable tool in diagnosing significant OSAS in children.</description><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2021.110930</identifier><identifier>PMID: 34571207</identifier><language>eng</language><publisher>Ireland</publisher><subject>Adolescent ; Child ; Child, Preschool ; Cross-Sectional Studies ; Humans ; Infant ; Oximetry ; Polysomnography ; Reproducibility of Results ; Sensitivity and Specificity ; Sleep Apnea, Obstructive - diagnosis</subject><ispartof>International journal of pediatric otorhinolaryngology, 2021-12, Vol.151, p.110930</ispartof><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34571207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thavagnanam, Surendran</creatorcontrib><creatorcontrib>H'ng, Shih Ying</creatorcontrib><creatorcontrib>Nathan, Anna Marie</creatorcontrib><creatorcontrib>Eg, Kah Peng</creatorcontrib><creatorcontrib>Chinna, Karuthan</creatorcontrib><creatorcontrib>Hajar Bte Turbirin, Siti</creatorcontrib><creatorcontrib>Anne de Bruyne, Jessie</creatorcontrib><title>WRISTOX 2 is a reliable tool to diagnose obstructive sleep apnoea syndrome</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>Overnight pulse oximetry is an alternative to polysomnography (PSG) in diagnosing obstructive sleep apnoea syndrome, but its sensitivity is reported to be low.
To determine the (a) diagnostic accuracy, interobserver reliability and reliable oxygen desaturation index of 4% (ODI
) score at diagnosing obstructive sleep apnoea syndrome in children and (b) correlation between the apnoea hypopnoea index (AHI) with ODI
and oxygen nadir between both PSG and oximetry.
This cross-sectional study included children aged 1-18 years old, undergoing a fully attended overnight PSG for suspected obstructive sleep apnoea syndrome. The Nonin 3150 WristOx
™ [Fig. 2] was worn simultaneously during the PSG. Poor oximetry recordings were excluded. Pulse oximetry was scored using the McGill Oximetry Score (MOS) whereby a score of 2-4 was positive for OSAS. Specificity, sensitivity, positive predictive values (PPV), negative predictive values (NPV) and interobserver reliability of the WristOx
were calculated.
One hundred and sixty-two children with a mean (SD) age of 9.3 (±3.5) years (range 2 years 6 months old - 17 years old) were included after excluding 18 children (poor oximetry data [n = 16] and incomplete PSG [n = 2]). Interobserver agreement of the WristOx
was 0.8763 (95% CI:0.80, 0.95). WristOx
had a sensitivity 50%, specificity 96.7%, PPV 96% and NPV 53% at diagnosing OSAS. ODI
≥ 2 events/hour in oximetry had a sensitivity of 97.6% and negative predictive value of 85.7% at diagnosing OSA.
Overnight pulse oximetry with the Nonin 3150 WristOx
™ is an accurate and reliable tool in diagnosing significant OSAS in children.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Oximetry</subject><subject>Polysomnography</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFjctqwkAUQIeCmNT6B1LuDyS9d_LsurRYN4VWsDuZmKtMmGSGmaTg39eFrt2cszlwhFgRpoRUvnSp7pz1JpUoKSXC1wwfREx1JZM6L_NIPIbQIVKFRTEXUZYXFUmsYrHZfX_-bL9-QYIOoMCz0aoxDKO15gJotToNNjDYJox-Ooz6jyEYZgfKDZYVhPPQetvzk5gdlQm8vHohnj_et2_rxE1Nz-3eed0rf97f5tnd4B-EwECG</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Thavagnanam, Surendran</creator><creator>H'ng, Shih Ying</creator><creator>Nathan, Anna Marie</creator><creator>Eg, Kah Peng</creator><creator>Chinna, Karuthan</creator><creator>Hajar Bte Turbirin, Siti</creator><creator>Anne de Bruyne, Jessie</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>202112</creationdate><title>WRISTOX 2 is a reliable tool to diagnose obstructive sleep apnoea syndrome</title><author>Thavagnanam, Surendran ; H'ng, Shih Ying ; Nathan, Anna Marie ; Eg, Kah Peng ; Chinna, Karuthan ; Hajar Bte Turbirin, Siti ; Anne de Bruyne, Jessie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-pubmed_primary_345712073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Oximetry</topic><topic>Polysomnography</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thavagnanam, Surendran</creatorcontrib><creatorcontrib>H'ng, Shih Ying</creatorcontrib><creatorcontrib>Nathan, Anna Marie</creatorcontrib><creatorcontrib>Eg, Kah Peng</creatorcontrib><creatorcontrib>Chinna, Karuthan</creatorcontrib><creatorcontrib>Hajar Bte Turbirin, Siti</creatorcontrib><creatorcontrib>Anne de Bruyne, Jessie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thavagnanam, Surendran</au><au>H'ng, Shih Ying</au><au>Nathan, Anna Marie</au><au>Eg, Kah Peng</au><au>Chinna, Karuthan</au><au>Hajar Bte Turbirin, Siti</au><au>Anne de Bruyne, Jessie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>WRISTOX 2 is a reliable tool to diagnose obstructive sleep apnoea syndrome</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2021-12</date><risdate>2021</risdate><volume>151</volume><spage>110930</spage><pages>110930-</pages><eissn>1872-8464</eissn><abstract>Overnight pulse oximetry is an alternative to polysomnography (PSG) in diagnosing obstructive sleep apnoea syndrome, but its sensitivity is reported to be low.
To determine the (a) diagnostic accuracy, interobserver reliability and reliable oxygen desaturation index of 4% (ODI
) score at diagnosing obstructive sleep apnoea syndrome in children and (b) correlation between the apnoea hypopnoea index (AHI) with ODI
and oxygen nadir between both PSG and oximetry.
This cross-sectional study included children aged 1-18 years old, undergoing a fully attended overnight PSG for suspected obstructive sleep apnoea syndrome. The Nonin 3150 WristOx
™ [Fig. 2] was worn simultaneously during the PSG. Poor oximetry recordings were excluded. Pulse oximetry was scored using the McGill Oximetry Score (MOS) whereby a score of 2-4 was positive for OSAS. Specificity, sensitivity, positive predictive values (PPV), negative predictive values (NPV) and interobserver reliability of the WristOx
were calculated.
One hundred and sixty-two children with a mean (SD) age of 9.3 (±3.5) years (range 2 years 6 months old - 17 years old) were included after excluding 18 children (poor oximetry data [n = 16] and incomplete PSG [n = 2]). Interobserver agreement of the WristOx
was 0.8763 (95% CI:0.80, 0.95). WristOx
had a sensitivity 50%, specificity 96.7%, PPV 96% and NPV 53% at diagnosing OSAS. ODI
≥ 2 events/hour in oximetry had a sensitivity of 97.6% and negative predictive value of 85.7% at diagnosing OSA.
Overnight pulse oximetry with the Nonin 3150 WristOx
™ is an accurate and reliable tool in diagnosing significant OSAS in children.</abstract><cop>Ireland</cop><pmid>34571207</pmid><doi>10.1016/j.ijporl.2021.110930</doi></addata></record> |
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| identifier | EISSN: 1872-8464 |
| ispartof | International journal of pediatric otorhinolaryngology, 2021-12, Vol.151, p.110930 |
| issn | 1872-8464 |
| language | eng |
| recordid | cdi_pubmed_primary_34571207 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Child Child, Preschool Cross-Sectional Studies Humans Infant Oximetry Polysomnography Reproducibility of Results Sensitivity and Specificity Sleep Apnea, Obstructive - diagnosis |
| title | WRISTOX 2 is a reliable tool to diagnose obstructive sleep apnoea syndrome |
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