Diagnostic accuracy of the Belun ring in children at risk of obstructive sleep apnea.

IF 3.5 3区医学 Q1 CLINICAL NEUROLOGY

Journal of Clinical Sleep Medicine Pub Date : 2025-01-01 DOI:10.5664/jcsm.11348

Nuttida Panichapat, Watit Niyomkarn, Wicharn Boonjindasup, Pariyapa Thiamrakij, Suchada Sritippayawan, Jitladda Deerojanawong

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引用次数: 0

Abstract

Study objectives: The Belun ring is a new home sleep apnea testing device using a pulse oximeter sensor and a neural network algorithm, but its data in children are limited. This study aims to evaluate the correlation and agreement of the Belun ring, compared with polysomnography (PSG) and determine the diagnostic accuracy of the Belun ring for moderate-to-severe obstructive sleep apnea (OSA).

Methods: This is a cross-sectional observational study in children aged 5-18 years with suspected OSA between June 2023 and February 2024. The Belun ring and PSG were undertaken on eligible participants to assess apnea-hypopnea index (AHI) in the same sleep test session.

Results: Of 75 children enrolled, OSA was diagnosed in 74 children by PSG. The Belun AHI (B-AHI) was moderately correlated with the PSG AHI (P-AHI) (r = .63, P < .001) with mean difference (standard deviation) -7.8 (13.91) events/h. The area under the receiver operating characteristic curve of the B-AHI to identify moderate-to-severe OSA (P-AHI > 5 events/h) was 0.66, and the B-AHI cut-off of 3 events/h yielded 74.1% sensitivity and 52.4% specificity. The B-AHI cut-off of 2 events/h yielded 92.6% sensitivity, and 7 events/h yielded 95.2% specificity.

Conclusions: Despite the correlation, the difference in AHI between the Belun ring and PSG in children was noted. Either single or multiple B-AHI cut-offs to diagnose, include or exclude moderate-to-severe OSA may be valuable, but their implementation must be approached with caution.

Clinical trial registration: Registry: Thai Clinical Trials Registry; Name: Diagnostic Accuracy of the Belun Ring in Children at Risk of Obstructive Sleep Apnea; URL: https://www.thaiclinicaltrials.org/show/TCTR20240604003; Identifier: TCTR20240604003.

Citation: Panichapat N, Niyomkarn W, Boonjindasup W, Thiamrakij P, Sritippayawan S, Deerojanawong J. Diagnostic accuracy of the Belun ring in children at risk of obstructive sleep apnea. J Clin Sleep Med. 2025;21(1):123-128.

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贝伦环对有阻塞性睡眠呼吸暂停风险的儿童的诊断准确性。

研究目的：贝伦环是一种新型家用睡眠呼吸暂停检测设备，采用脉搏血氧仪传感器和神经网络算法，但其在儿童中的数据有限。本研究旨在评估贝朗环与多导睡眠图（PSG）的相关性和一致性，并确定贝朗环对中重度阻塞性睡眠呼吸暂停（OSA）的诊断准确性：这是一项横断面观察研究，研究对象为 2023 年 6 月至 2024 年 2 月期间疑似患有 OSA 的 5-18 岁儿童。在同一次睡眠测试中，对符合条件的参与者进行贝伦环和 PSG 测试，以评估呼吸暂停-低通气指数（AHI）：结果：在 75 名参试儿童中，74 名儿童通过 PSG 诊断出 OSA。贝伦 AHI（B-AHI）与 PSG AHI（P-AHI）呈中度相关（r = 0.63，P < 0.001），平均差（SD）为-7.8（13.91）次/小时。B-AHI 识别中重度 OSA（P-AHI > 5 次/小时）的 ROC 曲线下面积为 0.66，B-AHI 临界值为 3 次/小时，灵敏度为 74.1%，特异度为 52.4%。B-AHI 临界值为 2 次/小时的敏感性为 92.6%，7 次/小时的特异性为 95.2%：结论：尽管存在相关性，但贝伦环和 PSG 在儿童 AHI 方面仍存在差异。诊断、纳入或排除中重度 OSA 的单个或多个 B-AHI 临界值都可能很有价值，但在实施时必须谨慎：临床试验注册临床试验登记：登记处：泰国临床试验登记处；名称：泰国临床试验登记处：贝伦环对有阻塞性睡眠呼吸暂停风险的儿童的诊断准确性；URL：https://www.thaiclinicaltrials.org/show/TCTR20240604003；标识符：TTR20240604003。

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来源期刊

Journal of Clinical Sleep Medicine CLINICAL NEUROLOGY-

CiteScore

6.20

自引率

7.00%

发文量

321

审稿时长

1 months

期刊介绍： Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.