Diagnostic Accuracy of the Alice NightOne Single-Belt Monitor for Obstructive Sleep Apnea and Reliability of Wireless Data Transfer.

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Nature and Science of Sleep Pub Date : 2025-06-26 eCollection Date: 2025-01-01 DOI:10.2147/NSS.S527805

MaoHuan Peng, YuanYuan Zhang, Rui Zhao, Jing Li, XueLi Zhang, LiHua Deng, Long Zhao, Bing Zhou, XinRu Wang, XiaoSong Dong, Fang Han

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引用次数: 0

Abstract

Objective: To validate the performance of a single-belt type 3 portable monitor Alice NightOne for diagnosis of obstructive sleep apnea and its reliability in remote data transmission.

Methods: Our study included two parts: in-laboratory Alice NightOne (ANO) monitoring (ANO_lab) and home sleep apnea testing (HSAT) using ANO (ANO_home). For ANO_lab, the participants underwent polysomnography (PSG) with ANO_lab simultaneously. For ANO_home, the participants completed unattended overnight ANO_home out of sleep center and PSG was performed in another night. The ANO recordings were transmitted to cloud database wirelessly in addition to traditional wire transmission. Message digest-5 (MD5) algorithm was utilized to verify the integrity of the cloud data.

Results: Ninety-one ANO_lab and 170 ANO_home recordings were analyzed. Both the respiratory event index (REI) on ANO_lab and that on ANO_home were lower than the corresponding apnea-hypopnea index (AHI) on PSG (24.9 ± 20.5 events/h vs 31.6 ± 25.0 events/h, and 26.7 ± 17.0 events/h vs 35.3 ± 21.2 events/h respectively, P < 0.001). Bland-Altman analysis of REI on ANO_lab versus AHI on PSG showed a mean difference (95% confidence interval) of -6.7 (-8.4, -4.9) events/h. For REI on ANO_home versus AHI on PSG, the difference is -8.0 (-9.9, -6.0) events/h. With threshold of REI ≥ 5 events/h for OSA diagnosis, ANO_home had 98.8% sensitivity, 90.0% specificity, 99.4% positive predictive value. The MD5 algorithm verified the identity between uploaded cloud data and original data.

Conclusion: With single thoracoabdominal belt, Alice NightOne can help diagnosis of obstructive sleep apnea with good sensitivity and specificity, though it may underestimate AHI. Furthermore, it provides reliable support based on solid data teletransmission and scoring synchronization, which may increase the ability of diagnosis and management of OSA through telemedicine.

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Alice NightOne单带监测阻塞性睡眠呼吸暂停的诊断准确性及无线数据传输的可靠性。

目的：验证Alice NightOne单带3型便携式监护仪诊断阻塞性睡眠呼吸暂停的性能及其远程数据传输的可靠性。方法：本研究分为实验室Alice NightOne （ANO）监测（ANOlab）和家庭睡眠呼吸暂停测试（HSAT）两部分。对于ANOlab，参与者同时接受多导睡眠图（PSG）和ANOlab。对于ANOhome，参与者在睡眠中心完成无人值守的夜间ANOhome，并在另一个晚上进行PSG。除了传统的有线传输外，ANO记录还以无线方式传输到云数据库。采用MD5 （Message digest-5）算法验证云数据的完整性。结果：分析了91条ANOlab记录和170条ANOhome记录。ANOlab和ANOhome的呼吸事件指数（REI）均低于PSG相应的呼吸暂停-低通气指数（AHI）（分别为24.9±20.5 events/h和31.6±25.0 events/h, 26.7±17.0 events/h和35.3±21.2 events/h, P < 0.001）。ANOlab上的REI与PSG上的AHI的Bland-Altman分析显示，平均差异（95%置信区间）为-6.7（-8.4,-4.9）事件/小时。对于ANOhome上的REI和PSG上的AHI，差异为-8.0（-9.9,-6.0）事件/小时。当REI≥5个事件/h时，ANOhome诊断OSA的敏感性为98.8%，特异性为90.0%，阳性预测值为99.4%。MD5算法验证上传的云数据与原始数据的身份。结论：单胸腹带Alice NightOne可以帮助诊断阻塞性睡眠呼吸暂停，具有良好的敏感性和特异性，但可能会低估AHI。此外，它基于可靠的数据远程传输和评分同步提供可靠的支持，可以通过远程医疗提高OSA的诊断和管理能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nature and Science of Sleep Neuroscience-Behavioral Neuroscience

CiteScore

5.70

自引率

5.90%

发文量

245

审稿时长

16 weeks

期刊介绍： Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animals Physiological and neurophysiological changes with sleep The genetics of sleep and sleep differences The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness Sleep changes with development and with age Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause) The science and nature of dreams Sleep disorders Impact of sleep and sleep disorders on health, daytime function and quality of life Sleep problems secondary to clinical disorders Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health) The microbiome and sleep Chronotherapy Impact of circadian rhythms on sleep, physiology, cognition and health Mechanisms controlling circadian rhythms, centrally and peripherally Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms Epigenetic markers of sleep or circadian disruption.