梦发带在失眠障碍中的表现:与多导睡眠仪的实验室比较

IF 3.4 2区 医学 Q1 CLINICAL NEUROLOGY
Qiutian A.L. Beau , Johanna M. Boardman , Alix Mellor , Rowan P. Ogeil , Sean P.A. Drummond
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引用次数: 0

摘要

历史上,获取睡眠数据需要复杂、昂贵和劳动密集型的设备,黄金标准是夜间多导睡眠图(PSG)。较新的便携式设备,如Dreem 3头带,提供了一种新的机会来收集基于现场的数据,并且与PSG相比,在健康睡眠者中证明了准确性。然而,尽管睡眠跟踪技术传统上在睡眠障碍患者中表现不佳,但该设备的性能尚未在失眠障碍患者中进行评估。本研究旨在评估梦3与PSG对关键睡眠结果的影响。方法31例成人失眠症患者(年龄45.9岁,男性16例)同时佩戴dream3和PSG进行夜间睡眠研究。灵敏度和特异性采用逐时代分析计算。Bland-Altman图进一步评估了与睡眠阶段和连续性变量相关的表现:总睡眠时间(TST)、睡眠效率(SE)、睡眠潜伏期(SL)和睡眠后醒来(WASO)。结果梦3对快速眼动睡眠的敏感度最高(89.88%),对N1的敏感度最低(29.79%)。N3的敏感性也很低(65.65%)。除N2期特异性为83.39%外,其余分期特异性均为90%。Dreem准确地总结了SL和WASO,但显著高估了TST和SE。结论Dreem 3型头带能准确评估和报告失眠患者的大部分睡眠分期和连续性变量。用户在决定Dreem 3是否适合他们的需要时,应该注意设备的优点和局限性。如果应用和解释正确,该装置可以促进大规模的纵向睡眠研究和失眠障碍的睡眠评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dreem headband performance in Insomnia Disorder: An in-lab comparison to polysomnography

Background

Capturing sleep data historically required complex, expensive, and labour-intensive equipment, with the gold standard being overnight polysomnography (PSG). Newer portable devices, such as the Dreem 3 headband, provide a novel opportunity to collect field-based data and have demonstrated accuracy in healthy sleepers compared to PSG. However, this device's performance has not been assessed in Insomnia Disorder, despite sleep-tracking technologies traditionally performing poorly in disordered sleepers. This study aimed to evaluate the performance of Dreem 3 against PSG on key sleep outcomes.

Methods

Thirty-one adults (Mage = 45.9 years, 16 males) with Insomnia Disorder participated in an overnight sleep study wearing Dreem 3 and PSG simultaneously. Sensitivity and specificity were calculated using an epoch-by-epoch analysis. Bland-Altman plots further assessed performance related to sleep stages and continuity variables: total sleep time (TST), sleep efficiency (SE), sleep latency (SL), and wake after sleep onset (WASO).

Results

Dreem 3 showed the highest sensitivity for REM sleep (89.88 %) and the lowest sensitivity for N1 (29.79 %). N3 sensitivity was also notably low (65.65 %). Specificity was >90 % for all stages, except N2 (83.39 %). Dreem accurately summarised SL and WASO but significantly overestimated TST and SE.

Conclusion

The Dreem 3 headband can accurately evaluate and report most sleep staging and continuity variables in individuals with Insomnia Disorder. Users should be mindful of the strengths and limitations of the device when deciding whether the Dreem 3 is suitable for their needs. If applied and interpreted correctly, this device could facilitate large-scale, longitudinal sleep studies and assessment of sleep in Insomnia Disorder.
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来源期刊
Sleep medicine
Sleep medicine 医学-临床神经学
CiteScore
8.40
自引率
6.20%
发文量
1060
审稿时长
49 days
期刊介绍: Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.
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