ERJ
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Koziej, M
Right arrow Articles by Zielinski, J
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Koziej, M
Right arrow Articles by Zielinski, J
Eur Respir J 1994; 7: 1771-1775
Copyright © ERS Journals Ltd 1994

Original Articles

Hand-scoring of MESAM 4 recordings is more accurate than automatic analysis in screening for obstructive sleep apnoea

M Koziej, JK Cieslicki, K Gorzelak, P Sliwinski, and J Zielinski

The MESAM 4 system, developed to monitor breathing sounds, heart rate, arterial oxygen saturation (Sao2) and body position, was proposed as a screening method for obstructive sleep apnoea (OSA). The aim of the study was to assess the accuracy of hand-scoring versus automatic-scoring in screening for obstructive sleep apnoea. The study population consisted of 56 patients, 51 males, and 5 females, mean age 47 +/- 10 yrs, suspected of having obstructive sleep apnoea. Full polysomnography and MESAM 4 recordings were performed simultaneously. The apnoea+hypopnoea index was hand-scored in polysomnography and in MESAM 4. The hand-scoring in MESAM 4 was based on analysis of breathing sounds, heart rate and Sao2 changes taken together. The automatic-scoring system of MESAM 4 calculated oxygen desaturation index, heart rate variation index and intermittent snoring index. The diagnosis of obstructive sleep apnoea (apnoea+hypopnoea index > or = 10) was established by polysomnography in 37 patients. Sensitivity and specificity of hand-scored MESAM 4 diagnosis were 100 and 63%, respectively. Sensitivity and specificity of MESAM 4 diagnosis with automatic-scoring were: from oxygen desaturation index 100 and 27%; from heart rate variation index 81 and 74%; and from intermittent snoring index 92 and 16%, respectively. We suggest that hand-scoring of MESAM 4 is more accurate than automatic-scoring in screening for obstructive sleep apnoea.


This article has been cited by other articles:


Home page
 CirculationHome page
S. Garrigue, J.-L. Pepin, P. Defaye, F. Murgatroyd, Y. Poezevara, J. Clementy, and P. Levy
High Prevalence of Sleep Apnea Syndrome in Patients With Long-Term Pacing: The European Multicenter Polysomnographic Study
Circulation, April 3, 2007; 115(13): 1703 - 1709.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
W. W. Flemons, M. R. Littner, J. A. Rowley, P. Gay, W. M. Anderson, D. W. Hudgel, R. D. McEvoy, and D. I. Loube
Home Diagnosis of Sleep Apnea: A Systematic Review of the Literature: An Evidence Review Cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society
Chest, October 1, 2003; 124(4): 1543 - 1579.
[Full Text] [PDF]

Home page
 ChestHome page
F. Cirignotta, S. Mondini, R. Gerardi, B. Mostacci, and E. Sancisi
Unreliability of Automatic Scoring of MESAM 4 in Assessing Patients With Complicated Obstructive Sleep Apnea Syndrome
Chest, May 1, 2001; 119(5): 1387 - 1392.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
T. Verse, W. Pirsig, B. Junge-Hulsing, and B. Kroker
Validation of the POLY-MESAM Seven-Channel Ambulatory Recording Unit
Chest, June 1, 2000; 117(6): 1613 - 1618.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1994 by the European Respiratory Society.