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Clinical Research in Cardiology

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01.09.2012 | Original Paper

Screening for obstructive sleep apnea in veterans with ischemic heart disease using a computer-based clinical decision-support system

verfasst von: Rachel Laporta, Anil Anandam, Ali A. El-Solh

Erschienen in: Clinical Research in Cardiology | Ausgabe 9/2012

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Abstract

Objectives

To assess the validity of a handheld clinical decision-support system (CDSS) in detecting obstructive sleep apnea (OSA) in veterans with ischemic heart disease against polysomnography (PSG) and to compare the diagnostic accuracy of the CDSS versus the Berlin questionnaire.

Methods

We enrolled prospectively 143 patients with underlying ischemic heart disease. Veterans with history of neurologic disease, systolic congestive heart failure, or receiving opiates were excluded from participation. Participants were asked to complete the Berlin Questionnaire and to answer all eight questions of CDSS-software. At the end of the interview, veterans were scheduled for an in-laboratory polysomnogram.

Results

Ninety one patients completed the study. The prevalence of OSA (AHI ≥5/h) was 74.7 % with a median AHI of 11.5/h (range 0–90). When compared to PSG, the CDSS and the Berlin questionnaire achieved a sensitivity of 98.5 % [95 % confidence interval (CI) 92.1–100] and 80.9 % (95 % CI 69.5–89.4) and a specificity of 86.9 % (95 % CI 66.4–97.2) and 39.1 % (95 % CI 19.7–61.5) at a threshold value of AHI ≥5 with a corresponding area under the curve of 0.93 (95 % CI 0.85–0.97) and 0.60 (95 % CI 0.49–0.70); respectively.

Conclusions

CDSS is a superior screening tool for identifying cardiac veterans with undiagnosed OSA than the BQ.

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Titel: Screening for obstructive sleep apnea in veterans with ischemic heart disease using a computer-based clinical decision-support system
verfasst von: Rachel Laporta
Anil Anandam
Ali A. El-Solh
Publikationsdatum: 01.09.2012
Verlag: Springer-Verlag
Erschienen in: Clinical Research in Cardiology / Ausgabe 9/2012
Print ISSN: 1861-0684
Elektronische ISSN: 1861-0692
DOI: https://doi.org/10.1007/s00392-012-0453-1

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Screening for obstructive sleep apnea in veterans with ischemic heart disease using a computer-based clinical decision-support system

Abstract

Objectives

Methods

Results

Conclusions

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Das Risiko für Vorhofflimmern in der Bevölkerung steigt

VHF-Ablation nützt wohl nur bei reduzierter Auswurfleistung

Weniger Extremitätenischämien mit dualer Plättchenhemmung

Beutel versus Maschine: Beste Beatmungstechnik bei Herzstillstand gesucht

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Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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