Die neue „International Classification of Sleep Disorders“

Stuck, Boris A.; Weeß, H. G.

doi:10.1007/s11818-015-0010-z

Cited by 24 publications

(4 citation statements)

References 2 publications

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“…Sleep disorders can also influence the way one person thinks, works, reacts and learns [ 4 ], and thus may result in a series of terrible accidents, such as traffic crashes. According to the American Academy of Sleep Medicine, the specific sleep disorder will appear with some unique symptoms [ 5 ]. Therefore, it is essential to gather the various sleep related information including sleep time, body movement times, sleep position, heart rate (HR) and breathing rate (BR) for the diagnosis of sleep disorders.…”

Section: Introductionmentioning

confidence: 99%

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Combination of near-infrared and thermal imaging techniques for the remote and simultaneous measurements of breathing and heart rates under sleep situation

Zhai

et al. 2018

PLoS ONE

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To achieve the simultaneous and unobtrusive breathing rate (BR) and heart rate (HR) measurements during nighttime, we leverage a far-infrared imager and an infrared camera equipped with IR-Cut lens and an infrared lighting array to develop a dual-camera imaging system. A custom-built cascade face classifier, containing the conventional Adaboost model and fully convolutional network trained by 32K images, was used to detect the face region in registered infrared images. The region of interest (ROI) inclusive of mouth and nose regions was afterwards confirmed by the discriminative regression and coordinate conversions of three selected landmarks. Subsequently, a tracking algorithm based on spatio-temporal context learning was applied for following the ROI in thermal video, and the raw signal was synchronously extracted. Finally, a custom-made time-domain signal analysis approach was developed for the determinations of BR and HR. A dual-mode sleep video database, including the videos obtained under environment where illumination intensity ranged from 0 to 3 Lux, was constructed to evaluate the effectiveness of the proposed system and algorithms. In linear regression analysis, the determination coefficient (R2) of 0.831 had been observed for the measured BR and reference BR, and this value was 0.933 for HR measurement. In addition, the Bland-Altman plots of BR and HR demonstrated that almost all the data points located within their own 95% limits of agreement. Consequently, the overall performance of the proposed technique is acceptable for BR and HR estimations during nighttime.

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Section: Introductionmentioning

confidence: 99%

“…Among the sleep related data, BR and HR are two critically important factors reflecting the quality of sleep. For example, nocturnal paroxysmal dystonia, one of the sleep disorders, will occur with or be preceded by the breathing pause and slowed HR [ 5 ]. BR is defined as the number of breaths a person takes per minute.…”

Section: Introductionmentioning

confidence: 99%

Combination of near-infrared and thermal imaging techniques for the remote and simultaneous measurements of breathing and heart rates under sleep situation

Zhai

et al. 2018

PLoS ONE

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“…Table 1; a recently published review article provides more details [14]. An overview of the relevant changes incurred by the implementation of the new classification system is presented in .…”

Section: New Classification System: Icsd-3mentioning

confidence: 99%

“…Overview of the relevant changes in the new classification system a (from[14]) Hypoventilation during sleep with a medical disorder that is believed to be the cause of hypoventilationSleep-related hypoxemia in OSG, OCST, or nocturnal oximetry (arterial oxygen saturation ≤ 88 % in adults or ≤ 90 % in children for ≥ 5 min) without sleep-related hypoventilation…”

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confidence: 99%

Recent developments in the diagnosis and treatment of obstructive sleep apnea

Stuck

Maurer

2016

HNO

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Over the past few years, the diagnostic tools and therapeutic approaches for obstructive sleep apnea (OSA) have evolved further. Based on a review of the current literature and the personal experiences of the authors, the most relevant developments are summarized in this article and discussed with regard to their impact on the clinical management of the disease. In the third edition of the International Classification of Sleep Disorders, the classification of sleep-disordered breathing was modified. Notably, additional clinical criteria for the diagnosis of OSA were established and out-of-center sleep testing was introduced as an alternative to polysomnography. Recent technical advancements in diagnostic tools (e. g., peripheral arterial tonometry and pulse wave analysis) have further expanded the diagnostic possibilities. Drug-induced sleep endoscopy allows for a reliable assessment of the level and degree of upper airway obstruction. Whether this gain in diagnostic information leads to an improvement in surgical outcome is, however, still being discussed. The relevance of positional OSA has received increasing attention - the subgroup of patients in whom sleeping position significantly impacts their disease is reported to be above 50 %. For these patients, the introduction of the sleep position trainer offers a new therapeutic option. Further, hypoglossal nerve stimulation (upper airway stimulation) has substantially expanded the surgical spectrum for the treatment of OSA. In regard to the established surgical treatment options, randomized trials with superior methodology have been published, especially for bimaxillary advancement and tonsillectomy with uvulopalatopharyngoplasty. These developments are of particular interest for the otolaryngologist and will influence daily practice.

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