Perturbação respiratória durante o sono em doença pulmonar obstrutiva crônica

Krieger, Ana C.

doi:10.1590/s1806-37132005000200013

Cited by 3 publications

(1 citation statement)

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“…These nocturnal desaturations are a consequence of a disease-related mechanism of hypoventilation during sleep time. During daytime, individuals with COPD can suffer from desaturations related to efforts (walking, exercise) as a consequence of ventilation-perfusion mismatch (Krieger 2005). Overnight oximetry drops predominantly occur during rapid eye movement sleep and commonly show night-to-night variability (Buekers et al 2019).…”

Section: Manifestation Of Copd On Nocturnal Oxygen Saturation Time Se...mentioning

confidence: 99%

Machine learning for nocturnal diagnosis of chronic obstructive pulmonary disease using digital oximetry biomarkers

et al. 2021

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Objective: Chronic obstructive pulmonary disease (COPD) is a highly prevalent chronic condition.COPD is a major source of morbidity, mortality and healthcare costs. Spirometry is the gold standard test for a definitive diagnosis and severity grading of COPD. However, a large proportion of individuals with COPD are undiagnosed and untreated. Given the high prevalence of COPD and its clinical importance, it is critical to develop new algorithms to identify undiagnosed COPD, especially in specific groups at risk, such as those with sleep disorder breathing. To our knowledge, no research has looked at the feasibility of COPD diagnosis from the nocturnal oximetry time series.Approach: We hypothesize that patients with COPD will exert certain patterns and/or dynamics of their overnight oximetry time series that are unique to this condition. We introduce a novel approach to nocturnal COPD diagnosis using 44 oximetry digital biomarkers and 5 demographic features and assess its performance in a population sample at risk of sleep-disordered breathing. A total of n=350 unique patients polysomnopgrahy (PSG) recordings. A random forest (RF) classifier is trained using these features and evaluated using the nested cross-validation procedure. Main results: The RF classifier obtained F1=0.89±0.03 and AUROC=0.94±0.02 on the test sets. A total of 7 COPD individuals out of 70. No severe cases (GOLD 3-4) were misdiagnosed. Including additional, non-oximetry derived, PSG biomarkers only slightly improved the classifier performance from AUROC=0.94±0.02 to 0.95±0.01. Significance: Our research makes a number of novel scientific contributions. First, we demonstrated for the first time, the feasibility of COPD diagnosis from nocturnal oximetry time series in a population sample at risk of sleep disordered breathing. We highlighted what digital oximetry biomarkers best 2 reflect how COPD manifests overnight. The results motivate that overnight single channel oximetry is a valuable pathway for COPD diagnosis.

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Section: Manifestation Of Copd On Nocturnal Oxygen Saturation Time Se...mentioning

confidence: 99%