
{"id":21337,"date":"2019-06-01T09:00:30","date_gmt":"2019-06-01T09:00:30","guid":{"rendered":"https:\/\/www.btitrainingcenter.com\/night-to-night-variability-sleep-apnea\/"},"modified":"2025-04-09T14:56:40","modified_gmt":"2025-04-09T13:56:40","slug":"night-to-night-variability-sleep-apnea","status":"publish","type":"post","link":"https:\/\/www.btitrainingcenter.com\/pt-pt\/night-to-night-variability-sleep-apnea\/","title":{"rendered":"Predicting the night-to-night variability in the severity of obstructive sleep apnea: the case of the standard error of measurement"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row content_text_aligment=&#8221;left&#8221; row_background_lines=&#8221;no&#8221;][vc_column][vc_column_text]<\/p>\n<h3 class=\"title\">Abstract<\/h3>\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Study objectives:\u00a0<\/strong>Night-to-night variability in the apnea-hypopnea index (AHI) may affect the accuracy of the diagnosis of obstructive sleep apnea (OSA) and treatment selection. This study was conducted to assess the utility of the standard error of measurement (SEM) in predicting the night-to-night variability in the OSA.<\/p>\n<p><strong class=\"sub-title\">Methods:\u00a0<\/strong>Ninety nine patients underwent a 3-consecutive nights of sleep monitoring with a validated home portable monitoring devise (BTI-APNiA, BTI Biotechnology Institute, Vitoria, Spain). The night-to-night variability in apnea- and hypopnea-related measures and blood desaturation were assessed. The agreement between the three nights was also assessed. The SEM and the AHI of the first night were used to calculate a range for the severity of the OSA. This range was then challenged to predict the most frequent OSA severity, the OSA severity in nights 2 and 3, and the OSA severity in the three nights.<\/p>\n<p><strong class=\"sub-title\">Results:\u00a0<\/strong>Ninety nine patients (mean age: 56\u00b114 years) participated in the study. The mean body mass index was 25.4\u00b14.0 Kg\/m<sup>2<\/sup>\u00a0and the mean score of Epworth questionnaire was 8\u00b15. The AHI of the first, second and third nights were 13.96\u00b113.46, 13.76\u00b112.76 and 13.52\u00b112.91 events\/h, respectively. The night-to-night variability in the AHI and the sleep time in supine position over the three nights were not statistically significant. However, the differences in the severity of the OSA was statistically significant (range of agreement in the diagnosis: 41.7%-83.3%). The standard error of measurement (SEM) considering the AHI was 4.64 events\/h.. The SEM was efficient in predicting the most frequent OSA severity (among the three nights) in more than 96% of the cases.<\/p>\n<p><strong class=\"sub-title\">Conclusions:\u00a0<\/strong>The night-to-night variability in the AHI might affect the diagnosis of OSA. The use of standard error of measurement and the AHI of one single night would be of interest to predict the night-to-night variability in the severity of OSA.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords:\u00a0<\/strong>Polysomnography; Respiratory Rate.; Sleep; Sleep Apnea, Obstructive.<\/p>\n<\/div>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text]<\/p>\n<h3>Figures<\/h3>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row content_placement=&#8221;middle&#8221; content_text_aligment=&#8221;center&#8221;][vc_column]<div class=\"qodef-image-gallery qodef-grid-list qodef-disable-bottom-space  qodef-ig-grid-type qodef-three-columns qodef-tiny-space  qodef-image-behavior-lightbox\">\n\t<div class=\"qodef-ig-inner qodef-outer-space\">\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2022\/01\/ssci-12-02-0072-g01.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-473]\" title=\"A, B and C) Bland-Altman plot demonstrating individual differences in AHI between the three nights. D) The differences in the individual AHI between nights. The solid lines represent the 95% confidence interval of the change in the AHI between nights.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2022\/01\/ssci-12-02-0072-g01-200x200.jpg\" alt=\"A, B and C) Bland-Altman plot demonstrating individual differences in AHI between the three nights. D) The differences in the individual AHI between nights. The solid lines represent the 95% confidence interval of the change in the AHI between nights.\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>[vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column]<a itemprop=\"url\" href=\"\/wp-content\/uploads\/2021\/08\/ssci-12-02-0072.pdf\" target=\"_blank\"  class=\"qodef-btn qodef-btn-medium qodef-btn-solid btnWebRosa2\"  >\n    <span class=\"qodef-btn-text\">Descarregar artigo<\/span>\n    <\/a>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p><strong>Sleep Sci. 2019 Apr-Jun;12(2):72-78.<\/strong> Night-to-night variability in the apnea-hypopnea index (AHI) may affect the accuracy of the diagnosis of obstructive sleep apnea (OSA) and treatment selection. This study was conducted to assess the utility of the standard error of measurement (SEM) in predicting the night-to-night variability in the OSA.<\/p>\n","protected":false},"author":1,"featured_media":15179,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[183],"tags":[417,418,419,684,685,686,420,687,688],"class_list":["post-21337","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-apneia-do-sono-e-roncopatia","tag-apnea-pt-pt","tag-implantologia-pt-pt","tag-medicina-pt-pt","tag-obstructive-en-pt-pt","tag-polysomnography-en-pt-pt","tag-respiratory-rate-en-pt-pt","tag-salud-pt-pt","tag-sleep-en-pt-pt","tag-sleep-apnea-en-pt-pt"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/21337","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=21337"}],"version-history":[{"count":1,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/21337\/revisions"}],"predecessor-version":[{"id":37545,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/21337\/revisions\/37545"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/media\/15179"}],"wp:attachment":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=21337"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/categories?post=21337"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/tags?post=21337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}