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Association of alternative polysomnographic features with patient outcomes in obstructive sleep apnea: a systematic review.
Hajipour, Mohammadreza; Baumann, Brett; Azarbarzin, Ali; Allen, A J Hirsch; Liu, Yu; Fels, Sidney; Goodfellow, Sebastian; Singh, Amrit; Jen, Rachel; Ayas, Najib T.
Afiliación
  • Hajipour M; Department of Experimental Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
  • Baumann B; Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
  • Azarbarzin A; Division of Sleep and Circadian Disorders, Brigham and Women's Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.
  • Allen AJH; Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
  • Liu Y; Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
  • Fels S; Department of Pharmacology, Shanxi Medical University, Taiyuan, China.
  • Goodfellow S; Department of Electrical and Computer Engineering, The University of British Columbia, Vancouver, British Columbia, Canada.
  • Singh A; Department of Critical Care Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
  • Jen R; Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, BC, Canada.
  • Ayas NT; Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
J Clin Sleep Med ; 19(2): 225-242, 2023 02 01.
Article en En | MEDLINE | ID: mdl-36106591
STUDY OBJECTIVES: Polysomnograms (PSGs) collect a plethora of physiologic signals across the night. However, few of these PSG data are incorporated into standard reports, and hence, ultimately, under-utilized in clinical decision making. Recently, there has been substantial interest regarding novel alternative PSG metrics that may help to predict obstructive sleep apnea (OSA)-related outcomes better than standard PSG metrics such as the apnea-hypopnea index. We systematically review the recent literature for studies that examined the use of alternative PSG metrics in the context of OSA and their association with health outcomes. METHODS: We systematically searched EMBASE, MEDLINE, and the Cochrane Database of Systematic Reviews for studies published between 2000 and 2022 for those that reported alternative metrics derived from PSG in adults and related them to OSA-related outcomes. RESULTS: Of the 186 initial studies identified by the original search, data from 31 studies were ultimately included in the final analysis. Numerous metrics were identified that were significantly related to a broad range of outcomes. We categorized the outcomes into 2 main subgroups: (1) cardiovascular/metabolic outcomes and mortality and (2) cognitive function- and vigilance-related outcomes. Four general categories of alternative metrics were identified based on signals analyzed: autonomic/hemodynamic metrics, electroencephalographic metrics, oximetric metrics, and respiratory event-related metrics. CONCLUSIONS: We have summarized the current landscape of literature for alternative PSG metrics relating to risk prediction in OSA. Although promising, further prospective observational studies are needed to verify findings from other cohorts, and to assess the clinical utility of these metrics. CITATION: Hajipour M, Baumann B, Azarbarzin A, et al. Association of alternative polysomnographic features with patient outcomes in obstructive sleep apnea: a systematic review. J Clin Sleep Med. 2023;19(2):225-242.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apnea Obstructiva del Sueño Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Humans Idioma: En Revista: J Clin Sleep Med Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apnea Obstructiva del Sueño Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Humans Idioma: En Revista: J Clin Sleep Med Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos