A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG Questionnaire

Sleep apnea has emerged as a significant health issue in modern society, with self-diagnosis and effective management becoming increasingly important. Among the most renowned methods for self-diagnosis, the STOP-BANG questionnaire is widely recognized as a simple yet effective tool for diagnosing an...

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Main Authors: Myoung-Su Choi, Dong-Hun Han, Jun-Woo Choi, Min-Soo Kang
Format: Article
Language:English
Published: MDPI AG 2024-04-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/14/7/3117
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author Myoung-Su Choi
Dong-Hun Han
Jun-Woo Choi
Min-Soo Kang
author_facet Myoung-Su Choi
Dong-Hun Han
Jun-Woo Choi
Min-Soo Kang
author_sort Myoung-Su Choi
collection DOAJ
description Sleep apnea has emerged as a significant health issue in modern society, with self-diagnosis and effective management becoming increasingly important. Among the most renowned methods for self-diagnosis, the STOP-BANG questionnaire is widely recognized as a simple yet effective tool for diagnosing and assessing the risk of sleep apnea. However, its sensitivity and specificity have limitations, necessitating the need for tools with higher performance. Consequently, this study aimed to enhance the accuracy of sleep apnea diagnoses by integrating machine learning with the STOP-BANG questionnaire. Research through actual cases was conducted based on the data of 262 patients undergoing polysomnography, confirming sleep apnea with a STOP-BANG score of ≥3 and an Apnea–Hypopnea Index (AHI) of ≥5. The accuracy, sensitivity, and specificity were derived by comparing Apnea–Hypopnea Index scores with STOP-BANG scores. When applying machine learning models, four hyperparameter-tuned models were utilized: K-Nearest Neighbor (K-NN), Logistic Regression, Random Forest, and Support Vector Machine (SVM). Among them, the K-NN model with a K value of 11 demonstrated superior performance, achieving a sensitivity of 0.94, specificity of 0.85, and overall accuracy of 0.92. These results highlight the potential of combining traditional STOP-BANG diagnostic tools with machine learning technology, offering new directions for future research in self-diagnosis and the preliminary diagnosis of sleep-related disorders in clinical settings.
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spelling doaj.art-114459f13c884fcdac069ff710efcc102024-04-12T13:15:45ZengMDPI AGApplied Sciences2076-34172024-04-01147311710.3390/app14073117A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG QuestionnaireMyoung-Su Choi0Dong-Hun Han1Jun-Woo Choi2Min-Soo Kang3Daejeon Eulji Medical Center, Department of Otolaryngology-Head and Neck Surgery, Eulji University School of Medicine, Daejeon 35233, Republic of KoreaDepartment of Medical Artificial Intelligence, Eulji University, Seongnam 13135, Republic of KoreaDepartment of Medical IT, Eulji University, Seongnam 13135, Republic of KoreaDepartment of Bigdata Medical Convergence, Eulji University, Seongnam 13135, Republic of KoreaSleep apnea has emerged as a significant health issue in modern society, with self-diagnosis and effective management becoming increasingly important. Among the most renowned methods for self-diagnosis, the STOP-BANG questionnaire is widely recognized as a simple yet effective tool for diagnosing and assessing the risk of sleep apnea. However, its sensitivity and specificity have limitations, necessitating the need for tools with higher performance. Consequently, this study aimed to enhance the accuracy of sleep apnea diagnoses by integrating machine learning with the STOP-BANG questionnaire. Research through actual cases was conducted based on the data of 262 patients undergoing polysomnography, confirming sleep apnea with a STOP-BANG score of ≥3 and an Apnea–Hypopnea Index (AHI) of ≥5. The accuracy, sensitivity, and specificity were derived by comparing Apnea–Hypopnea Index scores with STOP-BANG scores. When applying machine learning models, four hyperparameter-tuned models were utilized: K-Nearest Neighbor (K-NN), Logistic Regression, Random Forest, and Support Vector Machine (SVM). Among them, the K-NN model with a K value of 11 demonstrated superior performance, achieving a sensitivity of 0.94, specificity of 0.85, and overall accuracy of 0.92. These results highlight the potential of combining traditional STOP-BANG diagnostic tools with machine learning technology, offering new directions for future research in self-diagnosis and the preliminary diagnosis of sleep-related disorders in clinical settings.https://www.mdpi.com/2076-3417/14/7/3117sleep apneaAISTOP-BANGmachine learningdiagnostic accuracy
spellingShingle Myoung-Su Choi
Dong-Hun Han
Jun-Woo Choi
Min-Soo Kang
A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG Questionnaire
Applied Sciences
sleep apnea
AI
STOP-BANG
machine learning
diagnostic accuracy
title A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG Questionnaire
title_full A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG Questionnaire
title_fullStr A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG Questionnaire
title_full_unstemmed A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG Questionnaire
title_short A Study on Improving Sleep Apnea Diagnoses Using Machine Learning Based on the STOP-BANG Questionnaire
title_sort study on improving sleep apnea diagnoses using machine learning based on the stop bang questionnaire
topic sleep apnea
AI
STOP-BANG
machine learning
diagnostic accuracy
url https://www.mdpi.com/2076-3417/14/7/3117
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