A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devices
Obstructive sleep apnea (OSA) is a prevalent condition that negatively impacts cardiovascular, metabolic and mental health. A high proportion of individuals with OSA remain undiagnosed and incur significant healthcare costs. The gold standard OSA diagnostic is in-lab polysomnography, but this is cos...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Sleep |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frsle.2023.1256078/full |
| _version_ | 1797635367534329856 |
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| author | Ding Zou Steven Vits Steven Vits Carlos Egea Daniela Ehrsam-Tosi Florent Lavergne Mikel Azpiazu Mikel Azpiazu Ingo Fietze |
| author_facet | Ding Zou Steven Vits Steven Vits Carlos Egea Daniela Ehrsam-Tosi Florent Lavergne Mikel Azpiazu Mikel Azpiazu Ingo Fietze |
| author_sort | Ding Zou |
| collection | DOAJ |
| description | Obstructive sleep apnea (OSA) is a prevalent condition that negatively impacts cardiovascular, metabolic and mental health. A high proportion of individuals with OSA remain undiagnosed and incur significant healthcare costs. The gold standard OSA diagnostic is in-lab polysomnography, but this is costly and time-consuming. Home sleep apnea tests (HSATs), including cardiorespiratory polygraphy and peripheral artery tonometry technology, provide an alternative. Advances in HSAT technology include non-invasive, easy-to-use medical devices that could allow unobtrusive, accessible, multi-night, cost-effective diagnosis and management of sleep-disordered breathing. One type of these devices is based on determination of peripheral arterial tone, and use photoplethysmography signals from the finger (oxygen saturation, pulse wave amplitude and pulse rate). The devices contain algorithms that use these data to generate the traditional metrics required by the American Academy of Sleep Medicine. They can be used to record sleep parameters over multiple nights at home, and can also provide information on total sleep time (TST) and sleep stages (including time spent in rapid eye movement sleep). The combination of objective measures (apnea-hypopnea index, oxygen desaturation index, respiratory disturbance index, TST) and subjective measures (symptoms and other patient-reported outcome measures) could facilitate the development of a personalized therapeutic plan for OSA patients. It is anticipated that the streamlined digital pathway facilitated by new peripheral artery tone-based technology could contribute to reducing the underdiagnosis of OSA, accelerating access to appropriate treatment, and the optimization of OSA therapy. |
| first_indexed | 2024-03-11T12:20:06Z |
| format | Article |
| id | doaj.art-bb03f006204e4ba9b4e957460e1de54b |
| institution | Directory Open Access Journal |
| issn | 2813-2890 |
| language | English |
| last_indexed | 2024-03-11T12:20:06Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sleep |
| spelling | doaj.art-bb03f006204e4ba9b4e957460e1de54b2023-11-07T03:15:39ZengFrontiers Media S.A.Frontiers in Sleep2813-28902023-11-01210.3389/frsle.2023.12560781256078A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devicesDing Zou0Steven Vits1Steven Vits2Carlos Egea3Daniela Ehrsam-Tosi4Florent Lavergne5Mikel Azpiazu6Mikel Azpiazu7Ingo Fietze8Center for Sleep and Vigilance Disorders, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenFaculty of Medicine and Health Sciences, University of Antwerp, Antwerp, BelgiumEctoSense, Leuven, BelgiumRespiratory Service and Sleep Unit, Araba University Hospital, Bioaraba Scientific Institute, Ciberes, Vitoria-Gasteiz, SpainResMed Science Center, Basel, SwitzerlandResMed Science Center, Saint-Priest, FranceRespiratory Service and Sleep Unit, Araba University Hospital, Bioaraba Scientific Institute, Ciberes, Vitoria-Gasteiz, SpainBioaraba, Neurosciences-Sleep Disorders, Osakidetza Basque Health Service, Araba University Hospital, Sleep Unit, Vitoria-Gasteiz, SpainInterdisciplinary Center of Sleep Medicine, Charité-Universitätsmedizin Berlin, Berlin, GermanyObstructive sleep apnea (OSA) is a prevalent condition that negatively impacts cardiovascular, metabolic and mental health. A high proportion of individuals with OSA remain undiagnosed and incur significant healthcare costs. The gold standard OSA diagnostic is in-lab polysomnography, but this is costly and time-consuming. Home sleep apnea tests (HSATs), including cardiorespiratory polygraphy and peripheral artery tonometry technology, provide an alternative. Advances in HSAT technology include non-invasive, easy-to-use medical devices that could allow unobtrusive, accessible, multi-night, cost-effective diagnosis and management of sleep-disordered breathing. One type of these devices is based on determination of peripheral arterial tone, and use photoplethysmography signals from the finger (oxygen saturation, pulse wave amplitude and pulse rate). The devices contain algorithms that use these data to generate the traditional metrics required by the American Academy of Sleep Medicine. They can be used to record sleep parameters over multiple nights at home, and can also provide information on total sleep time (TST) and sleep stages (including time spent in rapid eye movement sleep). The combination of objective measures (apnea-hypopnea index, oxygen desaturation index, respiratory disturbance index, TST) and subjective measures (symptoms and other patient-reported outcome measures) could facilitate the development of a personalized therapeutic plan for OSA patients. It is anticipated that the streamlined digital pathway facilitated by new peripheral artery tone-based technology could contribute to reducing the underdiagnosis of OSA, accelerating access to appropriate treatment, and the optimization of OSA therapy.https://www.frontiersin.org/articles/10.3389/frsle.2023.1256078/fulldiagnosisperipheral artery tonometryprecision medicinesleep disordered breathingtelehealthHSAT |
| spellingShingle | Ding Zou Steven Vits Steven Vits Carlos Egea Daniela Ehrsam-Tosi Florent Lavergne Mikel Azpiazu Mikel Azpiazu Ingo Fietze A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devices Frontiers in Sleep diagnosis peripheral artery tonometry precision medicine sleep disordered breathing telehealth HSAT |
| title | A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devices |
| title_full | A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devices |
| title_fullStr | A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devices |
| title_full_unstemmed | A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devices |
| title_short | A new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone-based home sleep test devices |
| title_sort | new approach to streamline obstructive sleep apnea therapy access using peripheral arterial tone based home sleep test devices |
| topic | diagnosis peripheral artery tonometry precision medicine sleep disordered breathing telehealth HSAT |
| url | https://www.frontiersin.org/articles/10.3389/frsle.2023.1256078/full |
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