New diagnostic tools to screen and assess a still too underestimated disease: the role of the wrist-worn peripheral arterial tonometry device—a systematic review,Sleep and Breathing

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New diagnostic tools to screen and assess a still too underestimated disease: the role of the wrist-worn peripheral arterial tonometry device—a systematic review
Sleep and Breathing ( IF 2.1 ) Pub Date : 2022-08-29 , DOI: 10.1007/s11325-022-02700-4
Antonio Moffa _{1,

2} , Lucrezia Giorgi _{2,

3} , Luca Carnuccio _{1,

2} , Carmen Mangino _{1,

2} , Rodolfo Lugo ₄ , Peter Baptista ₅ , Manuele Casale _{1,

2}

Affiliation

Purpose

Home sleep apnea testing devices aim to overcome the drawbacks of polysomnography (PSG). Among these, the WatchPAT (WP) (Itamar Medical Ltd., Caesarea, Israel) has recently been introduced on the market for diagnosis of Obstructive Sleep Apnea (OSA). The aim of this review was to provide a comprehensive overview of the studies validating the WP for the diagnosis of sleep-disordered breathing through comparison with PSG.

Methods

A systematic review was performed to identify all clinical studies concerning WP validation compared with PSG as diagnostic tools. A qualitative analysis of the data was conducted.

Results

In this review, 18 studies were included for a total of 1049 patients, aged 8 to 70 years old, with 74 of these being pediatric patients. In most studies, patients completed an overnight PSG and simultaneously wore WatchPAT in a sleep laboratory, while others compared the results obtained on two different nights. Both protocols showed good results in terms of AHI, ODI, RDI, and SO2. Moreover, some studies calculated the sensitivity and specificity of the WP ranging from 87 to 96% and from 66 to 80%, respectively. Excellent results were found also in pediatric patients.

Conclusion

The WP represents an effective and convenient tool for OSA diagnosis compared to standard reference systems.

中文翻译：

用于筛查和评估仍然被低估的疾病的新诊断工具：腕戴式外周动脉张力测量装置的作用——系统评价

目的

家庭睡眠呼吸暂停测试设备旨在克服多导睡眠图 (PSG) 的缺点。其中，WatchPAT (WP)（Itamar Medical Ltd.，以色列凯撒利亚）最近已投放市场，用于诊断阻塞性睡眠呼吸暂停 (OSA)。本综述的目的是通过与 PSG 的比较，全面概述验证 WP 诊断睡眠呼吸障碍的研究。

方法

进行了一项系统回顾，以确定与作为诊断工具的 PSG 相比，WP 验证的所有临床研究。对数据进行了定性分析。

结果

在这篇综述中，共纳入了 18 项研究，涉及 1049 名年龄在 8 至 70 岁之间的患者，其中 74 名是儿科患者。在大多数研究中，患者完成了夜间 PSG，同时在睡眠实验室佩戴了 WatchPAT，而其他研究则比较了两个不同夜晚获得的结果。两种方案在 AHI、ODI、RDI 和 SO2 方面均显示出良好的结果。此外，一些研究计算出 WP 的敏感性和特异性分别为 87% 至 96% 和 66% 至 80%。在儿科患者中也发现了极好的结果。