New Technology to Assess Sleep Apnea: Wearables, Smartphones, and Accessories

Overview

Journal F1000Res

Specialties Biomedical Engineering
Science

Date 2018 May 1

PMID 29707207

Citations 30

Authors

Thomas Penzel

Christoph Schobel

Ingo Fietze

Affiliations

Soon will be listed here.

Abstract

Sleep medicine has been an expanding discipline during the last few decades. The prevalence of sleep disorders is increasing, and sleep centers are expanding in hospitals and in the private care environment to meet the demands. Sleep medicine has evidence-based guidelines for the diagnosis and treatment of sleep disorders. However, the number of sleep centers and caregivers in this area is not sufficient. Many new methods for recording sleep and diagnosing sleep disorders have been developed. Many sleep disorders are chronic conditions and require continuous treatment and monitoring of therapy success. Cost-efficient technologies for the initial diagnosis and for follow-up monitoring of treatment are important. It is precisely here that telemedicine technologies can meet the demands of diagnosis and therapy follow-up studies. Wireless recording of sleep and related biosignals allows diagnostic tools and therapy follow-up to be widely and remotely available. Moreover, sleep research requires new technologies to investigate underlying mechanisms in the regulation of sleep in order to better understand the pathophysiology of sleep disorders. Home recording and non-obtrusive recording over extended periods of time with telemedicine methods support this research. Telemedicine allows recording with little subject interference under normal and experimental life conditions.

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References

Qaseem A, Dallas P, Owens D, Starkey M, Holty J, Shekelle P . Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from theAmerican College of Physicians. Ann Intern Med. 2014; 161(3):210-20. DOI: 10.7326/M12-3187. View

Randerath W, Bogel M, Franke C, Hellmann A, Jany B, Nilius G . [Positionpaper on Telemonitoring in Sleep-Related Breathing Disorders]. Pneumologie. 2017; 71(2):81-85. DOI: 10.1055/s-0042-124083. View

Salmi T, Telakivi T, Partinen M . Evaluation of automatic analysis of SCSB, airflow and oxygen saturation signals in patients with sleep related apneas. Chest. 1989; 96(2):255-61. DOI: 10.1378/chest.96.2.255. View

Collop N, Tracy S, Kapur V, Mehra R, Kuhlmann D, Fleishman S . Obstructive sleep apnea devices for out-of-center (OOC) testing: technology evaluation. J Clin Sleep Med. 2011; 7(5):531-48. PMC: 3190855. DOI: 10.5664/JCSM.1328. View

OHare E, Flanagan D, Penzel T, Garcia C, Frohberg D, Heneghan C . A comparison of radio-frequency biomotion sensors and actigraphy versus polysomnography for the assessment of sleep in normal subjects. Sleep Breath. 2014; 19(1):91-8. DOI: 10.1007/s11325-014-0967-z. View

Kelly J, Strecker R, Bianchi M . Recent developments in home sleep-monitoring devices. ISRN Neurol. 2012; 2012:768794. PMC: 3477711. DOI: 10.5402/2012/768794. View

Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S . The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993; 328(17):1230-5. DOI: 10.1056/NEJM199304293281704. View

Leppanen T, Toyras J, Mervaala E, Penzel T, Kulkas A . Severity of individual obstruction events increases with age in patients with obstructive sleep apnea. Sleep Med. 2017; 37:32-37. DOI: 10.1016/j.sleep.2017.06.004. View

Ko P, Kientz J, Choe E, Kay M, Landis C, Watson N . Consumer Sleep Technologies: A Review of the Landscape. J Clin Sleep Med. 2015; 11(12):1455-61. PMC: 4661339. DOI: 10.5664/jcsm.5288. View

10.

Singh J, Badr M, Diebert W, Epstein L, Hwang D, Karres V . American Academy of Sleep Medicine (AASM) Position Paper for the Use of Telemedicine for the Diagnosis and Treatment of Sleep Disorders. J Clin Sleep Med. 2015; 11(10):1187-98. PMC: 4582060. DOI: 10.5664/jcsm.5098. View

11.

Alihanka J, Vaahtoranta K . A static charge sensitive bed. A new method for recording body movements during sleep. Electroencephalogr Clin Neurophysiol. 1979; 46(6):731-4. DOI: 10.1016/0013-4694(79)90113-5. View

12.

Marin J, Carrizo S, Vicente E, Agusti A . Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005; 365(9464):1046-53. DOI: 10.1016/S0140-6736(05)71141-7. View

13.

Bruyneel M, Van Den Broecke S, Libert W, Ninane V . Real-time attended home-polysomnography with telematic data transmission. Int J Med Inform. 2013; 82(8):696-701. DOI: 10.1016/j.ijmedinf.2013.02.008. View

14.

Al-Mardini M, Aloul F, Sagahyroon A, Al-Husseini L . Classifying obstructive sleep apnea using smartphones. J Biomed Inform. 2014; 52:251-9. DOI: 10.1016/j.jbi.2014.07.004. View

15.

Verbraecken J . Telemedicine Applications in Sleep Disordered Breathing: Thinking Out of the Box. Sleep Med Clin. 2017; 11(4):445-459. DOI: 10.1016/j.jsmc.2016.08.007. View

16.

Peppard P, Young T, Barnet J, Palta M, Hagen E, Hla K . Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013; 177(9):1006-14. PMC: 3639722. DOI: 10.1093/aje/kws342. View

17.

Zaffaroni A, Kent B, OHare E, Heneghan C, Boyle P, OConnell G . Assessment of sleep-disordered breathing using a non-contact bio-motion sensor. J Sleep Res. 2012; 22(2):231-6. DOI: 10.1111/j.1365-2869.2012.01056.x. View

18.

Kim Y, Baek H, Kim J, Lee H, Choi J, Park K . Helmet-based physiological signal monitoring system. Eur J Appl Physiol. 2008; 105(3):365-72. DOI: 10.1007/s00421-008-0912-6. View

19.

Escourrou P, Grote L, Penzel T, McNicholas W, Verbraecken J, Tkacova R . The diagnostic method has a strong influence on classification of obstructive sleep apnea. J Sleep Res. 2015; 24(6):730-8. DOI: 10.1111/jsr.12318. View

20.

Petersen C, Chen T, Ansermino J, Dumont G . Design and evaluation of a low-cost smartphone pulse oximeter. Sensors (Basel). 2013; 13(12):16882-93. PMC: 3892845. DOI: 10.3390/s131216882. View