A nomogram for predicting the likelihood of obstructive sleep apnea to reduce the unnecessary polysomnography examinations

Miao Luo, Haiyan Zheng, Ying Zhang, Yuan Feng, Qingdan Li, Xiaolin Li, Jianfang Han, Taoping Li

Research output: Contribution to journalArticlepeer-review

14 Citations (SciVal)

Abstract

Abstract
Background:
The currently available polysomnography (PSG) equipments and operating personnel are facing increasing pressure, such situation may result in the problem that a large number of obstructive sleep apnea (OSA) patients cannot receive timely diagnosis and treatment, we sought to develop a nomogram quantifying the risk of OSA for a better decision of using PSG, based on the clinical syndromes and the demographic and anthropometric characteristics.

Methods:
The nomogram was constructed through an ordinal logistic regression procedure. Predictive accuracy and performance characteristics were assessed with the area under the curve (AUC) of the receiver operating characteristics and calibration plots, respectively. Decision curve analyses were applied to assess the net benefit of the nomogram.

Results:
Among the 401 patients, 73 (18.2%) were diagnosed and grouped as the none OSA (apnea-hypopnea index [AHI]
Conclusions:
The established clinical nomogram provides high accuracy in predicting the individual risk of OSA. This tool may help physicians better make decisions on PSG arrangement for the patients referred to sleep centers.
Original languageEnglish
Pages (from-to)2134-2140
JournalChinese Medical Journal
Volume128
Issue number16
DOIs
Publication statusPublished - 20 Aug 2015

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