Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone

Patients with spinal cord injury (SCI) have an increased risk of sleep-disordered breathing (SDB), which can lead to serious comorbidities and impact patients' recovery and quality of life. However, sleep tests are rarely performed on SCI patients, given their multiple health needs and the cost...

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Autores: Castillo-Escario, Yolanda|||0000-0002-7493-1268, Kumru, Hatice|||0000-0002-0501-1660, Ferrer-Lluis, Ignasi|||0000-0002-0281-9023, Vidal, Joan|||0000-0002-3952-2442, Jané Campos, Raimon|||0000-0002-6541-8729
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:281273
Acceso en línea:https://ddd.uab.cat/record/281273
https://dx.doi.org/urn:doi:10.3390/s21217182
Access Level:acceso abierto
Palabra clave:Biomedical signal processing
Mhealth
Monitoring
Sleep-disordered breathing
Sleep apnea
Sleep position
Smartphone
Spinal cord injury
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spelling Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a SmartphoneCastillo-Escario, Yolanda|||0000-0002-7493-1268Kumru, Hatice|||0000-0002-0501-1660Ferrer-Lluis, Ignasi|||0000-0002-0281-9023Vidal, Joan|||0000-0002-3952-2442Jané Campos, Raimon|||0000-0002-6541-8729Biomedical signal processingMhealthMonitoringSleep-disordered breathingSleep apneaSleep positionSmartphoneSpinal cord injuryPatients with spinal cord injury (SCI) have an increased risk of sleep-disordered breathing (SDB), which can lead to serious comorbidities and impact patients' recovery and quality of life. However, sleep tests are rarely performed on SCI patients, given their multiple health needs and the cost and complexity of diagnostic equipment. The objective of this study was to use a novel smartphone system as a simple non-invasive tool to monitor SDB in SCI patients. We recorded pulse oximetry, acoustic, and accelerometer data using a smartphone during overnight tests in 19 SCI patients and 19 able-bodied controls. Then, we analyzed these signals with automatic algorithms to detect desaturation, apnea, and hypopnea events and monitor sleep position. The apnea-hypopnea index (AHI) was significantly higher in SCI patients than controls (25 ± 15 vs. 9 ± 7, p < 0.001). We found that 63% of SCI patients had moderate-to-severe SDB (AHI ≥ 15) in contrast to 21% of control subjects. Most SCI patients slept predominantly in supine position, but an increased occurrence of events in supine position was only observed for eight patients. This study highlights the problem of SDB in SCI and provides simple cost-effective sleep monitoring tools to facilitate the detection, understanding, and management of SDB in SCI patients.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/281273https://dx.doi.org/urn:doi:10.3390/s21217182reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengAgencia Estatal de Investigación https://doi.org/10.13039/501100011033 RTI2018-098472-B-I00Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 AC16/00034open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2812732026-06-06T12:50:31Z
dc.title.none.fl_str_mv Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
title Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
spellingShingle Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
Castillo-Escario, Yolanda|||0000-0002-7493-1268
Biomedical signal processing
Mhealth
Monitoring
Sleep-disordered breathing
Sleep apnea
Sleep position
Smartphone
Spinal cord injury
title_short Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
title_full Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
title_fullStr Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
title_full_unstemmed Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
title_sort Detection of Sleep-Disordered Breathing in Patients with Spinal Cord Injury Using a Smartphone
dc.creator.none.fl_str_mv Castillo-Escario, Yolanda|||0000-0002-7493-1268
Kumru, Hatice|||0000-0002-0501-1660
Ferrer-Lluis, Ignasi|||0000-0002-0281-9023
Vidal, Joan|||0000-0002-3952-2442
Jané Campos, Raimon|||0000-0002-6541-8729
author Castillo-Escario, Yolanda|||0000-0002-7493-1268
author_facet Castillo-Escario, Yolanda|||0000-0002-7493-1268
Kumru, Hatice|||0000-0002-0501-1660
Ferrer-Lluis, Ignasi|||0000-0002-0281-9023
Vidal, Joan|||0000-0002-3952-2442
Jané Campos, Raimon|||0000-0002-6541-8729
author_role author
author2 Kumru, Hatice|||0000-0002-0501-1660
Ferrer-Lluis, Ignasi|||0000-0002-0281-9023
Vidal, Joan|||0000-0002-3952-2442
Jané Campos, Raimon|||0000-0002-6541-8729
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Biomedical signal processing
Mhealth
Monitoring
Sleep-disordered breathing
Sleep apnea
Sleep position
Smartphone
Spinal cord injury
topic Biomedical signal processing
Mhealth
Monitoring
Sleep-disordered breathing
Sleep apnea
Sleep position
Smartphone
Spinal cord injury
description Patients with spinal cord injury (SCI) have an increased risk of sleep-disordered breathing (SDB), which can lead to serious comorbidities and impact patients' recovery and quality of life. However, sleep tests are rarely performed on SCI patients, given their multiple health needs and the cost and complexity of diagnostic equipment. The objective of this study was to use a novel smartphone system as a simple non-invasive tool to monitor SDB in SCI patients. We recorded pulse oximetry, acoustic, and accelerometer data using a smartphone during overnight tests in 19 SCI patients and 19 able-bodied controls. Then, we analyzed these signals with automatic algorithms to detect desaturation, apnea, and hypopnea events and monitor sleep position. The apnea-hypopnea index (AHI) was significantly higher in SCI patients than controls (25 ± 15 vs. 9 ± 7, p < 0.001). We found that 63% of SCI patients had moderate-to-severe SDB (AHI ≥ 15) in contrast to 21% of control subjects. Most SCI patients slept predominantly in supine position, but an increased occurrence of events in supine position was only observed for eight patients. This study highlights the problem of SDB in SCI and provides simple cost-effective sleep monitoring tools to facilitate the detection, understanding, and management of SDB in SCI patients.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/281273
https://dx.doi.org/urn:doi:10.3390/s21217182
url https://ddd.uab.cat/record/281273
https://dx.doi.org/urn:doi:10.3390/s21217182
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RTI2018-098472-B-I00
Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 AC16/00034
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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