{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T11:57:02Z","timestamp":1765886222526},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T00:00:00Z","timestamp":1600041600000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A major impediment to the provision of obstructive sleep apnoea (OSA) treatment is reliance on labour\u2010intensive and costly laboratory\u2010based polysomnography (PSG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate if measurement of oximetry and nasal flow through the ApneaLink device (AL) could identify patients with moderate\u2013severe OSA among those referred for PSG to a tertiary sleep service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>New referrals to The Prince Charles Hospital Sleep Disorders Centre were assessed for suitability. Demographics, anthropometrics, Epworth Sleepiness and OSA50 scores were collected. Exclusion criteria included age &lt;18\u2009years, pregnancy, significant cognitive impairment, poorly controlled psychiatric disorder, domiciliary oxygen and prior OSA treatment. Participants underwent concurrent type 1 PSG and AL assessments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred participants had a mean age of 55\u2009years (standard deviation 17) and were 49% male. Forty\u2010eight (48%) had moderate\u2013severe OSA on PSG. Composite variable AL 3% oxygen desaturation index \u226516 and AL apnoea\u2013hypopnoea index (AHI) \u226515 had receiver operator characteristic area under the curve of 0.87, sensitivity of 80% and specificity of 94% for PSG AHI \u226515. The three false\u2010positives seen with this composite variable had PSG AHI 11\u201314 and Epworth Sleepiness Score 6\u201317. The various composites of AL, anthropometric and questionnaire variables did not improve the AUC or specificity but did improve sensitivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>AL is useful in the diagnosis of moderate\u2013severe OSA in patients referred to a tertiary sleep disorders centre. This could lessen reliance on PSG, expedite OSA care, lead to significant cost savings and make diagnosis of OSA more available in non\u2010urban areas.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.14747","type":"journal-article","created":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T06:26:13Z","timestamp":1578378373000},"page":"1109-1114","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Use of a limited\u2010channel device for obstructive sleep apnoea diagnosis in a tertiary sleep disorders centre"],"prefix":"10.1111","volume":"50","author":[{"given":"Dugal","family":"Smith","sequence":"first","affiliation":[{"name":"Thoracic and Sleep Medicine The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Thoracic and Sleep Medicine Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Park","sequence":"additional","affiliation":[{"name":"Thoracic and Sleep Medicine The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Hay","sequence":"additional","affiliation":[{"name":"Statistic Unit QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn","family":"Hoey","sequence":"additional","affiliation":[{"name":"Thoracic and Sleep Medicine The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Leong","sequence":"additional","affiliation":[{"name":"Thoracic and Sleep Medicine The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Leong","sequence":"additional","affiliation":[{"name":"Thoracic Medicine Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"School of Environment and Science Griffith University  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl","family":"Downey","sequence":"additional","affiliation":[{"name":"Thoracic and Sleep Medicine The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deanne","family":"Curtin","sequence":"additional","affiliation":[{"name":"Thoracic and Sleep Medicine The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Tay","sequence":"additional","affiliation":[{"name":"Thoracic and Sleep Medicine The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Statistic Unit QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kws342"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27032"},{"key":"e_1_2_7_4_1","first-page":"1423","article-title":"Portable monitoring and autotitration versus polysomnography for the diagnosis and treatment of sleep apnea","volume":"31","author":"Berry RB","year":"2008","journal-title":"Sleep"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/M16-1301"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201612-2497OC"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201011-1770OC"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.1870"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.152801"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.1823"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.5664\/JCSM.1196"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"MT13\u201019","DOI":"10.12659\/MSM.881379","article-title":"Evaluation of the accuracy of manual and automatic scoring of a single airflow channel in patients with a high probability of obstructive sleep apnea","volume":"17","author":"Bahammam A","year":"2011","journal-title":"Med Sci Monit"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4248"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-012-0684-4"},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"346181","DOI":"10.1155\/2012\/346181","article-title":"Indication of CPAP in patients with suspected obstructive sleep apnea, based on clinical parameters and a novel two\u2010channel recording device (ApneaLink): a pilot study","volume":"2012","author":"Nigro C","year":"2012","journal-title":"Sleep Disord"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2016.11.026"},{"key":"e_1_2_7_17_1","unstructured":"Australasian Sleep Association. Position Paper: Best Practice Guidelines for Provision of CPAP Therapy.2009[cited 2018 Apr 1]. Available from URL:https:\/\/www.sleep.org.au\/professional-resources\/sleep-documents\/best-practice-guidelines-for-provision-of-cpap-therapy"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201602-0361ST"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.14747","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14747","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/imj.14747","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14747","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T07:51:31Z","timestamp":1693900291000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.14747"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1111\/imj.14747"],"URL":"https:\/\/doi.org\/10.1111\/imj.14747","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]},"assertion":[{"value":"2019-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}