"Although screening of sleep apnea is recommended for patients with cerebrovascular disease, it is rarely done in stroke units due to complicated measurement devices, time-consuming manual analysis, and high costs," Researcher Akseli Leino from the University of Eastern Finland says.
In the new study, researchers developed a neural network to assess the severity of sleep apnea in patients with acute stroke and transient ischaemic attack (TIA) by using a simple nocturnal oxygen saturation signal. The apnea-hypopnea index, which represents the number of apnea and hypopnea events per hour, is commonly used in the diagnostics of sleep apnea. When the researchers compared the results of manual scoring and those obtained using the new neural network, the median difference was only 1.45 events per hour. The neural network was also 78% accurate in classifying patients into four different categories on the basis of sleep apnea severity (no sleep apnea, mild, moderate, severe). The neural network was able to identify moderate and severe sleep apnea, both of which require treatment, in patients with acute stroke or TIA with a 96% specificity and a 92% sensitivity.
"The neural network developed in the study enables an easy and cost-effective screening of sleep apnea in patients with cerebrovascular disease in hospital wards and stroke units. The nocturnal oxygen saturation signal can be recorded with a simple finger pulse oximetry measurement, with no time-consuming manual analysis required," Medical Physicist Katja Myllymaa from Kuopio University Hospital points out.
MEDICA-tradefair.com; Source: University of Eastern Finland