Research Article

Pulse Oximetry for the Detection of Obstructive Sleep Apnea Syndrome: Can the Memory Capacity of Oxygen Saturation Influence Their Diagnostic Accuracy?

Table 3

Sensitivity and specificity of adjusted desaturation index with different data storage rates.

Data storage rates WristOx 3100
1 Hz0.5 Hz0.25 Hz
Sensitivity
(CI95%)
Specificity
(CI95%)
Sensitivity
(CI95%)
Specificity
(CI95%)
Sensitivity
(CI95%)
Specificity
(CI95%)

OSAS = RDI ≥ 5
Oximetry criteria
OSAS = RDI ≥ 5
Oximetry criteria
OSAS = RDI ≥ 5
Oximetry criteria
 ADI2 > 19.785.7 (76.4–92.4)100 (80.5–100) ADI2 > 19.585.7 (76.4–92.4)94.1 (71.3–99.9) ADI2 > 18.485.7 (76.4–92.4)100 (80.5–100)
 ADI3 > 7.689.3 (80.6–95)94.1 (71.3–99.9) ADI3 > 10.481 (70.9–88.7)100 (80.5–100) ADI3 > 7.386.9 (77.8–93.3)100 (80.5–100)
 ADI4 > 2.194 (86.7–98)88.2 (63.6–98.5) ADI4 > 3.788.1 (79.2–94.1)94.1 (71.3–99.9) ADI4 > 3.689.3 (80.6–95)100 (80.5–100)

OSAS = RDI ≥ 10
Oximetry criteria
OSAS = RDI ≥ 10
Oximetry criteria
OSAS = RDI ≥ 10
Oximetry criteria
 ADI2 > 19.792.1 (83.6–97)92 (74–99) ADI2 > 23.384.2 (74–91.6)96 (79.6–99.9) ADI2 > 18.490.8 (81.9–96.2)88 (68.8–97.5)
 ADI3 > 9.989.5 (80.3–95.3)92 (74–99) ADI3 > 10.686.8 (77.1–93.5)96 (79.6–99.9) ADI3 > 8.689.5 (80.3–95.3)92 (74–99)
 ADI4 > 5.785.5 (75.6–92.5)96 (79.6–99.9) ADI4 > 5.682.9 (72.5–90.6)100 (86.3–100) ADI4 > 488.2 (78.7–94.4)92 (74–99)

OSAS = RDI ≥ 15
Oximetry criteria
OSAS = RDI ≥ 15
Oximetry criteria
OSAS = RDI ≥ 15
Oximetry criteria
 ADI2 > 22.894.2 (85.8–98.4)90.6 (75–98) ADI2 > 23.389.9 (80.2–95.8)90.6 (75–98) ADI2 > 22.189.9 (80.2–95.8)87.5 (71–96.5)
 ADI3 > 12.394.2 (85.8–98.4)90.6 (75–98) ADI3 > 10.891.3 (82–96.7)90.6 (75–98) ADI3 > 9.192.7 (83.9–97.6)87.5 (71–96.5)
 ADI4 > 5.891.3 (82–96.7)93.7 (79.2–99.2) ADI4 > 6.187 (76.7–93.9)96.9 (83.8–99.9) ADI4 > 6.884.1 (73.3–91.8)96.9 (83.8–99.9)

RDI: respiratory disturbance index; ADI2, 3, and 4: adjusted desaturations index ≥2%, 3%, and 4%; LR (+) and (−): positive and negative likelihood ratio; CI95%: confidence interval 95%.