Review Article

Computer-Assisted Diagnosis of the Sleep Apnea-Hypopnea Syndrome: A Review

Table 8

Validation of comprehensive approaches (see text for details). = number of participants/recordings; A = Apnea; H = Hypopnea; OH = Obstructive Hypopnea; CH = Central Hypopnea; MH = Mixed Hypopnea; CA = Central Apnea; OA = Obstructive Apnea; MA = mixed apnea; AUC = areas under ROC curve; ACC = accuracy; S = single validation set.

Study sourceDatabase/ratio maleAge (mean ± std.)AHI 
(mean ± std.)
Reference testEvent definitionNumber of eventsSensitivity (%)Specificity (%)OthersValidation

Fernández-Leal and Moret-Bonillo [87] Complejo Hospitalario Universitario de A Coruña, Spain10/—Same-night Level 1 PSG System SAMOA [90, 91]124391.3 (OA) 
100 (CA) 
83.7 (MA) 
91.1 (OH) 
100 (CH) 
60.0 (MH)
93.6 (OA) 
95.7 (CA) 
99.8 (MA) 
98.3 (OH) 
98.7 (CH) 
99.9 (MH)
AUC = 
0.92 (OA) 
0.98 (CA) 
0.92 (MA) 
0.95 (OH) 
0.99 (CH) 0.80 (MH)

Guimaraes et al. [89]3/—Same-night PSG (unknown level)76.2 (Events)75.8 (Events)S

Cabrero-Canosa et al. [90, 91]Complejo Hospitalario Universitario de A Coruña, Spain13/—Same-night Level 1 PSG127087.5 (Diagnosis/—)100 (Diagnosis/—)ACC =  
0.94 (Events) 
0.80 (O) 
0.92 (C) 
0.85 (M) 
0.92 (Diagnosis/—)
S

Alvarez-Estevez [92],
Moret-Bonillo et al. [93]
Sleep Heart Health Study [72]26/0.6968.5 ± 7.750.0 ± 30.5Same-night Level 2 PSGSleep Heart Health Study, reading center manual of operations [4]870581.3 (events) 
89.2 (A) 
89.0 (H) 
83.8 (OA) 
78.3 (CA) 
100 (diagnosis/10)
91.6 (Events) 
89.0 (A) 
89.2 (H) 
78.3 (OA) 
83.8 (CA) 
33 (diagnosis/10)
ACC =  
0.89 (events) 
0.89 (A) 
0.89 (H) 
0.82 (OA) 0.82 (CA) 
0.92 (diagnosis/10)
S