Obstructive Sleep Apnea
Conditions
Keywords
Belun Ring, pulse oximeter, obstructive sleep apnea
Brief summary
This study aims to determine the overall accuracy, sensitivity, and specificity of the Belun Ring device in evaluating obstructive sleep apnea by comparing the device to the attended overnight in-lab polysomnography which is the gold standard for diagnosis of obstructive sleep apnea. Our hypothesis is that the Belun-Ring, a type 4 portable monitoring device, is overall sensitive and specific for evaluation of obstructive sleep apnea when compared to the attended overnight in-lab polysomnography.
Detailed description
This study will include all patients who are scheduled to do an attended overnight in-lab polysomnography in 2 sleep labs owned by University Hospitals Cleveland Medical Center. These patients will receive email recruitment forms 2 weeks prior their scheduled polysomnography. Whether they are interested or not, patients are supposed to call or email the study's central contact person. Both phone number and email address of the central contact person are noted in the email recruitment form. For those patients who did not make any contact with the study's central contact person, they will be screened for eligibility by sub-investigators through chart review. List of eligible patients will be sent to the central contact backup person who is basically in-charge of making phone calls to the patients. This person will further confirm patients' eligibility over the phone and ask if they are interested. If a patient is interested, the central contact backup person will inform the sub-investigators who, in turn, will assign a unique patient identifier to the interested subject and inform the sleep lab contact person. The sleep lab contact person will, in turn, inform the sleep technicians on-call ahead of time about the list of interested subjects. On the night of the polysomnography testing of the interested subject, the latter will receive questionnaires and written informed consent form related to the study which will be explained by the sleep technician. After the subject had completed and signed the questionnaires and written informed consent form respectively, the sleep technician will apply the Belun Ring device on the patient as well as the electrodes and sensors included in a routine polysomnography. The following day, data from Belun Ring device will be uploaded to the laptop while another sleep technician will read the polysomnography. Sub-investigators will enter the data from the questionnaires, Belun Ring device, and polysomnography in the secured University Hospitals Redcap (UHRedcap). Once the target number of subjects are reached, all data will be sent to statistician for analysis.
Interventions
All patients scheduled for attended overnight in-lab polysomnography (PSG) in our 2 sleep labs will undergo PSG testing. On the same night of the PSG testing, these same patients will also wear the Belun Ring device. After the study, we will compare results of the Belun Ring device vis-à-vis with the results of the PSG on the same patient.
All patients scheduled for attended overnight in-lab polysomnography (PSG) in our 2 sleep labs will undergo PSG testing. On the same night of the PSG testing, these same patients will also wear the Belun Ring device. After the study, we will compare results of the Belun Ring device vis-à-vis with the results of the PSG on the same patient.
Sponsors
Study design
Eligibility
Inclusion criteria
* All adult patients age 18-80 years old scheduled for overnight in-lab sleep study * Provision of signed and dated written informed consent form
Exclusion criteria
* Recent hospitalization in the past 30 days * Patients on home oxygen, non-invasive ventilator, diaphragmatic pacing, or any form of nerve stimulator * Patients with pacemaker, defibrillator, left ventricular assist device (LVAD), or status post cardiac transplantation * Patients with baseline heart rate under 50 bpm or over 100 bpm during last clinic visit or prior to study at the sleep lab * Patients with unstable cardiopulmonary status judged to be unsafe for sleep study by the sleep technician and/or the on-call sleep physician in the sleep lab on the night of the study * Patients who are unable to complete the required study * Patients involved in another investigational study * Pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Performance (Mean With 95% CI) of bAHI at PSG--AHI Cutoffs of 5, 15 and 30 (Accuracy) | Same night when both testing were done on the same subject | Comparing the accuracy, sensitivity, specificity of Belun Ring Device versus gold standard Polysomnography for Obstructive Sleep Apnea |
| Sensitivity | Same night when both testing were done on the same subject | Comparing the accuracy, sensitivity, specificity of Belun Ring Device versus gold standard Polysomnography for Obstructive Sleep Apnea |
| Specificity | Same night when both testing were done on the same subject | Comparing the accuracy, sensitivity, specificity of Belun Ring Device versus gold standard Polysomnography for Obstructive Sleep Apnea |
Countries
United States
Participant flow
Pre-assignment details
Total of 336 subjects were screened, 130 subjects did not meet eligibility criteria. Out of the 206 subjects who were eligible, 93 refused to participate. Total of 113 subjects completed informed consent process and enrolled in the study.
Participants by arm
| Arm | Count |
|---|---|
| Participant All patients scheduled for attended overnight in-lab polysomnography (PSG), also known as sleep study, in our 2 sleep labs will undergo PSG testing. On the same night of the PSG testing, these same patients will also wear the Belun Ring device. After the study, we will compare results of the Belun Ring device with the results of the PSG on the same patient. There will be no separate arm to test a different device.
Belun Ring: All patients scheduled for attended overnight in-lab polysomnography (PSG) in our 2 sleep labs will undergo PSG testing. On the same night of the PSG testing, these same patients will also wear the Belun Ring device. After the study, we will compare results of the Belun Ring device with the results of the PSG on the same patient.
PSG: All patients scheduled for attended overnight in-lab polysomnography (PSG) in our 2 sleep labs will undergo PSG testing. On the same night of the PSG testing, these same patients will also wear the Belun Ring device. After the study, we will compare results of the Belun Ring device with the results of the PSG on the same patient. | 78 |
| Total | 78 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Protocol Violation | 35 |
Baseline characteristics
| Characteristic | Participant |
|---|---|
| Age, Continuous | 51.5 years STANDARD_DEVIATION 13.4 |
| Body Mass Index (BMI) | 36.1 Kg/m^2 STANDARD_DEVIATION 10.1 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 30 Participants |
| Race (NIH/OMB) Black or African American | 41 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 3 Participants |
| Race (NIH/OMB) White | 4 Participants |
| Sex: Female, Male Female | 51 Participants |
| Sex: Female, Male Male | 27 Participants |
| STOP-Bang | 3.9 scores on a scale STANDARD_DEVIATION 1.8 |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 78 |
| other Total, other adverse events | 0 / 78 |
| serious Total, serious adverse events | 0 / 78 |
Outcome results
Performance (Mean With 95% CI) of bAHI at PSG--AHI Cutoffs of 5, 15 and 30 (Accuracy)
Comparing the accuracy, sensitivity, specificity of Belun Ring Device versus gold standard Polysomnography for Obstructive Sleep Apnea
Time frame: Same night when both testing were done on the same subject
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Belun Ring Study Participants | Performance (Mean With 95% CI) of bAHI at PSG--AHI Cutoffs of 5, 15 and 30 (Accuracy) | AHI cut off of 5 | 0.564 proportion of events |
| Belun Ring Study Participants | Performance (Mean With 95% CI) of bAHI at PSG--AHI Cutoffs of 5, 15 and 30 (Accuracy) | AHI cut off of 15 | 0.808 proportion of events |
| Belun Ring Study Participants | Performance (Mean With 95% CI) of bAHI at PSG--AHI Cutoffs of 5, 15 and 30 (Accuracy) | AHI cut off of 30 | 0.910 proportion of events |
Sensitivity
Comparing the accuracy, sensitivity, specificity of Belun Ring Device versus gold standard Polysomnography for Obstructive Sleep Apnea
Time frame: Same night when both testing were done on the same subject
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Belun Ring Study Participants | Sensitivity | AHI cut off at 5 | 1.000 proportion of events |
| Belun Ring Study Participants | Sensitivity | AHI cut off at 15 | 0.931 proportion of events |
| Belun Ring Study Participants | Sensitivity | AHI cut off at 30 | 0.714 proportion of events |
Specificity
Comparing the accuracy, sensitivity, specificity of Belun Ring Device versus gold standard Polysomnography for Obstructive Sleep Apnea
Time frame: Same night when both testing were done on the same subject
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Belun Ring Study Participants | Specificity | AHI cut off of 5 | 0.029 proportion of events |
| Belun Ring Study Participants | Specificity | AHI cut off of 15 | 0.735 proportion of events |
| Belun Ring Study Participants | Specificity | AHI cut off of 30 | 0.953 proportion of events |