1. Sleep assessment using a passive ballistocardiography-based system: Preliminary validation
- Author
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David C. Mack, Majd Alwan, Robin A. Felder, James T. Patrie, and Paul M. Suratt
- Subjects
Adult ,Male ,medicine.medical_specialty ,Respiratory rate ,Polysomnography ,Ballistocardiography ,Heart Rate ,Heart rate ,medicine ,Humans ,Wakefulness ,Monitoring, Physiologic ,medicine.diagnostic_test ,business.industry ,Respiration ,Reproducibility of Results ,Signal Processing, Computer-Assisted ,Actigraphy ,Gold standard (test) ,Middle Aged ,Musculoskeletal movement ,Physical therapy ,Female ,Sleep onset ,Sleep ,business - Abstract
Quantitative sleep analysis through the use of polysomnography is a well established standard. Finding new ways to approach this, especially over multiple nights, is becoming more important due to a growing recognition of adverse effects from poor sleep and sleep disorders. The Non-Invasive Analysis of Physiological Signals (NAPSTM) system is a ballistocardiography-based monitoring system developed to measure heart rate, breathing rate and musculoskeletal movement that shows promise as a general sleep analysis tool. Overnight sleep studies were conducted on 20 healthy subjects during a validation clinical trial which compared the NAPS system to actigraphy, using polysomnography as the gold standard. The NAPS system [κ = 3D 0.478; 95% CI (0.463, 0.494); p-value < 0.001] outperformed actigraphy [κ = 3D 0.344; 95% CI (0.324, 0.358); p-value < 0.001], largely due to better performance in distinguishing sleep onset times as determined by polysomnography [NAPS mean bias estimate: -2.5 epochs; 95% CI (-16.8, 11.9); p = 3D 0.725 | Actigraphy mean bias estimate: -33.6 epochs; 95% CI (-57.4, -9.7); p = 3D 0.016)].
- Published
- 2009
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