Abstract
Purpose
In this study, we assessed the diagnostic accuracy of the device VitaLog (SWG Sportwerk GmbH & Co. KG, Dortmund, Germany) for estimation of respiratory rate (RR) variability.
Methods
VitaLog is a minimal-contact biomotion device that is placed under the mattress topper. It senses respiratory effort and body movement using a piezoelectric sensor. Diagnostic accuracy was determined in 103 patients referred to our sleep laboratory for suspected sleep-disordered breathing (SDB). SDB was defined by AHI ≥ 15/h. Results provided by VitaLog were compared with nasal flow measurement obtained by polysomnography (PSG).
Results
Diagnostic accuracy of VitaLog was excellent. We obtained a correlation of r = 0.99 and a bias of 0.2 cycles per minute (cpm) between VitaLog and PSG-provided nasal flow. Detection RR variability worked nearly identically in patients with and without SDB.
Conclusion
VitaLog is an appropriate method for determination of RR variability based on a minimal-contact biomotion sensor. This device is easy to handle, available at low cost, and suitable for long-term monitoring in the hospital or at home.
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Abbreviations
- AHI:
-
Apnea-hypopnea index
- BMI:
-
Body mass index
- cpm:
-
Cycles per minute
- CHD:
-
Coronary heart disease
- COPD:
-
Chronic obstructive pulmonary disease
- HR:
-
Heart rate
- PSG:
-
Polysomnography
- RR:
-
Respiratory rate
- SE:
-
Sleep efficiency
- TST:
-
Total sleep time
- Hz:
-
Hertz
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Jan Geldmacher and Sebastian Brato are founders of the start-up Sportwerk GmbH und Co. Prof. Jürgen Götze is co-founder of the start-up Sportwerk GmbH und Co. Caroline M. Linker, Gerhard Weinreich, Matthias Welsner, Christoph Schöbel, Christian Taube and Sarah Dietz-Terjung state that there is no conflict of interest.
Ethical statement
The Ethics Commission Duisburg-Essen has approved this study under the number 16-6217-BO. All included patients have received patient information and signed a consent form.
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The work demonstrates the technical capabilities of a novel measurement system. Future works should optimize usage strategies of such systems to yield the highest possible benefit for patients.
Sebastian Zaunseder
Dortmund,Germany
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Dietz-Terjung, S., Geldmacher, J., Brato, S. et al. A novel minimal-contact biomotion method for long-term respiratory rate monitoring. Sleep Breath 25, 145–149 (2021). https://doi.org/10.1007/s11325-020-02067-4
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DOI: https://doi.org/10.1007/s11325-020-02067-4