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A short daytime test using correlation dimension for respiratory movement in OSAHS

¹ Division of Medical Oncology and Molecular Respirology, and ² Division of Otolaryngology, Faculty of Medicine, Tottori University, Yonago, Japan

CORRESPONDENCE: N. Burioka, Third Dept of Internal Medicine, Faculty of Medicine, Tottori University, 36–1 Nishimachi, Yonago 683-8504, Japan. Fax: 81 859348098, E-mail: burioka@grape.med.tottori-u.ac.jp

Keywords: Breath-to-breath variations, correlation dimension, nonlinear analysis, obstructive sleep apnoea/hypopnea syndrome

Received: April 20, 2003
Accepted January 24, 2004

In order to examine the pathology in patients with obstructive sleep apnoea/hypopnoea syndrome (OSAHS), the nonlinear properties of respiratory movement and breath-to-breath variations during resting wakefulness with eyes closed was investigated.

Recording of the respiratory movement using inductive plethysmography was performed on 14 patients with OSAHS and 13 control subjects for 2 h in the supine position during daytime. To calculate the correlation dimension (D2) for respiratory movement, an algorithm proposed by Grassberger and Procaccia was applied. The indices of breath-to-breath variations were estimated. To calculate D2 and breath-to-breath variations, two different segments were selected (200 s each).

The value of D2 for respiratory movement in patients with OSAHS was significantly greater than that in control subjects. In the case of 2.0 of D2 for respiratory movement, the sensitivity and specificity of detecting the presence of OSAHS was 85.7% and 76.9%, respectively. On the basis of breath-to-breath variations, only the coefficient of variation of expiratory time for respiratory movement in patients with OSAHS was significantly greater than that in the control subjects.

In conclusion, the measurements of correlation dimensions for respiratory movement with a brief period during wakefulness may be a useful index for identifying patients with obstructive sleep apnoea/hypopnoea syndrome.

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