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Research ArticleOriginal Research

Feasibility of Portable Sleep Monitors to Detect Obstructive Sleep Apnea (OSA) in a Vulnerable Urban Population

Jillian Nickerson, Euny Lee, Michael Nedelman, R. Nisha Aurora, Ana Krieger and Carol R. Horowitz
The Journal of the American Board of Family Medicine March 2015, 28 (2) 257-264; DOI: https://doi.org/10.3122/jabfm.2015.02.140273
Jillian Nickerson
From the Mount Sinai School of Medicine (JN, CRH), New York, NY; Grameen Primacare (EL), New York, NY; Stanford University School of Medicine (MN), Palo Alto, CA; Johns Hopkins University School of Medicine (RNA), and Weill Cornell School of Medicine (AK), Baltimore, MD.
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Euny Lee
From the Mount Sinai School of Medicine (JN, CRH), New York, NY; Grameen Primacare (EL), New York, NY; Stanford University School of Medicine (MN), Palo Alto, CA; Johns Hopkins University School of Medicine (RNA), and Weill Cornell School of Medicine (AK), Baltimore, MD.
MS
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Michael Nedelman
From the Mount Sinai School of Medicine (JN, CRH), New York, NY; Grameen Primacare (EL), New York, NY; Stanford University School of Medicine (MN), Palo Alto, CA; Johns Hopkins University School of Medicine (RNA), and Weill Cornell School of Medicine (AK), Baltimore, MD.
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R. Nisha Aurora
From the Mount Sinai School of Medicine (JN, CRH), New York, NY; Grameen Primacare (EL), New York, NY; Stanford University School of Medicine (MN), Palo Alto, CA; Johns Hopkins University School of Medicine (RNA), and Weill Cornell School of Medicine (AK), Baltimore, MD.
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Ana Krieger
From the Mount Sinai School of Medicine (JN, CRH), New York, NY; Grameen Primacare (EL), New York, NY; Stanford University School of Medicine (MN), Palo Alto, CA; Johns Hopkins University School of Medicine (RNA), and Weill Cornell School of Medicine (AK), Baltimore, MD.
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Carol R. Horowitz
From the Mount Sinai School of Medicine (JN, CRH), New York, NY; Grameen Primacare (EL), New York, NY; Stanford University School of Medicine (MN), Palo Alto, CA; Johns Hopkins University School of Medicine (RNA), and Weill Cornell School of Medicine (AK), Baltimore, MD.
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    Figure 1.

    Components of each study visit and patients included in each component. OSA, obstructive sleep apnea.

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    Table 1. Demographics and Group Characteristics of All Participants Enrolled in the Study and Subset of Participants Who Completed Interviews
    CharacterisicTotal (n = 72)Interviews (n = 21)
    Mean age (range)46 (25–72)52 (27–71)
    Male % (n)11% (8)24% (5)
    Spanish speaking49% (35)48% (10)
    Black race21% (15)33% (7)
    Hispanic67% (48)62% (13)
    Income ≤ $30,00058% (42)48% (10)
    < High school degree33% (24)38% (8)
    No health insurance40% (29)24% (5)
    • The participants in our study were mostly middle aged, Hispanic females with a high proportion who speak Spanish. They are of low socioeconomic status with low income, low levels of education, and many lack health insurance. These characteristics are true of both the total group who participated in the study as well as the subset of participants who completed interviews.

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    Table 2. Comorbidities and risk factors of those with and without obstructive sleep apnea (OSA) (n = 72)
    OSA (n = 35)No OSA (n = 37)P-Value
    Age (years)51 (9)41 (11).001*
    Mean BP (mm Hg)
        Systolic178 (17)165 (16).002*
        Diastolic113 (15)106 (13).03*
    BMI (kg/m2)34.1 (8.8)31.4 (3.5).10
    Total cholesterol (mg/dL)187 (33)181 (41).46
        LDL106 (34)106 (33).99
        HDL54 (15)54 (15).93
    Moderate depression (PHQ-8)52% (13)30% (8).10
    Mean Hgb A1c5.8 (0.5)5.7 (0.4).14
    • HDL, high-density lipoprotein; LDL, low-density lipoprotein.

    • Those with OSA were older and suffered from higher blood pressures. Those with OSA also had a higher mean BMI and higher scores on the PHQ-8.

    • ↵* Signifies significant P-values defined as < 0.05.

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The Journal of the American Board of Family     Medicine: 28 (2)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 2
March-April 2015
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Feasibility of Portable Sleep Monitors to Detect Obstructive Sleep Apnea (OSA) in a Vulnerable Urban Population
Jillian Nickerson, Euny Lee, Michael Nedelman, R. Nisha Aurora, Ana Krieger, Carol R. Horowitz
The Journal of the American Board of Family Medicine Mar 2015, 28 (2) 257-264; DOI: 10.3122/jabfm.2015.02.140273

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Feasibility of Portable Sleep Monitors to Detect Obstructive Sleep Apnea (OSA) in a Vulnerable Urban Population
Jillian Nickerson, Euny Lee, Michael Nedelman, R. Nisha Aurora, Ana Krieger, Carol R. Horowitz
The Journal of the American Board of Family Medicine Mar 2015, 28 (2) 257-264; DOI: 10.3122/jabfm.2015.02.140273
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