Evidence map›Paper›PMID 36983857›Full record

ArticleLife (Basel, Switzerland)2023

Machine Learning Identification of Obstructive Sleep Apnea Severity through the Patient Clinical Features: A Retrospective Study.

Antonino Maniaci, Paolo Marco Riela, Giannicola Iannella, Jerome Rene Lechien, Ignazio La Mantia, Marco De Vincentiis, Giovanni Cammaroto, Christian Calvo-Henriquez, Milena Di Luca, Carlos Chiesa Estomba and 12 more

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Article
  6. Artificial intelligence in surgical planning and outcome prediction for obstructive sleep apnea: emerging hype or the future standard?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Review
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  19. An introduction to machine learning and generative artificial intelligence for otolaryngologists-head and neck surgeons: a narrative review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Antonino ManiaciDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-1251-0185
Paolo Marco RielaDepartment of Mathematics and Informatics, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-1744-1529
Giannicola IannellaSleep Surgery Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), 75001 Paris, France.ORCID 0000-0003-1781-2809
Jerome Rene LechienSleep Surgery Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), 75001 Paris, France.ORCID 0000-0002-0845-0845
Ignazio La MantiaDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, 95123 Catania, Italy.
Marco De VincentiisOtorhinolaryngology Department, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 151, 00010 Rome, Italy.
Giovanni CammarotoSleep Surgery Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), 75001 Paris, France.ORCID 0000-0002-1618-0048
Christian Calvo-HenriquezService of Otolaryngology, Rhinology Unit, Hospital Complex of Santiago de Compostela, 15701 Santiago de Compostela, Spain.ORCID 0000-0003-3580-0967
Milena Di LucaDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, 95123 Catania, Italy.
Carlos Chiesa EstombaDepartment of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, 20001 San Sebastian, Spain.ORCID 0000-0001-9454-9464
Alberto Maria SaibeneOtolaryngology Unit Santi Paolo e Carlo, Hospital Department of Health Sciences, Università Degli Studi di Milano, 20021 Milan, Italy.
Isabella PollicinaDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, 95123 Catania, Italy.
Giovanna StiloDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, 95123 Catania, Italy.
Paola Di MauroDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-2631-5452
Angelo CannavicciDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121 Forlì, Italy.ORCID 0000-0002-9537-2549
Rodolfo LugoDepartment of Otorhinolaryngology, Grupo Medico San Pedro, Monterrey 64660, Mexico.ORCID 0000-0002-4770-0755
Giuseppe MagliuloOtorhinolaryngology Department, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 151, 00010 Rome, Italy.
Antonio GrecoOtorhinolaryngology Department, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 151, 00010 Rome, Italy.ORCID 0000-0002-4824-9871
Annalisa PaceOtorhinolaryngology Department, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 151, 00010 Rome, Italy.ORCID 0000-0001-6744-5280
Giuseppe MeccarielloDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121 Forlì, Italy.
Salvatore CocuzzaDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-6135-0958
Claudio ViciniDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121 Forlì, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the role of clinical scores assessing the risk of disease severity in patients with clinical suspicion of obstructive sleep apnea syndrome (OSA). The hypothesis was tested by applying artificial intelligence (AI) to demonstrate its effectiveness in distinguishing between mild-moderate OSA and severe OSA risk.

methodsA support vector machine model (SVM) was developed from the samples included in the analysis (N = 498), and they were split into 75% for training (N = 373) with the remaining for testing (N = 125). Two diagnostic thresholds were selected for OSA severity: mild to moderate (apnea-hypopnea index (AHI) ≥ 5 events/h and AHI < 30 events/h) and severe (AHI ≥ 30 events/h). The algorithms were trained and tested to predict OSA patient severity.

resultsThe sensitivity and specificity for the SVM model were 0.93 and 0.80 with an accuracy of 0.86; instead, the logistic regression full mode reported a value of 0.74 and 0.63, respectively, with an accuracy of 0.68. After backward stepwise elimination for features selection, the reduced logistic regression model demonstrated a sensitivity and specificity of 0.79 and 0.56, respectively, and an accuracy of 0.67.

conclusionArtificial intelligence could be applied to patients with symptoms related to OSA to identify individuals with a severe OSA risk with clinical-based algorithms in the OSA framework.

Indexed as

artificial intelligenceclinical OSA scoresESSmachine learningobstructive sleep apneaOSA severity

Identifiers

PMID36983857
PMCPMC10056063

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.