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Sleep assessment in preterm infants: Use of actigraphy and aEEG

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dc.contributor.authorBEKİROĞLU, GÜLNAZ NURAL
dc.contributor.authorsÜlgen Ö., Barış H. E. , Özbörü Aşkan Ö., Küçük Akdere S., Ilgın C., Özdemir H., Bekiroğlu G. N. , Gücüyener K., Özek E., Boran P.
dc.date.accessioned2022-12-16T07:40:47Z
dc.date.available2022-12-16T07:40:47Z
dc.date.issued2022-11-01
dc.description.abstractObjective: Objective methods to monitor the sleep of preterm infants at the neonatal intensive care unit (NICU) are required to prevent potentially adverse neurodevelopmental outcomes. This study aimed to determine the concordance of actigraphy and amplitude-integrated electroencephalogram (aEEG) against gold standard direct observation (DO) in assessing sleep/wake states of typically developing preterm infants. Methods: This prospective observational study was conducted in a single center level III NICU. Sleep variables were measured using Philips Respironics Mini-Mitter® Actiwatch-2 for 24 h and compared with 8-h matched data of aEEG and DO. Sensitivity-specificity analysis, Cohen's kappa, prevalenceadjusted and bias-adjusted kappa (PABAK), and Bland Altman plots were generated. Results: Seventeen preterm infants were recruited. A total of 11252 epochs were studied. Sensitivity (86.4%), agreement rate (67.9%), and predictive value for wake (47.9%) for the actigraphy were highest at the automatic activity threshold whereas specificity (54.5%) and predictive value for sleep (75.5%) were highest at low threshold. The sensitivity of aEEG was 79.3% and the specificity was 54.3%. At all thresholds, the agreement was largely equivalent with low kappas (0.14e0.17) and PABAK coefficients (0.22e0.35) for actigraphy and DO. Moderate agreement was observed between aEEG and DO according to the PABAK coefficient (0.44). Mean differences in sleep parameters were not different between DO and aEEG as well as DO/aEEG and actigraphy at medium threshold (p > 0.05). Conclusions: Actigraphy at medium threshold can be used in depicting sleep in typically developing preterm infants at NICU. aEEG may be an alternative adjunctive method to actigraphy for the evaluation of sleep/wake states in the NICU setting
dc.identifier.citationÜlgen Ö., Barış H. E. , Özbörü Aşkan Ö., Küçük Akdere S., Ilgın C., Özdemir H., Bekiroğlu G. N. , Gücüyener K., Özek E., Boran P., "Sleep assessment in preterm infants: Use of actigraphy and aEEG", SLEEP MEDICINE, cilt.101, 2022
dc.identifier.doi10.1016/j.sleep.2022.11.020
dc.identifier.issn1389-9457
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S138994572201228X?dgcid=author
dc.identifier.urihttps://hdl.handle.net/11424/283681
dc.identifier.volume101
dc.language.isoeng
dc.relation.ispartofSLEEP MEDICINE
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectÇocuk Sağlığı ve Hastalıkları
dc.subjectSağlık Bilimleri
dc.subjectTemel Tıp Bilimleri
dc.subjectBiyoistatistik ve Tıp Bilişimi
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectChild Health and Diseases
dc.subjectHealth Sciences
dc.subjectFundamental Medical Sciences
dc.subjectBiostatistics and Medical Informatics
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectTIBBİ BİLİŞİM
dc.subjectPEDİATRİ
dc.subjectTIP, GENEL & DAHİLİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectMEDICAL INFORMATICS
dc.subjectPEDIATRICS
dc.subjectMEDICINE, GENERAL & INTERNAL
dc.subjectGenel Sağlık Meslekleri
dc.subjectPediatri
dc.subjectPatofizyoloji
dc.subjectTemel Bilgi ve Beceriler
dc.subjectDeğerlendirme ve Teşhis
dc.subjectPediatri, Perinatoloji ve Çocuk Sağlığı
dc.subjectDahiliye
dc.subjectTıbbi Bilişim
dc.subjectAile Sağlığı
dc.subjectTıp (çeşitli)
dc.subjectGenel Tıp
dc.subjectGeneral Health Professions
dc.subjectPediatrics
dc.subjectPathophysiology
dc.subjectFundamentals and Skills
dc.subjectAssessment and Diagnosis
dc.subjectPediatrics, Perinatology and Child Health
dc.subjectInternal Medicine
dc.subjectHealth Informatics
dc.subjectFamily Practice
dc.subjectMedicine (miscellaneous)
dc.subjectGeneral Medicine
dc.titleSleep assessment in preterm infants: Use of actigraphy and aEEG
dc.typearticle
dspace.entity.typePublication
local.avesis.id2665be4b-af1b-4db5-848c-4840221953bf
relation.isAuthorOfPublication9d562d76-b085-41e7-87b1-114fae3720d0
relation.isAuthorOfPublication.latestForDiscovery9d562d76-b085-41e7-87b1-114fae3720d0

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