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September 6, 2021The LaryngoscopeOpen Access

Machine learning models, such as random forest, predicted the development of cardiovascular disease in patients with obstructive sleep apnea with 84% sensitivity and 99% specificity.

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Why the study?

Due to overlapping clinical risk factors, identifying high-risk patients with obstructive sleep apnea who are likely to develop cardiovascular disease remains challenging.

Can machine learning models using baseline clinical factors predict the future development of cardiovascular disease in patients with obstructive sleep apnea?

Population

967 adults aged 45 to 84 years enrolled in the Multi-Ethnic Study of Atherosclerosis

Comparison

Baseline clinical factors predicting OSA with CVD vs OSA alone

Design

Retrospective analysis of prospectively collected data

Follow-up

10 years

Key result

Machine learning models, such as random forest, predicted the development of cardiovascular disease in patients with obstructive sleep apnea with 84% sensitivity and 99% specificity.

Authors

SGSaikrishna C. GourishettiRTR. TaylorAIAmal Isaiah

Discussion

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Member takes

Overview

May aid CVD risk stratification in OSA; hypothesis-generating and requires prospective validation before clinical use.

Study Design

Type

Observational (n=967)

Structured PICO

Can machine learning models using baseline clinical factors predict the future development of cardiovascular disease in patients with obstructive sleep apnea?

P
Population
967 adults aged 45 to 84 years without baseline obstructive sleep apnea or cardiovascular disease, followed for 10 years to assess the development of both conditions.
E
Exposure
Machine learning models (including random forest and bootstrap aggregation) using baseline clinical factors identified by stepwise variable selection.
O
Outcome
Development of cardiovascular disease (CVD) in patients with obstructive sleep apnea (OSA) at 10 years after enrollment.

Machine learning models identified fasting glucose >91 mg/dL, diastolic pressure >73 mm Hg, and age >59 years as the strongest baseline predictors for developing cardiovascular disease in patients with obstructive sleep apnea.

Cite This Study

Gourishetti et al. (2021) conducted an observational in Obstructive sleep apnea and cardiovascular disease (n=967). Baseline clinical factors (fasting glucose, diastolic pressure, age) vs. Patients with obstructive sleep apnea alone was evaluated on Prediction of additional risk of cardiovascular disease in obstructive sleep apnea. Machine learning models, such as random forest, predicted the development of cardiovascular disease in patients with obstructive sleep apnea with 84% sensitivity and 99% specificity.

synapsesocial.com/papers/6a97ed4b275b4863ba2d350fhttps://doi.org/10.1002/lary.29852
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