Overnight features of transcutaneous carbon dioxide measurement as predictors of metabolic status

  • Authors:
  • Arho Virkki;Olli Polo;Tarja Saaresranta;Anne Laapotti-Salo;Mats Gyllenberg;Tero Aittokallio

  • Affiliations:
  • Biomathematics Research Group, Department of Mathematics, University of Turku, FIN-20014 Turku, Finland and Turku Centre for Computer Science, Joukahaisenkatu 3-5 B, 6th Floor, FIN-20520 Turku, Fi ...;Turku Centre for Computer Science, Joukahaisenkatu 3-5 B, 6th Floor, FIN-20520 Turku, Finland;Rolf Nevanlinna Institute, Department of Mathematics and Statistics, University of Helsinki, FIN-00014 Helsinki, Finland;Sleep Research Unit, Department of Physiology, University of Turku, FIN-20014 Turku, Finland;Rolf Nevanlinna Institute, Department of Mathematics and Statistics, University of Helsinki, FIN-00014 Helsinki, Finland;Department of Pulmonary Medicine, Tampere University Hospital, FIN-33521 Tampere, Finland

  • Venue:
  • Artificial Intelligence in Medicine
  • Year:
  • 2008

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Abstract

Objective: To systematically investigate whether overnight features in transcutaneous carbon dioxide (P"T"c"C"O"""2) measurements can predict metabolic variables in subject with suspected sleep-disordered breathing. Methods: The features extracted from the P"T"c"C"O"""2 signal included the number of abrupt descents per hour and attributes that characterize the recovery after such an event. For each outcome variable, the subgroup of the 108 study subjects with the particular variable present was divided into two representative classes, and the optimal features that can predict the classes were learned. Overfitting was avoided by evaluating the classification algorithms using 10-fold cross-validation. Results: P"T"c"C"O"""2 signal has a key role in determining the classes of high-density lipoprotein cholesterol and thyroid-stimulating hormone concentrations, and it improves the classification accuracy of glycosylated hemoglobin A1c and fasting plasma glucose values. Conclusions: The features learned from the P"T"c"C"O"""2 signal reflected the state of the selected metabolic variables in a subtle, but systematic, way. These findings provide a step towards understanding how metabolic disturbances are connected to carbon dioxide exchange during sleep.