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Table 3 Modeling strategies adopted in the selected studies

From: Clinical prediction models for the early diagnosis of obstructive sleep apnea in stroke patients: a systematic review

Author/year

Missing data

Model development

 

Model performance

Model type

Predictor selection method

Model format

Validation methods

Calibration

Discrimination

Classification

Sico/2017 [23]

No imputation

Logistic regression

Backward with uniform P-value

/

External validation

/

D-C: 0.732

V-C: 0.731

D-SN: 91.4%; SP: 43.8%; NPV: 76.2%, PPV: 72.1%; V-SN: 100%; SP: 12.5%; NPV: 100%; PPV: 79.6%

Brown/2020 [25]

Separate category by default

Machine learning

Stepwise selection

/

/

/

C: 0.75

/

Boulos/2019 [29]

/

Logistic regression

/

/

Bootstrapping

/

C: 0.751

SN: 95.9%; SP: 26.1%; PPV: 48.4%; NPV: 89.7%

Katzan/2016 [27]

Multiple imputation

Logistic regression

Bootstrapping

Formula

Bootstrapping

/

STOP-BAG2 + C: 0.84

SN: 94%; SP: 60%

Bernardini/2021 [21]

/

Convolutional deep learning

/

/

/

/

/

/

Zhang/2019 [22]

/

/

/

/

/

/

AUC: 0.835

SN: 74.1%; SP: 76.9%; PPV: 87.5%; NPV: 57.7%

Boulos/2016 [24]

/

Logistic regression

/

/

/

/

AUC: STOP-BAG: 0.677;

4 V: 0.688;

BQ: 0.563;

SOS: 0.506

4 V: SN: 59.4%; SP: 59.5%:

PPV: 55.9%; NPV: 62.9%

Petrie/2021 [26]

/

/

/

/

/

/

C-statistic

SB, 0.572; ESS, 0.502; BQ, 0.640

BQ: SN: 36%; SP: 62%

ESS: SN: 68%; SP: 62%

SB: SN: 81%; SP: 33%

Šiarnik/2020 [31]

/

Logistic regression

Stepwise selection

/

/

/

AUC: 0.81

SN: 82.9%; SP: 71.9%,

Camilo/2014 [28]

/

Logistic regression

/

/

/

/

AUC: 0.813

SN: 90%; NPV: 94.5%; SP: 55.6%, PPV: 27.1%

Srijithesh/2011 [30]

/

 

/

/

/

/

 

BQ: SN: 68.2%, SP: 58.8%, PPV: 68.2%, NPV: 58.8%

Combined BQ & ESS:

SN: 50%, SP: 88.2%, PPV: 84.6%, NPV: 57.7%

  1. D developed, V validated, C c-index, AUC area under the curve, SN sensitivity, SP specificity, NPV negative predictive value, PPV positive predictive value,
  2. SB STOP-BANG (snoring, tired, observed, high blood pressure, BMI, age, neck circumference, gender), 4 V the four-variable screening tool, STOP-BAG snoring, tired, observed, high blood pressure, BMI, age, gender, BQ Berlin Questionnaire, SOS sleep obstructive apnea score, ESS Epworth Sleepiness Scale