Arrhythmias & electrophysiology

Development of a Multivariable Prediction Model to Estimate Probability of Sleep-Disordered-Breathing in Patients With Atrial Fibrillation (AF): MOODS-AF

JACC Clin ElectrophysiolPublished Prediction model development and external validation study

Authors' conclusion

The MOODS score provides an individualized and accurate probability of significant SDB in patients with AF.

Study context

Population
Consecutive ambulatory patients with AF undergoing polysomnographyderivation 442, validation 409
Comparison
Prediction model vs MOODS
Outcome
Discrimination for significant SDB (apnea-hypopnea-index ≥15/h)
Methodological detailsprospectively collected data, consecutive patients
  • Prospectively collected data
  • Consecutive patients

Performance

As reported in the abstract

Discrimination for significant SDB (AHI ≥15/h), external validation
Test or modelC-statistic95% CISensitivity, score ≤1 (rule-out)Specificity, score ≥5 (rule-in)
Model0.750.71-0.80
MOODS0.730.68-0.77100%96%

C-statistic

Model0.75
MOODS0.73

95% CI

Model0.71-0.80
MOODS0.68-0.77

Sensitivity, score ≤1 (rule-out)

Model— not stated in the abstract
MOODS100%

Specificity, score ≥5 (rule-in)

Model— not stated in the abstract
MOODS96%

Further findings

Prevalence of significant sleep-disordered breathing (SDB)

Derivation cohort
34%
Validation cohort
54%

Original publication

Development of a Multivariable Prediction Model to Estimate Probability of Sleep-Disordered-Breathing in Patients With AF: MOODS-AF. JACC Clin Electrophysiol. Published 4 December 2024. doi:10.1016/j.jacep.2024.10.013

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