Severity Classification of Obstructive Sleep Apnea using Only Heart Rate Variability Measures with an Ensemble Classifier

Md Juber Rahman1, Ruhi Mahajan2, Bashir Morshed1

  • 1The University of Memphis
  • 2UTHSC-ORNL Center of Biomedical Informatics



Contributed Paper (Oral)


Sensor Informatics


11:20 - 12:50 | Mon 5 Mar | Treasure Island ABC | MoBT1

BHI Session # 2 – Intelligent Sensing and Imaging Informatics


Identifying non-polysomnographic predictors of sleep apnea severity is an on-going challenge in the sleep research. In this study, we detect the severity of obstructive sleep apnea (OSA) condition using features derived from a single lead electrocardiogram (ECG) signal. We have explored 17 time domain, frequency domain, and nonlinear Heart Rate Variability (HRV) features to distinguish subjects in the severe and non-severe OSA groups. An optimal set of eight features including Poincare plot based metrics was found to provide significant discriminative information (p-value = 0.05) for classification. On the test dataset of 16 ECG records, a classification accuracy, sensitivity, and specificity of 87.5%, 100%, and 83.33%, respectively have been achieved using Subspace Discriminant Ensemble classifier. Results demonstrate that severe OSA detection using a single lead ECG signal can be more practical yet simpler compared to existing techniques.

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