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. 2021 Jul 1;17(7):1343–1354. doi: 10.5664/jcsm.9192

Table 4.

Confusion matrix for epoch-by-epoch sleep staging in SHHS.

CReSS Sleep Staging PSG Sleep Staging
CReSS Applied to Heart Rate and Airflow Signals
Wake REM Sleep Light Sleep Deep Sleep
Wake 39,954 942 6,768 324
61.1%* 2.1% 4.8% 0.9%
REM sleep 4,009 33,326 4,934 251
6.1% 73.4%* 3.5% 0.7%
Light sleep 20,919 11,001 121,248 18,100
32.0% 24.2% 85.5%* 52.4%
Deep sleep 511 161 8,783 15,888
0.8% 0.4% 6.2% 46.0%*
PPV 83.3% 78.4% 70.8% 62.7%*
CReSS Applied to Heart Rate, Airflow, and Thoracic Respiratory Effort Signals
Wake REM Sleep Light Sleep Deep Sleep
Wake 44,270 562 5,566 197
67.7%* 1.2% 3.9% 0.6%
REM sleep 2,917 36,584 4,888 208
4.5% 80.5%* 3.4% 0.6%
Light sleep 18,001 8,192 123,168 17,859
27.5% 18.0% 86.9%* 51.7%
Deep sleep 205 92 8,111 16,299
0.3% 0.2% 5.7% 47.2%*
PPV 87.5% 82.0% 73.7% 66.0%*

*Values are the number of epochs of each PSG-scored sleep stage that were correctly identified by CReSS and the percentage of epochs within each PSG-defined sleep stage that were correctly identified by CReSS (that is, sensitivity). The percentage values labeled as PPV represent the percentage of epochs within each CReSS-defined sleep stage that was correct per PSG. CReSS = CardioRespiratory Sleep Staging, PPV = positive predictive value, PSG = polysomnography, REM = rapid eye movement, SHHS = Sleep Heart Health Study.