Bicarbonate from arterial blood gas analysis as predictor of sleep-related hypoventilation: a diagnostic accuracy study

The sensitivity of elevated bicarbonate from awake arterial blood gas analysis using common cut-off values such as 27 mmol/L is only moderate, and bicarbonate as an integral part of the assessment of sleep hypoventilation (likelihood ratio) must be interpreted in the context of other assessments. A normal bicarbonate does not rule out sleep hypoventilation.

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Publication Details

Journal
BMJ Open Respiratory Research
Published
2025-05-01
DOI
https://doi.org/10.1136/bmjresp-2024-002591
Primary Topic
Obstructive Sleep Apnea Research
Type
article
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Bicarbonate from arterial blood gas analysis as predictor of sleep-related hypoventilation: a diagnostic accuracy study

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2 links
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article

Bicarbonate from arterial blood gas analysis as predictor of sleep-related hypoventilation: a diagnostic accuracy study

Malcolm Kohler, Matteo Bradicich, Silvia Ulrich, Mona Lichtblau, Michelle Mollet, Esther Irene Schwarz, Laura C. Mayer, Joël Julien Herzig, Sanja Pocrncic, Louise Benning
article en

Abstract

The sensitivity of elevated bicarbonate from awake arterial blood gas analysis using common cut-off values such as 27 mmol/L is only moderate, and bicarbonate as an integral part of the assessment of sleep hypoventilation (likelihood ratio) must be interpreted in the context of other assessments. A normal bicarbonate does not rule out sleep hypoventilation.

BMJ Open Respiratory ResearchVol. 12(1)
ZHAW Zurich University of Applied Sciences (CH), University Hospital of Zurich (CH)
Good health and well-being
Openalex Percentile: Top 84%
Obstructive Sleep Apnea Research
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