# SnoreLab Application in the Assessment of Obstructive Sleep Apnea Syndrome: A Pilot Study
## 4 Discussion
\begin{table}
\begin{tabular}{c c c c c c c c c c c} \hline \hline \multirow{2}{*}{\begin{tabular}{c} **PSG and App-Based** \\ **Parameters** \\ \end{tabular} } & \multirow{2}{*}{\begin{tabular}{c} **Simple Snoring** \\ **(\(n=6\))** \\ \end{tabular} } & \multirow{2}{*}{\begin{tabular}{c} **Mild OSAS** \\ **(\(n=7\))** \\ \end{tabular} } & \multirow{2}{*}{\begin{tabular}{c} **Moderate OSAS** \\ **(\(n=2\))** \\ \end{tabular} } & \multirow{2}{*}{\
\begin{tabular}{c} **Severe OSAS** \\ **(\(n=4\))** \\ \end{tabular} } & \multirow{2}{*}{
\begin{tabular}{c} **Overall Cohort** \\ **(\(n=19\))** \\ \end{tabular} } \\ \cline{2-2} \cline{6-11}  & & \(\mu\) & SD & \(\mu\) & SD & \(\mu\) & SD & \(\mu\) & SD \\ \hline PSG parameters & & & & & & & & & \\ AHI & 2.3 & 1.4 & 9.6 & 3.3 & 13.3 & 1.0 & 44.9 & 12.0 & 15.1 & 17.0 \\ O\({}_{2}\) Sat. & 93.9 & 2.0 & 94.6 & 0.6 & 94.1 & 0.2 & 93.5 & 1.0 & 95.0 & 1.4 \\ IC90 & 1.4 & 2.4 & 1.8 & 3.4 & 1.2 & 0.3 & 10.4 & 5.7 & 3.6 & 5.2 \\ NADIR & 88.6 & 3.1 & 85.3 & 4.9 & 82.0 & 3.0 & 74.5 & 5.0 & 83.7 & 6.7 \\ \hline App-based Snore Score & 30.7 & 19.2 & 15.9 & 23.7 & 18.0 & 8.0 & 35.2 & 21.4 & 24.8 & 22.2 \\ Light snoring (\%) & 25.0 & 15.2 & 11.7 & 12.4 & 16.0 & 7 & 28.7 & 11.5 & 19.9 & 14.6 \\ Loud snoring (\%) & 8.0 & 6.5 & 1.9 & 4.2 & 2.5 & 0.5 & 5.5 & 5.9 & 4.6 & 5.9 \\ Epic snoring (\%) & 0.2 & 0.4 & 0.6 & 1.4 & 0.0 & 0.0 & 0.5 & 0.9 & 0.4 & 1.0 \\ \hline \hline \end{tabular} Abbreviations: PSG = polysomnography; OSAS = obstructive sleep apnea syndrome; AHI = apnea hypopnea index; \(n\) = number; O\({}_{2}\) Sat. = oxygen saturation; T\(\circ\)00 = percentage of sleep time with oxygen saturations lower than 90%; NADIR = lowest saturation value; SD = standard deviation; \(\mu\) = average.  
\end{table} 
Table 2: Polysomnography parameters and app-based snore score. app has been developed to record snoring patterns, measuring both the frequency and intensity of snoring throughout the night. It enables users to document their snoring over time, helping to track the effectiveness of various interventions. According to SnoreLab's website, these interventions include lifestyle adjustments such as eating earlier, engaging in mouth exercises, adopting side-sleeping positions, taking short walks, or showering before bed. Health interventions such as weight loss and maintaining hydration are also supported. Due to its simplicity and intuitiveness, SnoreLab has become increasingly popular and demonstrated potential utility as a \"sleep diary\" to enhance patient awareness and compliance with treatments. Based on the authors' experiences, it has been observed that some patients use the app to record and bring audio files of their snoring to clinical consultations as evidence. Additionally, an important consideration is the common misconception among many patients who often confound snoring with OSAS. There is a significant clinical difference between the two, and this misunderstanding can lead to misdiagnoses and the inappropriate management of the conditions. Therefore, the app can play a critical role in educating users about these differences, emphasizing the importance of proper diagnosis and treatment. Currently, computer software programmers are developing smartphone snoring apps, often with minimal involvement of sleep medicine practitioners in the development process. [PERSON] et al. demonstrated that select smartphone apps are user-friendly for recording and playing back snoring sounds. A preliminary comparison of over 1500 individual snores indicated potential clinical utility; however, further validation testing is recommended [19]. A systematic review of smartphone applications and devices for OSAS identified 10 relevant smartphone apps that have been utilized in clinical settings for the diagnosis or treatment of sleep-disordered breathing. However, these apps, including SnoreLab, demonstrate lower accuracy compared to traditional options [20].