Encore Numbers

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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SteveOH
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Joined: Tue Jun 23, 2009 11:28 am

Encore Numbers

Post by SteveOH » Sun Jul 05, 2009 12:16 pm

Hello,

After 6 years of using a non-data capable machine, I finally saved up enough to buy the machine I wanted with the smart card, reader and software (see sig). I've read through the definitions on in the "new user" section, so I have a handle on those. What I don't know is what numbers are generally thought to be "good" or at least "acceptable." I've searched through a bunch of threads, but haven't been able to put my finger on exactly what I'm looking for.

For example, my average leak is shown as 34.7 Is that good, bad or otherwise? Is AHI < 5 the target?

Also, I saw someone with ResMed data that had a bar graph that showed how long each apnea event lasted. Is there a way to see this on the Encore software?

Any advice or links to the answers wold be appreciated.

Here is a chart with 3 days of data summarized.
Image
Image

Thanks in advance,
Steve

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BleepingBeauty
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Re: Encore Numbers

Post by BleepingBeauty » Sun Jul 05, 2009 12:41 pm

SteveOH wrote:Hello,

After 6 years of using a non-data capable machine, I finally saved up enough to buy the machine I wanted with the smart card, reader and software (see sig).
Hi, Steve, and welcome to the forum. Congrats on the upgraded machine purchase, along with software and reader. Good move!
my average leak is shown as 34.7 Is that good, bad or otherwise? Is AHI < 5 the target?
It sounds good, as an average. But in order to know what your acceptable leak rate really is at any given pressure, check the paperwork that came with your mask. I'm not familiar with the Ultra Mirage II, so I can't say that your 34.7 average is good. There should be a chart in the info that came with the mask that tells you what your leak rate should be at your pressure. (Your average pressure, from the graph you posted, appears to be around 12-13.)

Generally speaking, yes, the target AHI is less than 5. But most here seem to feel crappy if their AHI is more than, say, 2. Obviously, 0 would be best.
Also, I saw someone with ResMed data that had a bar graph that showed how long each apnea event lasted. Is there a way to see this on the Encore software?
Not to my knowledge, no. Different machine software produces different information. I have the Respironics software, and it doesn't tell me how long my apneas or hypopneas last. However, James Skinner (one of our forum members) created Encore Pro Analyzer (which he offers for free). That program DOES give you an average figure re: apnea duration. AFAIK, though, Analyzer only works with Encore Pro, and not Encore Viewer. (But I could be wrong about that.)
Any advice or links to the answers wold be appreciated. Here is a chart with 3 days of data summarized.
Summary data is fairly useless if you want to know what's really going on while you're asleep. If you can upload and post a couple of the Daily Details reports, those would be much more helpful.

Again, welcome aboard. This is a great place.
Veni, vidi, Velcro. I came, I saw, I stuck around.

Dx 11/07: AHI 107, central apnea, Cheyne Stokes respiration, moderate-severe O2 desats. (Simple OSA would be too easy. ;))

PR S1 ASV 950, DreamWear mask, F&P 150 humidifier, O2 @ 2L.

cflame1
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Re: Encore Numbers

Post by cflame1 » Sun Jul 05, 2009 5:03 pm

I'm guessing that you haven't found the detailed data yet. If Viewer's anything like Pro is, then the grey box will allow you to pick between Summary and Detailed data. Select the right option and it should get you closer to what you're looking for.

Velbor
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Re: Encore Numbers

Post by Velbor » Sun Jul 05, 2009 7:01 pm

BleepingBeauty wrote:
SteveOH wrote:Also, I saw someone with ResMed data that had a bar graph that showed how long each apnea event lasted. Is there a way to see this on the Encore software?
Not to my knowledge, no. Different machine software produces different information. I have the Respironics software, and it doesn't tell me how long my apneas or hypopneas last. However, James Skinner (one of our forum members) created Encore Pro Analyzer (which he offers for free). That program DOES give you an average figure re: apnea duration. AFAIK, though, Analyzer only works with Encore Pro, and not Encore Viewer. (But I could be wrong about that.)
While ResMed software displays the duration of each apnea event, and their statistics give you "%-time-in-apnea", Respironics software does not.

BB is correct that Encore Analyzer only functions with EncorePro, and not with EncoreViewer. However, the data which Encore Analyzer uses is also available through EncoreViewer, but it isn't always simple to get at.

The key is on the last page of the EncoreViewer report: in the bottom half under Sleep Therapy Statistics they present Average Time in Apnea Per Day. (If you run the report for a single day, this is PRESUMABLY the apnea duration for that one day. As best I understand, this is the way Encore Analyzer also utilizes this piece of information. However, I must say that there is evidence that this figure, at least used in this way on a single-day basis, may not be accurate.)

Knowing (given the above disclaimers) the Time in Apnea for a day, and knowing the Usage Time (= blower-on time) for that day, you can easily compute "%-time-in-apnea".

Knowing (given the above disclaimers) the Time in Apnea for a day, if you also know the NUMBER of OA events, you can compute the AVERAGE duration of the apneas. (Again, Respironics simply does not report the duration of EACH apnea.) You can ROUGHLY guesstimate the number of apneas by counting the tic marks for OA on the graph - the trouble here is that tic marks can either overlap or run together, so the count may not be accurate. But if you really want to know the number of OA events, AND IF are using Auto mode, you can compute it from the Daily Events Per Hour table. Unfortunately, a bit labor-intensive:

-- at each pressure level where an OA index is given, divide the index by the MaP (Minutes at Pressure) and then multiply by 60. Round to the nearest integer. This will be the number of apneas at that pressure.
-- add together all of the numbers: this is your total number of OA events.
-- divide the Time in Apnea by the number of apneas. This will give you the AVERAGE duration of the apneas. [Unfortunately, this number sometimes comes out to less than 10 seconds, which demonstrates that something is wrong, since an apnea by definition must last for at least 10 seconds.]

[EDIT 7/8/09: I can't believe how difficult I made this! Sorry. All you need is the overall OA index rate from the detail page, and the blower-on time from the final summary page. Convert the blower-on time from hrs:min:sec to decimal hours, and multiply this by the OA index. Hours, times events per hour, = number of OA events. This will work in constant-pressure or auto mode. Still a potential problem in relying on the total apnea duration, though.]

Hope this is helpful.
Last edited by Velbor on Wed Jul 08, 2009 6:12 pm, edited 1 time in total.

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SteveOH
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Re: Encore Numbers

Post by SteveOH » Mon Jul 06, 2009 9:04 am

Thanks for the replies.

Here is my detailed data for last night. It is interesting because until last night, the highest pressure number I'd seen was 15 and it was only for a very short time. Last night I hit the max pressure setting of 16 for almost an hour. Time to bump that up, I guess.

Image
Image
Image

Thanks again,
Steve

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cinco777
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Re: Encore Numbers

Post by cinco777 » Mon Jul 06, 2009 9:35 am

Steve,

Before raising the pressure, I would check to ensure that I am not sleeping on my back during the nightly sleep clustering of Apneas, as "back sleeping", per many posters, requires higher pressures to stop Apneas and Hypopneas. I trained myself not to sleep on my back (including turning over on my back in the middle of the night) by using the tennis ball technique (I tied one to the middle of the back of my nightshirts) and pillows wedged on each side. Some folks have required softballs or backpacks filled with books, etc., to eliminate their "back sleeping". If you have eliminated "back sleeping" as a possible reason for your clustering, then I would agree that you may need to raise your pressures. I wish you success in eliminating your clustering and lowering your AHI.

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