Sleep Results ??

Hi,
I just saw some of my results online. How good or bad are these vs what you all see?

Four-channel Type III HST (measures flow, respiratory effort and, with the addition of oximetry, includes pulse and oxygen saturation) was performed.

Recording Period was 7 hours 17 minutes

Evaluation Period was 7 hours and 03 minutes.

Total AHI:(calculated using Evaluation Period Time) 73.5

Lowest SpO2: 64

Time spent with SpO2 <88%: 0:05 minutes

Scoring comment: This study was scored using the AASM ≥ 3% oxygen desaturation scoring criteria.

Clinical History 52 year old male who is a snorer with witnessed apneas,nonrestorative sleep and daytime sleepiness. He naps most days.

Interpretation: Severe obstructive sleep apnea with an apnea hypopnea index of 73. He had 316 apneas, about 240 were central but also had 203 hypopneas. His low O2 saturation was 85%

Recommendations: I would recommend a trial of home auto PAP and would follow downloads. If he has an elevated central apnea index I would recommend a repeat attended split night sleep study

Thank You for information. I scheduled a follow up ASAP to review results and the first opening is in November.

Not at all unusual... puts you in the 'severe' category, but there have been many, many with far worse 'scores' and once you're on Cpap (or Apap) you should see the numbers drop very fast once you find the 'right' mask (so often what takes time to do).

Don't know if you're in the US but suspect you might be Canadian or ?? UK. Do you have insurance? If you did want to get started sooner, we could help you find a machine (according to your MD's script) that hopefully is affordable and then help you getting set up... so let us know.

Hope you come back with questions once you get started and please, please stay in this thread with them. Thanks!

Just adding my welcome.

You ask how bad your results are. You most definitely need apnea treatment, not just to help you feel better during the day but also to protect you against serious long term effects of severe apnea, e.g., heart disease.

Do give us the information Julie requested. It’d be awfully nice if you could get started before November.

Hi,
I am in the US with insurance. I was thinking about the Airsense 11 since it seems to be the latest and available soon. Apparently my insurance will cover just about anything as a rent to buy model or something similar.
Thanks for all of your help.

OneRad1 wrote: ↑

Tue Aug 24, 2021 5:24 pm

Interpretation: Severe obstructive sleep apnea with an apnea hypopnea index of 73. He had 316 apneas, about 240 were central but also had 203 hypopneas. His low O2 saturation was 85%

Recommendations: I would recommend a trial of home auto PAP and would follow downloads. If he has an elevated central apnea index I would recommend a repeat attended split night sleep study

Given the large number of centrals (average 34/hour), you should be looking at ASV PAP rather than plain auto PAP. They treat central and obstructive apneas, whereas auto PAP only treat OSA.

OneRad1 wrote: ↑

Thu Aug 26, 2021 12:00 am

Hi,
I am in the US with insurance. I was thinking about the Airsense 11 since it seems to be the latest and available soon. Apparently my insurance will cover just about anything as a rent to buy model or something similar.
Thanks for all of your help.

The Airsense 11 Autoset would be an excellent choice. The Airsense 10 Autoset For Her would be available now and would be closely comparable, as far as we can tell.

GrumpyHere wrote: ↑

Thu Aug 26, 2021 12:56 am

OneRad1 wrote: ↑

Tue Aug 24, 2021 5:24 pm

Interpretation: Severe obstructive sleep apnea with an apnea hypopnea index of 73. He had 316 apneas, about 240 were central but also had 203 hypopneas. His low O2 saturation was 85%

Recommendations: I would recommend a trial of home auto PAP and would follow downloads. If he has an elevated central apnea index I would recommend a repeat attended split night sleep study

Given the large number of centrals (average 34/hour), you should be looking at ASV PAP rather than plain auto PAP. They treat central and obstructive apneas, whereas auto PAP only treat OSA.

GrumpyHere raises a good point. Depending on how you do on regular PAP, you may need a titration study to see how you respond to a bilevel machine and then (if that doesn't deal with the central apneas) an ASV machine. I see that your study notes that your results will be monitored, and you can monitor them too, using the OSCAR software.

Bilevel machines offer a pressure boost when you inhale. The ResMed Airsense 10 or 11 Autoset is technically a bilevel machine because it offers up to 3 cm of a boost; more specialized machines offer larger boosts. The ResMed Vauto is a good example of a more specialized bilevel machine. Adaptive Servo-Ventilation machines are even more specialized bilevel machines. They will "force" a breath if you don't seem to be taking one on your own.

People with central apnea or mixed apnea (obstructive and central events) are typically tried out on the less specialized machines. If those don't work to control the central apnea, then the more specialized machines are tried out.