Sleep Study Scoring?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
zlatni
Posts: 7
Joined: Sat Dec 25, 2021 8:11 am

Sleep Study Scoring?

Post by zlatni » Thu Jan 06, 2022 1:38 pm

Hello CPAP-Talk-Family,

first of all happy new year!

I wanted to ask you something quick. I had a sleep study in Germany and my doctor called me the day after and said to me "do not worry everything is fine! You should check for other docs, because your issue is not regarding sleep." Actually I am still feel like a living zombie.

One day I wanted to compare my results with this in the internet and I called the office and asked for them. Here are the results:

Sleep Time: 05:10:26
Stadium I 00:19:00 4,80%
Stadium II 01:09:26 17,70%
Slow Wave 02:53:00 44,10%
Stadium REM 00:49 12,50%

Respiratory: PLM: Sleep
Obstructive 0 Sum LM (index) 22(4,3)
Mixed 0 Isolated LMs (Index) 14(2,7)
Central 0 PLMs (Index) 8(1,5)
Hypo 0 PLM with Arousal 1(0,2)
A+H 0 LMs with Arousal 4(0,8)
Limitations (Index) 1(0,2)
RERAs (Index) 0 Arousal:
RDI 1(0,2) Arousal Index: 59,0/h
Total Arousals: 304
Min Saturation 95%
Bas. Saturation 97%


I called the sleep center and I ask how the measure the RERAs? The secretary said they are a well-known clinic in Germany (really one of the most prestigous) and if you have a RERA than you have a RERA. If you dont have one, than you dont have one. I made a appointment with my doc but it will be beggining of March.

Could it be that they dont score RERAs correctly? How RERAs are scored correctly? Automatically by the sleep study software? Or do you have to score them by hand/individually? Could it be that my doctor (Prof. Dr.) was lazy and just wrote "everything is fine", because he did not want to invstigate more about that?

My Arousal Index is 59 and total Arousals are 304. I saw for my age 28 the average should be between 10 and 15 Arousals per hour.

I am sorry for bombing you with my post, Im just desperate and feel a bit lost, tricked and disappointed.

Best Regards from Germany!
Attachments
Sleep Study.JPG
Sleep Study.JPG (48.65 KiB) Viewed 7933 times

User avatar
Pugsy
Posts: 63941
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Sleep Study Scoring?

Post by Pugsy » Thu Jan 06, 2022 1:56 pm

This was a sleep study done in a sleep lab with a tech in attendance?????

There are essentially 2 kinds of arousals.
Airway related...as in RERAs or sleep apnea related or air flow reduction related...all tied to the airway itself.
Spontaneous arousals....means there is some sort of arousal and we don't know what caused it but it wasn't from the airway.

When a sleep study is done in a lab setting the tech can easily spot the arousal and look to see if anything is going on with the airway.

Looks like you have crappy sleep quality with lots of probable spontaneous arousals.
Doesn't look like they are airway related though and that makes it real tough to fix a problem when you don't know the cause of the problem...but it's not airway related so cpap is unlikely to help.

Do you take any medicaitons of any kind? If so, what?
Any other physical or mental health issue going on??

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.

zlatni
Posts: 7
Joined: Sat Dec 25, 2021 8:11 am

Re: Sleep Study Scoring?

Post by zlatni » Thu Jan 06, 2022 2:35 pm

Hello Pugsy,

well a working student was at this night in the lab and connecting me to the cables etc and monitoring me. I think at the next day my Neurologist (Prof.Dr) who also works in this sleep center, evaluated my results.

The thing is 59/h Arousals do not sound normal. My question was. Does the sleep tech has to measure RERAs solely or is this software it doing automatically? Because I want to exclue the possibility that I have problems with my breathing actually, but he just was too lazy to "count" them. My jaw is a bit recessed, my tongue is extreme huge and scalloped, I breath hardly on daylight, how can it be possible that i breath perfectly at night? :( It makes me crazy.

Yes I took at this time antidepressant (10mg) not so hard and of course I have a hard depression. But I feel so sleepy for 12 years, cant remember that I had a good night. Need every day a nap at 12:00. Im pretty sure my depression come from another Source than "sorrows about my future or stuff". I live very comfortably at my parents place without any pressure etc. Im just tired all the day...

Thanks for your response!

User avatar
Pugsy
Posts: 63941
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Sleep Study Scoring?

Post by Pugsy » Thu Jan 06, 2022 4:35 pm

zlatni wrote:
Thu Jan 06, 2022 2:35 pm
I think at the next day my Neurologist (Prof.Dr) who also works in this sleep center, evaluated my results.

The thing is 59/h Arousals do not sound normal. My question was. Does the sleep tech has to measure RERAs solely or is this software it doing automatically? Because I want to exclue the possibility that I have problems with my breathing actually, but he just was too lazy to "count" them. My jaw is a bit recessed, my tongue is extreme huge and scalloped, I breath hardly on daylight, how can it be possible that i breath perfectly at night? :( It makes me crazy.
We have no way to know what the sleep tech does to measure RERAs or if it is just a software reading thing BUT the sleep doctor/Neruologist also goes over any data collected and scored by either the sleep tech or software interpretation of the data.
That doctor has the recorded data to review and manually score.

59 arousals is high but if they aren't respiratory/airway related you are going to have to look for other answers.

You need to talk to the doctor about his review of things and your concerns.

You very well could be breathing quite normally but sleeping like crap. Not all our sleep problems are related to airway issues.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.