Sleep Study Report Question

[JoLyn]

Hello ... can someone explain what these numbers mean? This is from 12/4/17, so I am really new to this. I just received my own CPAP machine this past Friday. I have downloaded SleepyHead but have not learned what to do with it yet. 

Thanks Much ... JoLyn


Ambulatory home-based nocturnal sleep study Interpretation report:
For more information, please see additional data provided in sleep tech note and scanned sleep report. 
 
Summary of study data::
· Valid sleep time= 5 hours, 55 minutes.   
· All night pRDI= 38.3/h and pAHI= 34.1/h.  
? Supine pRDI= 38.2/h and pAHI= 34.0/h.
· SpO2 data: Mean = 91%, minimal 74% and < 90% is 11.8% of TST. 
 
 
Findings:
· Study is valid and the data are acceptable.
· This study is consistent with severe sleep apnea.
· Oximetry data consistent with moderate abnormality. 
 
Recommendation:
· Sleep lab will schedule patient for home-based 7 night A-PAP trial to determine compliance and ideal therapeutic pressure range

[Sleeprider]

Hi Jo! Your sleep study resulted in a moderate to severe sleep apnea result. The RDI means respiratory related arousals, and apnea means a cessation of breathing of at least 10 seconds. Most of your events were apnea (34 of 38 arousal events). Your home study did not differentiate obstructive or central events, but this looks like plain obstructive apnea. You slept a bit less than 6-hours with 38 events per hour, so you had a total of about 228 events and your minimum oxygen levels showed a pretty serious desauration to 74%, and your O2 levels were impaired on average most of the night.

You will probably do great with CPAP. Looks like they will give you an auto CPAP to verify you can tolerate and use CPAP, and then provide a machine with either a single fixed pressure, or a pressure range on auto CPAP. Hopefully the latter. If you do not tolerate (demonstrate compliance on) the auto CPAP for some reason they will look at other options.

[Gideon]

This means that you have Severe Sleep Apnea with 34 breathing stoppages or reductions per hour while you are sleeping.
 the "SpO2 data: Mean = 91%, minimal 74% and < 90% is 11.8% of TST" means your blood oxygen levels are too low (<90%) for 11.8% of the time that you are sleeping.

Don't worry, many of us here are much worse.

Starting now let your doctor know that you want an Auto CPAP such as the ResMed Airsense 10 AutoSet for Her with a heated hose as your machine unless the titration study indicates a more advanced machine is indicated.  

It also means that you need a CPAP machine

At this point I will ask you to do some reading.

1: New to Apnea? Helpful tips to ensure success  This Wiki article is so important it is included in the sticky section above so it is always available.

2: Dealing with a DME  Many, not all, have had issues with DMEs, hopefully not you.  Be prepared.

3: Mask Primer Often the hardest part of treatment is the mask.  This speaks to a mask trial strategy and dealing with various mask issues.  Very important

4: Do not be afraid to ask question here.  Everyone here has had experience with all of this

Stay in touch.

Fred

[JoLyn]

Thank you Sleeprider and Fred... I do have my machine, ResMed AirSense 10 AutoSet. I started using it this past Friday with a ResMed F10 mask that is too big. I will be receiving a new mask shortly, The ResMed P10 pillow mask. It will take me some time to digest the information you both have given me. I so appreciate you both!!

JoLyn

[JoLyn]

   


This is the info from SleepyHead for the past couple of days. I have been having real problems sleeping and with my mask!

[Walla Walla]

Based on your stats you don't have a leak problem.

[KSMatthew]

Interesting that your all-night numbers and your supine (on your back) numbers were so close.

My numbers were really bad when on my back, the rest of the night I was on my side and my numbers were much lower but still high enough for an OSA diagnosis.

[Sleeprider]

The overview does not really tell us what we need to know. You are using pressure of 8-13 with EPR off, and apparently are using ramp starting at 4. Your median pressure is nearly 11, and the maximum is 13. Without the detail charts we have no idea what is driving pressure, or how events are corresponding to pressure. I'd rather see a Daily Details chart. Your results are okay, but there is room for improvement, and I think you might find some EPR more comfortable. Very good start all considered.

[JoLyn]

The overview does not really tell us what we need to know.

Over the next couple of days, I will read the beginner's guide and learn how to do that. 

Thanks,

JoLyn

[Crimson Nape]

JoLyn,
Post a screenshot of the Daily screen.