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The American Academy of Sleep Medicine uses RDI to determine the severity of Obstructive Sleep Apnea according to the following range: 5–14.9 for mild, 15–29.9 for moderate, and 30+ for severe, similar to the one used in the AHI. [6]
Normal: AHI<5; Mild sleep apnea: 5≤AHI<15; Moderate sleep apnea: 15≤AHI<30; Severe sleep apnea: AHI≥30; For children, because of their different physiology, an AHI in excess of 1 is considered abnormal. Underage pediatric patients presenting with AHI of 2 or greater will often be referred for treatment. [3]
Mild obstructive hypopnea can often be treated by losing weight or by avoiding sleeping on one's back. Also quitting smoking, and avoiding alcohol, sedatives and hypnotics (soporifics) before sleep can be quite effective. Surgery is generally a last resort in hypopnea treatment, but is a site-specific option for the upper airway.
For adults, an AHI of less than 5 is considered normal, an AHI of [5–15) is mild, [15–30) is moderate, and ≥30 events per hour characterizes severe sleep apnea. For pediatrics, an AHI of less than 1 is considered normal, an AHI of [1–5) is mild, [5–10) is moderate, and ≥10 events per hour characterizes severe sleep apnea.
Apnea is obstructive only when polysomnography reveals a continued inspiratory effort, evidenced by abdominal and thoracic muscle contraction. Sleep apnea is measured by the apnea-hypopnea index (AHI). An AHI is determined with a sleep study. AHI values for adults are categorized as: [2] [3] Normal: AHI<5; Mild sleep apnea: 5≤AHI<15
There is a wide range in presenting symptoms in patients with sleep apnea, from being asymptomatic to falling asleep while driving. [19] Due to this wide range in clinical presentation, some people are not aware that they have sleep apnea and are either misdiagnosed or ignore the symptoms altogether. [ 29 ]
She clocks in a normal day of work as a senior marketing manager in the commercial real estate industry. And then she returns home by 8 PM. She is, of course, a supercommuter.
The conditions of hypoxia and hypercapnia, whether caused by apnea or not, trigger additional effects on the body.The immediate effects of central sleep apnea on the body depend on how long the failure to breathe endures, how short is the interval between failures to breathe, and the presence or absence of independent conditions whose effects amplify those of an apneic episode.