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The respiratory disturbance index (RDI)—or respiratory distress Index—is a formula used in reporting polysomnography (sleep study) findings. Like the apnea-hypopnea index (AHI), it reports on respiratory distress events during sleep, but unlike the AHI, it also includes respiratory-effort related arousals (RERAs). [ 1 ]
In 2005, the definition of sleep apnea was changed to include patients with UARS by using RDI to determine sleep apnea severity. The diagnosis of UARS is based on findings on a polysomnogram . On polysomnograms, a UARS patient will have very few apneas and hypopneas, but many Respiratory effort-related Arousals.
While the AHI measures the mean number of apneas and hypopneas per hour of sleep, the RDI adds to this measure the respiratory effort-related arousals (RERAs). [38] The OSA syndrome is thus diagnosed if the AHI is > 5 episodes per hour and results in daytime sleepiness and fatigue or when the RDI is ≥ 15 independently of the symptoms. [39]
EDS can be considered as a broad condition encompassing several sleep disorders where increased sleep is a symptom, or as a symptom of another underlying disorder like narcolepsy, circadian rhythm sleep disorder, sleep apnea or idiopathic hypersomnia.
The AHI is calculated by dividing the number of apnea events by the number of hours of sleep. The AHI values for adults are categorized as: [1] [2] 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 ...
Dyssomnias are primary disorders of initiating or maintaining sleep or of excessive sleepiness and are characterized by a disturbance in the amount, quality, or timing of sleep. Patients may complain of difficulty getting to sleep or staying asleep, intermittent wakefulness during the night, early morning awakening, or combinations of any of these.
Idiopathic hypersomnia (IH) is a neurological disorder which is characterized primarily by excessive sleep and excessive daytime sleepiness (EDS). [1] Idiopathic hypersomnia was first described by Bedrich Roth in 1976, and it can be divided into two forms: polysymptomatic and monosymptomatic.
In narcolepsy, the Epworth Sleepiness Scale has both a high specificity (100%) and sensitivity (93.5%). [7] The Epworth Sleepiness Scale has been used to compare the sensitivity and specificity of other similar measurements of sleep quality. [8] [9] The Pittsburgh Sleep Quality Index is a related scoring tool of