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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.
The apnea-hypopnea index, like the apnea index and hypopnea index, is calculated by dividing the number of apneas and hypopneas by the number of hours of sleep. Another index that is used to measure sleep apnea is the Respiratory Disturbance Index (RDI). The RDI is similar to the AHI, however, RDI also includes respiratory events that do not ...
Actigraphy can assess sleep/wake patterns without confining one to the laboratory. The monitors are small, wrist-worn movement monitors that can record activity for up to several weeks. Sleep and wakefulness are determined by using an algorithm that analyzes the movement of the patient and the input of bed and wake times from a sleep diary.
Excessive daytime sleepiness (EDS) is characterized by persistent sleepiness and often a general lack of energy, ...
Sleep apnea is the second most frequent cause of secondary hypersomnia, affecting up to 4% of middle-aged adults, mostly men. Upper airway resistance syndrome (UARS) is a clinical variant of sleep apnea that can also cause hypersomnia. [8] Just as other sleep disorders (like narcolepsy) can coexist with sleep apnea, the same is true for UARS.
Young children with DSPD resist going to bed before they are sleepy, but the bedtime struggles disappear if they are allowed to stay up until the time they usually fall asleep. DSPD patients usually sleep well and regularly when they can follow their own sleep schedule, e.g., on weekends and during vacations. DSPD is a chronic condition.
In children, confusional arousals can often be reproduced artificially by awakening the child during deep sleep. [3] However, it doesn't have any clinical significance without deeper investigation. Children living an episode of confusional arousal typically sit up in bed, whimper, cry, moan, and may utter words like “no” or “go away”.