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Feedback On My Polysomnogram Summary?
#1
Feedback On My Polysomnogram Summary?
Would appreciate any comments, opinions,  or advice general or otherwise (for what it's worth) Thanks in advance.

Overall AHI of 24.7

2 obstructive apneas, 0 mixed apneas, o central apneas, and 153 hypopneas

Pt was supine for 115.5 min, with a supine AHI of 61.8, non-supine for 260.5 min, with a non-supine AHI of 8.3.  REM AHI of 68.2.

The nadir oxygen saturation was 78 % with a total of of 59.1 mins below 90%

Snoring was noted moderate-loud

There were 98 total periodic  limb movements, associated with arousals w/ a periodic limb movements in sleep index of 15.6/hr

During 376 mins sleep, showed sleep efficiency of 77.7%, 16 awakenings, or arousal index of 8.8, sleep latency of 70 mins   3.9% stage N1 sleep, 56% stage N2 sleep, 21% stage N3 sleep, and 19%  stage REM

Diagnosis: OSAS, , Snoring, PLMD

Impressions: Moderate OSAS,  Severe oxygen desat, PLMS

Thanks for your time
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#2
RE: Feedback On My Polysomnogram Summary?
Oh and, from the PAP Titration Report:

At an optimal CPAP pressure of 7cm, AHI is 1.8 and a nadir Oxygen saturation of 89%
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#3
RE: Feedback On My Polysomnogram Summary?
Oh, Oh what I don't get is why certain #'s are higher in the supposedly improved PAP Titration study than in the Polysom. Shouldn't these numbers be LOWER?

Polysom PAP Titration

PLM 15 18

Arousal Index 8 11

Awakenings 16 18

N3 Sleep 21% 18%

Stage REM 19% 13%

PLM in Sleep Index 15/hr 18/hr


or, in this area, HIGHER?

Sleep Efficiency 77% 73%


Peace and Love.
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#4
RE: Feedback On My Polysomnogram Summary?
Sorry. Should read:

Sleep Efficiency: Poly 77% Titra 73%
Arousal Index Poly 8 Titra 10
Awakenings Poly 16 Titra 18
Sleep REM Poly 19% Titra 13%
PLM In Sleep 15/hr 18/hr
Index
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#5
RE: Feedback On My Polysomnogram Summary?
Looks like sleeping on your side may reduce the apnea considerably.
You had 61.8 supine AHI vs 8.3 non-supine AHI - about 1/7 the apneas per hour sleeping on your side.
You may find that a large pillow - a wedge (ex Therapedic reading wedge), a pregnancy pillow, etc. to help support your back will help you sleep on your side.
I've got one where I lie partially on the narrow edge of the wedge and this snugs the remainder of the pillow to my back.
                                                                                                                          
Note: I'm an epidemiologist, not a medical provider. 
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#6
RE: Feedback On My Polysomnogram Summary?
thanks Beej. I do sleep on my sides the vast majority of the time.
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#7
RE: Feedback On My Polysomnogram Summary?
I recently picked up a Therapedic reading wedge - it ran about $52 US. Pregnancy pillows fall in the same range. My AHI has dropped from around 5 and up to under 3.
Physically therapy wedges are at least double, although they are firm and the covers can be wiped down.
                                                                                                                          
Note: I'm an epidemiologist, not a medical provider. 
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