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New AHI treatment goal ?
#1
While returning a loaner machine today in exchange for my repaired S9 Autoset, I heard something surprising from the RT I've been dealing with at my DME. She told me that recently, the sleep center at the large community hospital informed her DME that from now on successful SA therapy is considered achieved when an AHI level below 10 (rather than the previous goal of 5) has been achieved. Patients with AHIs below 10 are asymptomatic, according to the hospital's sleep center.
Has anyone else heard this? I'm wondering if it's just this particular sleep center's new number, or if it's more widespread. I'm also wondering if this change was insurance driven, either by Medicare or private insurers.
Has there been some new research demonstrating that an AHI under 10 is good to go, when previously it was not. I doubt that.

David

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#2
If my memory correct, I recall a French board member, said in France ... fewer than 10 events per hour is normal

As for me, I like my AHI to be below 1 or at most below 2, not 5 or 10

Edit: not sure, if he was talking about AHI or RDI


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#3
(03-31-2016, 06:49 PM)Dawei Wrote: While returning a loaner machine today in exchange for my repaired S9 Autoset, I heard something surprising from the RT I've been dealing with at my DME. She told me that recently, the sleep center at the large community hospital informed her DME that from now on successful SA therapy is considered achieved when an AHI level below 10 (rather than the previous goal of 5) has been achieved. Patients with AHIs below 10 are asymptomatic, according to the hospital's sleep center.
Has anyone else heard this? I'm wondering if it's just this particular sleep center's new number, or if it's more widespread. I'm also wondering if this change was insurance driven, either by Medicare or private insurers.
Has there been some new research demonstrating that an AHI under 10 is good to go, when previously it was not. I doubt that.

David

10 is now the benchmark here.

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#4
thanks for the replies, Zonk and TonyJ. Tony, were you implying that there was a previous benchmark in Canada? If so, was it <5?
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#5
It varies by province. It is 5 in British Columbia. I feel much better with an AHI of < 3 than I did at < 10 earlier in the trial.
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#6
(03-31-2016, 07:47 PM)zonk Wrote: If my memory correct, I recall a French board member, said in France ... fewer than 10 events per hour is normal

As for me, I like my AHI to be below 1 or at most below 2, not 5 or 10

Edit: not sure, if he was talking about AHI or RDI

I'm with you. Who wants to stop breathing up to ten times an hour while asleep? It sounds like insurance companies are looking at dollars, instead of morbidity and mortality risk.
Oh-jeez
Inspired
Bigwink
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#7
(04-01-2016, 08:20 AM)Inspired Wrote: I'm with you. Who wants to stop breathing up to ten times an hour while asleep? It sounds like insurance companies are looking at dollars, instead of morbidity and mortality risk.
Oh-jeez

It sounds like they may be looking only at morbidity and mortality risk, and not at quality of life. There may be little observable difference in health outcomes between AHI 5 and 10, even if most people feel better at or below 5. I guess this could stimulate the market for used machines.
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#8
(03-31-2016, 08:19 PM)Dawei Wrote: thanks for the replies, Zonk and TonyJ. Tony, were you implying that there was a previous benchmark in Canada? If so, was it <5?

Yes, when I first started CPAP 2 and a half years ago I was told it was 5. It was only in January while I was at the DME that I noticed a chart on the RT's office wall showing the CPAP minimum objective and it was now listed at 10. That is the standard in this Province and may be different in others as previously noted by a BC resident.
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#9
10 is a scam to deny insurance coverage.

Actually, 5 is at least partially a scam to deny insurance coverage.
Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
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#10
I see many post here that seem very concerned about their AHI < some number. It is very interesting for me as my profile shows I had severe apnea ( SS AHI of 83) However, I never showed symptoms like daytime sleepiness, etc. With my AHI now < less than 2.0 for past 14 days I feel no different. I am committed to the long term because of the unseen long term health issues. Should One be fixated on AHI of 5 or 10 or how one feels every day?
It does not matter how slowly you go as long as you do not stop. --Confucius
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