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New and Trying to Understand Scores
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Dbneidert Offline

New Members

Posts: 1
Joined: May 2016

Machine: Respironics DreamStation
Mask Type: Full face mask
Mask Make & Model: ResMed Airfit
Humidifier: Unsure
CPAP Pressure: 5-8
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #1
New and Trying to Understand Scores
Hey all, first I'm really grateful for the forum. It's helped already. I'm newly diagnosed with mild OSA and I'm in my first week with my APAP. I was given a Respironics Dream Station with built in Humidifier.

For the last five nights I have been tracking my AHI scores just trying to understand everything. My sleep study showed a 13 AHI with a dip to 86% O2 desaturation. For the first night on my APAP I was down to a 5.4 which I thought was great but now I'm climbing back up with scores in the 8 - 12 range. Generally speaking my hypoapneas are much higher 40 - 50 per night and my OAs are 10 or more and CA ("clear") in the same range.

So two real questions:

1. Is it fairly normal to have hypoapnea events in the 50s?
2. My first night was good and now I'm back up closer to my original score. Should I expect a more gradual improvement? I don't want to mess with pressure just yet in case I need more time to adjust.

Overal my mask fit is good at between 97% and 100% (I have a full face mask).

Thanks for any experience or help understand the breakdown of scores. I'm not sure that it was good that I could get and app and track the actual HA v OA v CA. LOL Now I'm watching it like a hawk.

This world is very new to me and I'm definitely starting to realize that this diagnosis is a bit more complex than "yeah you just have to wear a thing at night."
05-14-2016 11:15 AM
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Crimson Nape Offline

Monitors

Posts: 1,330
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #2
RE: New and Trying to Understand Scores
Hi Dbneidert,

Welcome

I would recommend that you download SleepyHead for a better picture of your sleep sessions. The numbers are used as a gauge point but don't give the "why" you're at a certain value. SleepyHead will provide more detail to help.

Here is the link to the latest (This link is the same as at the top of the page.):
http://sleepyhead.jedimark.net/

Good luck!

Statistics prove that people who have more birthdays live longer.
05-14-2016 11:44 AM
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0rangebear Offline

Advisory Members

Posts: 342
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #3
RE: New and Trying to Understand Scores
Hi
Welcome
(05-14-2016 11:15 AM)Dbneidert Wrote:  My sleep study showed a 13 AHI with a dip to 86% O2 desaturation.
Unsure
A desat, of 86% should be a concern and needs to be treated
(05-14-2016 11:15 AM)Dbneidert Wrote:  Generally speaking my hypoapneas are much higher 40 - 50 per night and my OAs are 10 or more and CA ("clear") in the same range.

1. Is it fairly normal to have hypopnea events in the 50s?

Hypopneas do cause desaturation in some people.
40 -50 is considered severe

(05-14-2016 11:15 AM)Dbneidert Wrote:  I don't want to mess with pressure just yet in case I need more time to adjust.

Caution in making adjustment is wise, some people make too many random adjustments which makes it harder to evaluate the trends. In my experience you need 4 days to week on a setting to have a significant sample. If it was me I would inform my doctor of the high number of hypopneas and get his advice on raising the low end pressure.
Thinking-about
Once you have sleepyhead running an in place and can post the daily graphs, many of the folks in the forum can give you more specific advice on the data and trends: sleep-well:


Quote

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
(This post was last modified: 05-14-2016 02:29 PM by 0rangebear.)
05-14-2016 01:07 PM
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chill Online

Advisory Members

Posts: 864
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #4
RE: New and Trying to Understand Scores
We really do need the SleepyHead data to say anything definitive.

How bad 50 hypopneas is depends on how long you were sleeping. If that is over 10 hours, and nothing else happened, that would be an AHI of 5.0 so within the 'treated' range. I would not consider that as representing a restful night's sleep however.

I also had my pressure needs rise after a few weeks. This might mean your body/mind is adjusting to the pressure which results in deeper sleep and more apnea related events. Or it might mean something else. I only know what happened to me.

Your range of 5-8 seems low to me, at least on the 5 side. I'd have trouble breathing like that. I'd not be surprised if you get a recommendation to raise that gradually. I higher pressure should result in fewer events. Should. Do you use Flex? You might want to turn that off/down at these low pressures.

Chuck
05-14-2016 01:23 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #5
RE: New and Trying to Understand Scores
Hi Dbneidert,
WELCOME! to the forum.!
Hang in there for more answers to your questions and much success to you with your CPAP therapy.

trish6hundred
05-14-2016 04:02 PM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #6
RE: New and Trying to Understand Scores
G'day Dbneidert, welcome to the forum.

I'll second what has been said above - SleepyHead software will give you some very detailed information on what is happening through the night. However, it is normal to take a while to get used to the therapy and you probably shouldn't start playing with any changes until you have a solid baseline of information.

Also as mentioned above, the number of events per night is not really a meaningful measure as everybody sleeps for a different amount of time. We hoseheads talk in terms of events per hour, which gives a uniform basis for comparison. All the indices (AHI, AI, HI etc) are all the number of events divided by the number of hours of sleep.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
05-15-2016 04:35 AM
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Rcgop Offline

Advisory Members

Posts: 215
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Orlando Fl

Post: #7
RE: New and Trying to Understand Scores
I too was chasing the numbers but I am starting to ignore them (Well not really ). I am changing the COMFORT settings.

EPR - From off to 2
Min pressure from 4 to 5. For me that was a comfort thing.
Ramp off. Why get a late start.
Sit back and enjoy the ride.

From a comfort stand point the light came on, or from a sleep stand point the lights went out.

Ureaka, 8 hours of sleep or rest and the numbers followed.
Best night ever.

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
05-15-2016 07:19 AM
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