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Apnea-hypopnea index in sleep studies and the risk of over-simplification

According to recent reports, sleep disorders affect 30% of the adult population and 5-10% of children. Obstructive Sleep Apnea Hypopnea Syndrome (OSA) has a considerable epidemiological impact and demand for consultation is growing in our community. Therefore, it is necessary to know the principles...

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Autores principales: Borsini, Eduardo, Nogueira, Facundo, Nigro, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Brazilian Association of Sleep and Latin American Federation of Sleep 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916576/
https://www.ncbi.nlm.nih.gov/pubmed/29796201
http://dx.doi.org/10.5935/1984-0063.20180010
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author Borsini, Eduardo
Nogueira, Facundo
Nigro, Carlos
author_facet Borsini, Eduardo
Nogueira, Facundo
Nigro, Carlos
author_sort Borsini, Eduardo
collection PubMed
description According to recent reports, sleep disorders affect 30% of the adult population and 5-10% of children. Obstructive Sleep Apnea Hypopnea Syndrome (OSA) has a considerable epidemiological impact and demand for consultation is growing in our community. Therefore, it is necessary to know the principles of interpretation of diagnostic methods. A suspicion of OSA requires confirmation. According to the guidelines of the Argentine Association of Respiratory Medicine, polysomnography (PSG) is the gold standard for OSA diagnosis, while home sleep testing (HST) can be accepted as a comparatively effective method depending on the clinical situation of the patient. This article questions the use of AHI (apnea-hypopnea index) as the only measurement needed to diagnose OSA and assess its severity. In fact, it is surprising that, despite the large mass of data analyzed during sleep studies, current practices only focus on AHI. More than four decades have passed since OSA was first described. Our tendency to oversimplify complex conditions may prevent us from gaining a deeper and more thorough understanding of OSA. The development and validation of OSA severity scoring systems based on multiple parameters is still a pending issue.
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spelling pubmed-59165762018-05-24 Apnea-hypopnea index in sleep studies and the risk of over-simplification Borsini, Eduardo Nogueira, Facundo Nigro, Carlos Sleep Sci Theoretical Essays According to recent reports, sleep disorders affect 30% of the adult population and 5-10% of children. Obstructive Sleep Apnea Hypopnea Syndrome (OSA) has a considerable epidemiological impact and demand for consultation is growing in our community. Therefore, it is necessary to know the principles of interpretation of diagnostic methods. A suspicion of OSA requires confirmation. According to the guidelines of the Argentine Association of Respiratory Medicine, polysomnography (PSG) is the gold standard for OSA diagnosis, while home sleep testing (HST) can be accepted as a comparatively effective method depending on the clinical situation of the patient. This article questions the use of AHI (apnea-hypopnea index) as the only measurement needed to diagnose OSA and assess its severity. In fact, it is surprising that, despite the large mass of data analyzed during sleep studies, current practices only focus on AHI. More than four decades have passed since OSA was first described. Our tendency to oversimplify complex conditions may prevent us from gaining a deeper and more thorough understanding of OSA. The development and validation of OSA severity scoring systems based on multiple parameters is still a pending issue. Brazilian Association of Sleep and Latin American Federation of Sleep 2018 /pmc/articles/PMC5916576/ /pubmed/29796201 http://dx.doi.org/10.5935/1984-0063.20180010 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivative License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the original work is properly cited and the work is not changed in any way.
spellingShingle Theoretical Essays
Borsini, Eduardo
Nogueira, Facundo
Nigro, Carlos
Apnea-hypopnea index in sleep studies and the risk of over-simplification
title Apnea-hypopnea index in sleep studies and the risk of over-simplification
title_full Apnea-hypopnea index in sleep studies and the risk of over-simplification
title_fullStr Apnea-hypopnea index in sleep studies and the risk of over-simplification
title_full_unstemmed Apnea-hypopnea index in sleep studies and the risk of over-simplification
title_short Apnea-hypopnea index in sleep studies and the risk of over-simplification
title_sort apnea-hypopnea index in sleep studies and the risk of over-simplification
topic Theoretical Essays
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916576/
https://www.ncbi.nlm.nih.gov/pubmed/29796201
http://dx.doi.org/10.5935/1984-0063.20180010
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