Pitfalls of AHI system of severity grading in obstructive sleep apnoea
Obstructive sleep apnoea (OSA) is the major underlying co-morbidity in many of the non-communicable diseases (NCD) due to obesity as a common risk factor. Incidence and prevalence of OSA is on the constant rise ever since this entity came to forefront three decades ago. Precise treatment of underlyi...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
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| Series: | Sleep Science |
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| Online Access: | https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15nspea38.pdf |
| _version_ | 1827394098329288704 |
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| author | Rashmi Soori Nandakishore Baikunje Ivor D’sa Navneet Bhushan Belur Nagabhushana Giridhar Belur Hosmane |
| author_facet | Rashmi Soori Nandakishore Baikunje Ivor D’sa Navneet Bhushan Belur Nagabhushana Giridhar Belur Hosmane |
| author_sort | Rashmi Soori |
| collection | DOAJ |
| description | Obstructive sleep apnoea (OSA) is the major underlying co-morbidity in many of the non-communicable diseases (NCD) due to obesity as a common risk factor. Incidence and prevalence of OSA is on the constant rise ever since this entity came to forefront three decades ago. Precise treatment of underlying OSA is extremely important in major NCDs like diabetes mellitus, hypertension, endocrine disorders and vascular diseases. OSA is subcategorized in to mild, moderate and severe based of apnoea-hypopnea index (AHI). Based on the severity grading, treatment of OSA ranges from life style modifications to oral appliances, continuous positive airway pressure (CPAP) and surgeries. AHI system of severity grading in OSA has several inherent shortcomings and using AHI system for severity grading as the holy grail is likely to be counter-productive. AHI system equates apnoea and hypopnea as equal events, whereas physiological effects vary significantly. AHI system does not account duration of apnoea or body position during apnoeic events. We discuss at length the pitfalls of AHI system of severity grading in OSA. |
| first_indexed | 2024-03-08T18:02:20Z |
| format | Article |
| id | doaj.art-4bfe2d45f8534223aa6fc5787104508c |
| institution | Directory Open Access Journal |
| issn | 1984-0659 1984-0063 |
| language | English |
| last_indexed | 2024-03-08T18:02:20Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Sleep Science |
| spelling | doaj.art-4bfe2d45f8534223aa6fc5787104508c2024-01-02T00:08:41ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-006315Special1285288003810.5935/1984-0063.20220001Pitfalls of AHI system of severity grading in obstructive sleep apnoeaRashmi Soori0Nandakishore Baikunje1Ivor D’sa2Navneet Bhushan3Belur Nagabhushana4Giridhar Belur Hosmane5K S Hegde Medical Academy, Anaesthesiology and critical care - Mangalore - Karnataka - India.K S Hegde Medical Academy, Pulmonary Mediicne - Mangalore - Karnataka - India.K S Hegde Medical Academy, General medicine - Mangalore - Karnataka - India.Crafitti Consulting private limited, Founder - Director - Bangalore - Karnataka - India.L-1 ID solutions, IT solutions - Bangalore - Karnataka - India.K S Hegde Medical Academy, Pulmonary Mediicne - Mangalore - Karnataka - India.Obstructive sleep apnoea (OSA) is the major underlying co-morbidity in many of the non-communicable diseases (NCD) due to obesity as a common risk factor. Incidence and prevalence of OSA is on the constant rise ever since this entity came to forefront three decades ago. Precise treatment of underlying OSA is extremely important in major NCDs like diabetes mellitus, hypertension, endocrine disorders and vascular diseases. OSA is subcategorized in to mild, moderate and severe based of apnoea-hypopnea index (AHI). Based on the severity grading, treatment of OSA ranges from life style modifications to oral appliances, continuous positive airway pressure (CPAP) and surgeries. AHI system of severity grading in OSA has several inherent shortcomings and using AHI system for severity grading as the holy grail is likely to be counter-productive. AHI system equates apnoea and hypopnea as equal events, whereas physiological effects vary significantly. AHI system does not account duration of apnoea or body position during apnoeic events. We discuss at length the pitfalls of AHI system of severity grading in OSA.https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15nspea38.pdfsleep apneaobstructivesleep apnea syndromessleep stages |
| spellingShingle | Rashmi Soori Nandakishore Baikunje Ivor D’sa Navneet Bhushan Belur Nagabhushana Giridhar Belur Hosmane Pitfalls of AHI system of severity grading in obstructive sleep apnoea Sleep Science sleep apnea obstructive sleep apnea syndromes sleep stages |
| title | Pitfalls of AHI system of severity grading in obstructive sleep apnoea |
| title_full | Pitfalls of AHI system of severity grading in obstructive sleep apnoea |
| title_fullStr | Pitfalls of AHI system of severity grading in obstructive sleep apnoea |
| title_full_unstemmed | Pitfalls of AHI system of severity grading in obstructive sleep apnoea |
| title_short | Pitfalls of AHI system of severity grading in obstructive sleep apnoea |
| title_sort | pitfalls of ahi system of severity grading in obstructive sleep apnoea |
| topic | sleep apnea obstructive sleep apnea syndromes sleep stages |
| url | https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15nspea38.pdf |
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