Hi CC!
Well, let's take a browse:
Quote:
Patient slept a total of 386 minutes with a mild sleep reduction in sleep efficiency. Latency to persistent sleep was shortened at 12.5 minutes. Latency to REM was also on the short side at 84 minutes. Awake time during sleep was mildly increased at 48 minutes. During the night, there was a moderate reduction in delta sleep? A total of 2 apneas with 104 hypopneas were counted. Overall AHI was 17. It did go up to 37 when patient slept on her back. There was some desaturation to as low as 84%. Delta sleep was moderately reduced.
Recommendations: Initiation of CPAP, and avoid sleeping on back and the mandibular advancement device? What is a mandibular advancement device?
Normal sleep latency is about 15 minutes, REM latency is 90 minutes, so those are OK.
Normal sleep efficiency is at least 85% (asleep 85% of the night) but that reduction could just be from sleeping in the lab.
Delta sleep is the most restorative stage of sleep, and can be reduced by interruptions in sleep continuity by stuff like OSA, or simply as a function of age. Normal is about 20% of the night.
Your AHI puts you in the mild category, but that O2 saturation kinda moves you up into the moderate level.
CPAP, positional sleeping, and the mandibular device are 3 DIFFERENT treatment options. You don't need all 3 at once. IF you could only sleep on your side (what was the side AHI anyway?) that might be enough. Course, there's no guarantee that you could be sure you do that, and that 84% saturation kinda makes this a risky option.
A mandibular device moves your lower jaw forward and theoretically keeps your airway open when you sleep. You'd need another sleep study to make sure it works properly.
CPAP pretty much is 100% effective, so it's great that you're doing that.
Good luck!!
sleepydave