Sleep Apnea: Classification

Advanced, Organ-Based and Clinical Sciences

The Apnea Hypopnea Index (AHI) stratifies the severity of sleep apnea. Apneas are >90% reduction in airflow for at least 10sec whereas hypopneas are partial obstructions of at least 10sec where thoracoabdominal movement is reduced by 50% or a 30% reduction in airflow measured by nasal pressure transducer.

Polysomnography is the gold standard for measurement of AHIs and diagnosis of sleep apnea. Severity of sleep apnea is classified accordingly:

None/Minimal: AHI < 5 per hour

Mild: AHI ≥ 5, but < 15 per hour

Moderate: AHI ≥ 15, but < 30 per hour

Severe: AHI ≥ 30 per hour

Patients w/ AHI >=5 and concomitant symptoms (daytime sleepiness, hypersomnolence, insomnia, snoring, witnessed breathing pauses, cognitive impairment, waking up gasping for air) or alternatively AHI>=15 regardless of symptoms are positive for a diagnosis of sleep apnea.

Sources

    Nat Sci Sleep;2018;10():21-34

    [PubMed: 29416383]

    Hippokratia;2009 Jul;13(3):187-91

    [PubMed: 19918312]

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Answered correctly

2020

Year asked

Author
Justin Hickman, MD