English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

The oxygen desaturation index (ODI) is an important measure of sleep disordered breathing during polysomnography (PSG) however there is no accepted standard for its calculation. The AASM Manual for the Scoring of Sleep and Associated events (V2.6) does not specify whether oxygen desaturations occurring during awake epochs should be included. More generally, epoch-based scoring is potentially problematic for accurate ODI calculation. This study aims to compare the calculation of ODI including and excluding oxygen desaturations occurring during awake epochs and to determine the impact of sleep efficiency (SE) on any discrepancy. Methods Using twenty-one consecutive unattended PSG’s for investigation of OSA, two oxygen desaturation indices were calculated from each PSG; one excluding (ODIsleep) and one including (ODIall) oxygen desaturations marked in awake epochs. Results The median (IQR) ODIall was 19.3/h (10.3, 27.0) and ODIsleep was 13.0/h (6.6, 16.7). The median (IQR) difference (ODIall - ODIsleep) was 5.2/h (2.7, 10.4). This difference was greater with decreasing SE (r = -.63, p = .002). Patients with SE ≤ 75% (n=10) had a median ODI difference of 11.5/h (4.0, 17.6), and those with SE &amp;gt; 75% (n=11) had a difference of 2.8/h (2.0, 5.5) (p = .02). Discussion ODI was greater when including oxygen desaturations during awake epochs, with this discrepancy being greatest when SE is ≤ 75%. We plan to confirm these findings in a larger sample. This investigation informs clinical practice, highlights the difficulties of epoch scoring, and informs future standards for the scoring of sleep and associated events.

O041 The impact of including oxygen desaturations occurring during awake epochs on the oxygen desaturation index