A comparison between the AASM 2012 and 2007 definitions for detecting hypopnea
Purpose To compare the apnea–hypopnea indices (AHIs) derived using three hypopnea definitions published by the American Academy of Sleep Medicine (AASM) and to determine the impact of the new modifications of the definition on AHIs and the diagnosis of obstructive sleep apnea (OSA). Methods The stud...
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| Veröffentlicht in: | Sleep & breathing 2014-12, Vol.18 (4), p.767-773 |
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| creator | BaHammam, Ahmed S. Obeidat, Amr Barataman, Kashmira Bahammam, Salman A. Olaish, Awad H. Sharif, Munir M. |
| description | Purpose
To compare the apnea–hypopnea indices (AHIs) derived using three hypopnea definitions published by the American Academy of Sleep Medicine (AASM) and to determine the impact of the new modifications of the definition on AHIs and the diagnosis of obstructive sleep apnea (OSA).
Methods
The study comprised 100 consecutive patients who were investigated for OSA using overnight diagnostic polysomnography (PSG). The hypopneas were scored in three passes by two certified sleep technologists; in the first pass, the hypopneas were scored using the 2007 AASM “Alternative” (
H
Alt
) criteria. In the second pass, the hypopneas were scored using the 2007 AASM “Recommended” (
H
Rec
) criteria. In the third pass, the hypopneas were scored according to the new AASM “2012” (
H
2012
) criteria. Agreement analysis of the results obtained using the three scoring criteria was performed using the Bland–Altman plot methodology.
Results
The studied group had a mean age of 45.5 ± 12.6 years and a body mass index of 30.2 ± 5.8 kg/m
2
. Using the
H
2012
,
H
Rec
and
H
Alt
criteria, the AHIs were 37.9 ± 27.6, 14.8 ± 22.4 and 29.6 ± 27.0/h, respectively (
p
|
| doi_str_mv | 10.1007/s11325-014-0939-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1621214244</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3481838591</sourcerecordid><originalsourceid>FETCH-LOGICAL-c538t-f0ef169520035c2d1f80a1a26999dec4a6802ec639cae8e63036af88b4f943cf3</originalsourceid><addsrcrecordid>eNp1kElPHDEQRq0IxBZ-ABdkCUXKpUmV3Yt9HCESIrEckpwtj7sMjWbsxu5RxL_Hw0wWIXFyWX5V9fkxdoJwjgDdl4woRVMB1hVoqSv5gR1gI0SFHeid1xoq3aDYZ4c5P0IBlcY9ti_qWkvougN2O-MuLkebhhwDn9P0myjw6YH4bPbjhgtAwW3oSwEd78kPYZiGGDL3MZX7RG4awj1_eB7jGMh-ZLveLjIdb88j9uvr5c-Lq-r67tv3i9l15RqppsoDeWx1iQeycaJHr8CiFa3WuidX21aBINdK7SwpaiXI1nql5rXXtXReHrHPm7ljik8rypNZDtnRYmEDxVU22AoUWJd_FvTsDfoYVymUdIVCrVEolIXCDeVSzDmRN2MaljY9GwSzlm02sk1xaNayzbrndDt5NV9S_7fjj90CfNoCNju78MkGN-R_nNJCdWrNiQ2Xy1O4p_RfxHe3vwABkpM4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1619912813</pqid></control><display><type>article</type><title>A comparison between the AASM 2012 and 2007 definitions for detecting hypopnea</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><creator>BaHammam, Ahmed S. ; Obeidat, Amr ; Barataman, Kashmira ; Bahammam, Salman A. ; Olaish, Awad H. ; Sharif, Munir M.</creator><creatorcontrib>BaHammam, Ahmed S. ; Obeidat, Amr ; Barataman, Kashmira ; Bahammam, Salman A. ; Olaish, Awad H. ; Sharif, Munir M.</creatorcontrib><description>Purpose
To compare the apnea–hypopnea indices (AHIs) derived using three hypopnea definitions published by the American Academy of Sleep Medicine (AASM) and to determine the impact of the new modifications of the definition on AHIs and the diagnosis of obstructive sleep apnea (OSA).
Methods
The study comprised 100 consecutive patients who were investigated for OSA using overnight diagnostic polysomnography (PSG). The hypopneas were scored in three passes by two certified sleep technologists; in the first pass, the hypopneas were scored using the 2007 AASM “Alternative” (
H
Alt
) criteria. In the second pass, the hypopneas were scored using the 2007 AASM “Recommended” (
H
Rec
) criteria. In the third pass, the hypopneas were scored according to the new AASM “2012” (
H
2012
) criteria. Agreement analysis of the results obtained using the three scoring criteria was performed using the Bland–Altman plot methodology.
Results
The studied group had a mean age of 45.5 ± 12.6 years and a body mass index of 30.2 ± 5.8 kg/m
2
. Using the
H
2012
,
H
Rec
and
H
Alt
criteria, the AHIs were 37.9 ± 27.6, 14.8 ± 22.4 and 29.6 ± 27.0/h, respectively (
p
< 0.05). The Bland–Altman analysis of the AHI demonstrated that more events were nearly always detected using the
H
2012
definition.
Conclusion
A significant difference in detecting hypopnea events exists among the
H
2012
,
H
Rec
and
H
Alt
definitions. The 2007 AASM “Recommended” definition tended to result in lower AHI than the other two definitions.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-014-0939-3</identifier><identifier>PMID: 24493077</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Biological and medical sciences ; Dentistry ; Diseases of the respiratory system ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Fundamental and applied biological sciences. Psychology ; Guideline Adherence ; Guidelines ; Hospitals, University ; Humans ; Internal Medicine ; Male ; Medical sciences ; Medical screening ; Medicine ; Medicine & Public Health ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Original Article ; Otorhinolaryngology ; Pediatrics ; Pneumology ; Pneumology/Respiratory System ; Polysomnography ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Respiratory system : syndromes and miscellaneous diseases ; Saudi Arabia ; Sleep apnea ; Sleep Apnea Syndromes - classification ; Sleep Apnea Syndromes - diagnosis ; Sleep Apnea, Obstructive - classification ; Sleep Apnea, Obstructive - diagnosis ; Sleep disorders ; Sleep. Vigilance ; Vertebrates: nervous system and sense organs</subject><ispartof>Sleep & breathing, 2014-12, Vol.18 (4), p.767-773</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-f0ef169520035c2d1f80a1a26999dec4a6802ec639cae8e63036af88b4f943cf3</citedby><cites>FETCH-LOGICAL-c538t-f0ef169520035c2d1f80a1a26999dec4a6802ec639cae8e63036af88b4f943cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-014-0939-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-014-0939-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28928787$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24493077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BaHammam, Ahmed S.</creatorcontrib><creatorcontrib>Obeidat, Amr</creatorcontrib><creatorcontrib>Barataman, Kashmira</creatorcontrib><creatorcontrib>Bahammam, Salman A.</creatorcontrib><creatorcontrib>Olaish, Awad H.</creatorcontrib><creatorcontrib>Sharif, Munir M.</creatorcontrib><title>A comparison between the AASM 2012 and 2007 definitions for detecting hypopnea</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Purpose
To compare the apnea–hypopnea indices (AHIs) derived using three hypopnea definitions published by the American Academy of Sleep Medicine (AASM) and to determine the impact of the new modifications of the definition on AHIs and the diagnosis of obstructive sleep apnea (OSA).
Methods
The study comprised 100 consecutive patients who were investigated for OSA using overnight diagnostic polysomnography (PSG). The hypopneas were scored in three passes by two certified sleep technologists; in the first pass, the hypopneas were scored using the 2007 AASM “Alternative” (
H
Alt
) criteria. In the second pass, the hypopneas were scored using the 2007 AASM “Recommended” (
H
Rec
) criteria. In the third pass, the hypopneas were scored according to the new AASM “2012” (
H
2012
) criteria. Agreement analysis of the results obtained using the three scoring criteria was performed using the Bland–Altman plot methodology.
Results
The studied group had a mean age of 45.5 ± 12.6 years and a body mass index of 30.2 ± 5.8 kg/m
2
. Using the
H
2012
,
H
Rec
and
H
Alt
criteria, the AHIs were 37.9 ± 27.6, 14.8 ± 22.4 and 29.6 ± 27.0/h, respectively (
p
< 0.05). The Bland–Altman analysis of the AHI demonstrated that more events were nearly always detected using the
H
2012
definition.
Conclusion
A significant difference in detecting hypopnea events exists among the
H
2012
,
H
Rec
and
H
Alt
definitions. The 2007 AASM “Recommended” definition tended to result in lower AHI than the other two definitions.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Dentistry</subject><subject>Diseases of the respiratory system</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Guideline Adherence</subject><subject>Guidelines</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Pneumology</subject><subject>Pneumology/Respiratory System</subject><subject>Polysomnography</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Saudi Arabia</subject><subject>Sleep apnea</subject><subject>Sleep Apnea Syndromes - classification</subject><subject>Sleep Apnea Syndromes - diagnosis</subject><subject>Sleep Apnea, Obstructive - classification</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep disorders</subject><subject>Sleep. Vigilance</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kElPHDEQRq0IxBZ-ABdkCUXKpUmV3Yt9HCESIrEckpwtj7sMjWbsxu5RxL_Hw0wWIXFyWX5V9fkxdoJwjgDdl4woRVMB1hVoqSv5gR1gI0SFHeid1xoq3aDYZ4c5P0IBlcY9ti_qWkvougN2O-MuLkebhhwDn9P0myjw6YH4bPbjhgtAwW3oSwEd78kPYZiGGDL3MZX7RG4awj1_eB7jGMh-ZLveLjIdb88j9uvr5c-Lq-r67tv3i9l15RqppsoDeWx1iQeycaJHr8CiFa3WuidX21aBINdK7SwpaiXI1nql5rXXtXReHrHPm7ljik8rypNZDtnRYmEDxVU22AoUWJd_FvTsDfoYVymUdIVCrVEolIXCDeVSzDmRN2MaljY9GwSzlm02sk1xaNayzbrndDt5NV9S_7fjj90CfNoCNju78MkGN-R_nNJCdWrNiQ2Xy1O4p_RfxHe3vwABkpM4</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>BaHammam, Ahmed S.</creator><creator>Obeidat, Amr</creator><creator>Barataman, Kashmira</creator><creator>Bahammam, Salman A.</creator><creator>Olaish, Awad H.</creator><creator>Sharif, Munir M.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>A comparison between the AASM 2012 and 2007 definitions for detecting hypopnea</title><author>BaHammam, Ahmed S. ; Obeidat, Amr ; Barataman, Kashmira ; Bahammam, Salman A. ; Olaish, Awad H. ; Sharif, Munir M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-f0ef169520035c2d1f80a1a26999dec4a6802ec639cae8e63036af88b4f943cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Dentistry</topic><topic>Diseases of the respiratory system</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Guideline Adherence</topic><topic>Guidelines</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Pediatrics</topic><topic>Pneumology</topic><topic>Pneumology/Respiratory System</topic><topic>Polysomnography</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Saudi Arabia</topic><topic>Sleep apnea</topic><topic>Sleep Apnea Syndromes - classification</topic><topic>Sleep Apnea Syndromes - diagnosis</topic><topic>Sleep Apnea, Obstructive - classification</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep disorders</topic><topic>Sleep. Vigilance</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BaHammam, Ahmed S.</creatorcontrib><creatorcontrib>Obeidat, Amr</creatorcontrib><creatorcontrib>Barataman, Kashmira</creatorcontrib><creatorcontrib>Bahammam, Salman A.</creatorcontrib><creatorcontrib>Olaish, Awad H.</creatorcontrib><creatorcontrib>Sharif, Munir M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BaHammam, Ahmed S.</au><au>Obeidat, Amr</au><au>Barataman, Kashmira</au><au>Bahammam, Salman A.</au><au>Olaish, Awad H.</au><au>Sharif, Munir M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison between the AASM 2012 and 2007 definitions for detecting hypopnea</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>18</volume><issue>4</issue><spage>767</spage><epage>773</epage><pages>767-773</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Purpose
To compare the apnea–hypopnea indices (AHIs) derived using three hypopnea definitions published by the American Academy of Sleep Medicine (AASM) and to determine the impact of the new modifications of the definition on AHIs and the diagnosis of obstructive sleep apnea (OSA).
Methods
The study comprised 100 consecutive patients who were investigated for OSA using overnight diagnostic polysomnography (PSG). The hypopneas were scored in three passes by two certified sleep technologists; in the first pass, the hypopneas were scored using the 2007 AASM “Alternative” (
H
Alt
) criteria. In the second pass, the hypopneas were scored using the 2007 AASM “Recommended” (
H
Rec
) criteria. In the third pass, the hypopneas were scored according to the new AASM “2012” (
H
2012
) criteria. Agreement analysis of the results obtained using the three scoring criteria was performed using the Bland–Altman plot methodology.
Results
The studied group had a mean age of 45.5 ± 12.6 years and a body mass index of 30.2 ± 5.8 kg/m
2
. Using the
H
2012
,
H
Rec
and
H
Alt
criteria, the AHIs were 37.9 ± 27.6, 14.8 ± 22.4 and 29.6 ± 27.0/h, respectively (
p
< 0.05). The Bland–Altman analysis of the AHI demonstrated that more events were nearly always detected using the
H
2012
definition.
Conclusion
A significant difference in detecting hypopnea events exists among the
H
2012
,
H
Rec
and
H
Alt
definitions. The 2007 AASM “Recommended” definition tended to result in lower AHI than the other two definitions.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24493077</pmid><doi>10.1007/s11325-014-0939-3</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1520-9512 |
| ispartof | Sleep & breathing, 2014-12, Vol.18 (4), p.767-773 |
| issn | 1520-9512 1522-1709 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1621214244 |
| source | MEDLINE; Springer Online Journals Complete |
| subjects | Adult Biological and medical sciences Dentistry Diseases of the respiratory system Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Fundamental and applied biological sciences. Psychology Guideline Adherence Guidelines Hospitals, University Humans Internal Medicine Male Medical sciences Medical screening Medicine Medicine & Public Health Middle Aged Nervous system (semeiology, syndromes) Neurology Original Article Otorhinolaryngology Pediatrics Pneumology Pneumology/Respiratory System Polysomnography Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Respiratory system : syndromes and miscellaneous diseases Saudi Arabia Sleep apnea Sleep Apnea Syndromes - classification Sleep Apnea Syndromes - diagnosis Sleep Apnea, Obstructive - classification Sleep Apnea, Obstructive - diagnosis Sleep disorders Sleep. Vigilance Vertebrates: nervous system and sense organs |
| title | A comparison between the AASM 2012 and 2007 definitions for detecting hypopnea |
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