Association between Oxygen Saturation by Pulse Oximetry and Respiratory Disturbance Index (RDI) and Apnea-Hypopnea Index (AHI) among Adult Snorer Patients

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ภัทร์ปรียา เมืองสุวรรณ

Abstract

Association between Oxygen Saturation by Pulse Oximetry and Respiratory Disturbance Index (RDI) and Apnea-Hypopnea Index (AHI) among Adult Snorer Patients


Patpreeya Muangsuwan, MD*, Kanit Muntarbhorn MBBS*, Chai Euswas, MD*


 


Introduction: Obstructive sleep apnea (OSA) is common disorder as diagnosed by polysomnography (PSG) and screening of adult snorer patients for priority PSG appointment is still a problem.


Objectives: To investigate association between minimum-SpO2 and RDI, association between minimum-SpO2 and RDI, and to find minimum-SpO2 screening cutoff for priority PSG appointment.


Methods: Retrospective “PSG data” study of 1,159 adult snorer patients of the Department of Otolaryngology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University.


Results: Findings are inverse relationships (the lower the minimum-SpO2, the higher the RDI and the lower the minimum-SpO2, the higher the AHI), an association between minimum-SpO2 and RDI with area under curve (AUC) of 0.75, an association between minimum-SpO2 and AHI (AUC of 0.79), a highly significant statistical difference p < 0.001 (OR 1.09, 95 % CI, 1.07 - 1.11) between minimum-SpO2 values of subjects with RDI ≥ 15/h and those of subjects with RDI <15/h, a highly significant statistical difference p < 0.001 (OR 1.12, 95 % CI, 1.09 - 1.14) between minimum-SpO2 values of subjects with AHI ≥ 15/h and those of subjects with AHI < 15/h, and possible screening minimum-SpO2 values of 81 % or 79.62%. However, 80 % or 70 % levels are recommended for cutoffs in the screening of adult snorer patients for priority PSG waiting-list.


Conclusions:


  1. There were association between minimum-SpO2 and RDI, and association between minimum-SpO2 and AHI (by AUC values),

  2. Although screening minimum-SpO2 of 81 % or 62 % were possible, minimum-SpO2 levels of 80 % or 70 % would be suggested,- the choice dependent upon the required number for priority PSG waiting-list,

  3. Minimum-SpO2 can be used for screening during problematic periods with too long PSG waiting-lists.

Keywords : obstructive sleep apnea, oxygen desaturation, lowest, minimal, minimum, polysomnography, pulse oximetry, screening, snorer, snore, AHI, OSA, PSG, RDI, SDB, SpO2, waiting-list

Article Details

How to Cite
เมืองสุวรรณ ภ. (2022). Association between Oxygen Saturation by Pulse Oximetry and Respiratory Disturbance Index (RDI) and Apnea-Hypopnea Index (AHI) among Adult Snorer Patients. Thai Journal of Otolaryngology Head and Neck Surgery, 22(2). Retrieved from https://he02.tci-thaijo.org/index.php/rcotJ/article/view/255104
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