Assessment of the Impact of Different Diagnostic Definitions on REM-related Obstructive Sleep Apnea: Board versus Restricted?

• Published in: Journal of Turkish Sleep Medicine 2020-09, Vol.7 (3), p.124-130
• Main Authors: Oktay Arslan, Burcu, Yalnız, Özlem, Uçar Hoşgör, Zeynep Zeren
• Format: Article
• Language: English
• Subjects: Body mass index; Comorbidity; Diabetes; diagnosis; Ethics; Eye movements; Health sciences; Hypertension; Lifestyles; Oxygen saturation; rem-related osa; Sleep apnea; sleep disordered breathing; Sleep disorders; Thoracic surgery; Tıp
• ISSN: 2148-1504; 2148-1504
• DOI: 10.4274/jtsm.galenos.2020.70894

Objective: To evaluate the differences in demographic and polysomnographic (PSG) features between the board and restricted definitions of rapid eye movement (REM)-related obstructive sleep apnea (OSA), and whether different diagnostic criteria lead to different clinical classifications and treatment approaches. Materials and Methods: A total of 1096 patient files were screened for REM-related OSA. Patients with REM-related OSA were included in the study and classified into two groups according to the board and restricted definition of REM-related OSA. Demographic and PSG features and treatment approaches were compared between both groups. Results: This study Included a total of 154 patients: 33 (21.4%) were classified as restricted REM-related and 121 (78.6%) as board REMrelated OSA. There were no differences between the two groups in terms of age (p=0.061), sex (p=0.274), Body Mass index (p=0.055), and co-morbidities (p=0.299). Significant differences were observed between the groups with regard to Epworth Sleepiness scale (p=0.033). The total Apne-hipopne index (AHI), AHIREM, and AHINREM in the board REM-related OSA group were significantly higher than those in the restricted REM-related OSA group (p