The AASM advice that laboratories use the three%/arousal definition of hypopnea is in battle with the definition utilized by CMS. This podcast explores sensible eventualities raised by this challenge.
00:00 Start
00:38 Introduction: How ought to we navigate this panorama?
01:22 History of the three% and 4% desaturation rule
03:17 Is there sturdy proof that AHI outlined with the three% hypopnea rule is related to hostile outcomes?
05:14 Do have knowledge to inform us precisely how a lot enhance the prevalence could be if we outline based on 3% reasonably than 4%?
07:13 Lets think about some sensible examples…
08:51 So that raises the dilemma…
10:54 Lets change the state of affairs…
12:31 So protection for CPAP could be extraordinarily tough…
14:23 The Respiratory Disturbance Index…
17:09 Messages for working towards sleep clinicians as they attempt to work via this challenge…
