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==Diagnosis Criteria== | ==Diagnosis Criteria== | ||
===DSM-V Diagnostic Criteria for Central Sleep Apnea=== | |||
Either criterion 1 or 2 must be met: | |||
1. Evidence by polysomnography of at least five obstructive apneas or hypopneas per hour of sleep and either of the following sleep symptoms: | |||
*Nocturnal breathing disturbances: snoring, snorting/gasping, or breathing pauses during sleep. | |||
*Daytime sleepiness, fatigue, or unrefreshing sleep despite sufficient opportunities to sleep that is not better explained by another mental disorder (including a sleep disorder) and is not attributable to another medical condition. | |||
2. Evidence by polysomnography of 15 or more obstructive apneas and/or hypopneas per hour of sleep regardless of accompanying symptoms. | |||
*Apnea Hypopnea Index (AHI) - the number of apneas or hypopneas recorded during the study per hour of sleep | |||
*Based on the AHI, the severity of OSA is classified as follows: | |||
:*None/Minimal: AHI < 5 per hour | |||
:*Mild: AHI ≥ 5, but < 15 per hour | |||
:*Moderate: AHI ≥ 15, but < 30 per hour | |||
:*Severe: AHI ≥ 30 per hour | |||
*The RDI is the average number of respiratory disturbances (obstructive apneas, hypopneas, and respiratory event–related arousals [RERAs]) per hour. | |||
===DSM-V Diagnostic Criteria for Central Sleep Apnea<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ===DSM-V Diagnostic Criteria for Central Sleep Apnea<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ||
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==References== | ==References== | ||
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Revision as of 17:15, 7 July 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Overview
The American Academy of Sleep Medicine published a diagnostic manual guidelines.[1][2]
Diagnosis Criteria
DSM-V Diagnostic Criteria for Central Sleep Apnea
Either criterion 1 or 2 must be met:
1. Evidence by polysomnography of at least five obstructive apneas or hypopneas per hour of sleep and either of the following sleep symptoms:
- Nocturnal breathing disturbances: snoring, snorting/gasping, or breathing pauses during sleep.
- Daytime sleepiness, fatigue, or unrefreshing sleep despite sufficient opportunities to sleep that is not better explained by another mental disorder (including a sleep disorder) and is not attributable to another medical condition.
2. Evidence by polysomnography of 15 or more obstructive apneas and/or hypopneas per hour of sleep regardless of accompanying symptoms.
- Apnea Hypopnea Index (AHI) - the number of apneas or hypopneas recorded during the study per hour of sleep
- Based on the AHI, the severity of OSA is classified as follows:
- None/Minimal: AHI < 5 per hour
- Mild: AHI ≥ 5, but < 15 per hour
- Moderate: AHI ≥ 15, but < 30 per hour
- Severe: AHI ≥ 30 per hour
- The RDI is the average number of respiratory disturbances (obstructive apneas, hypopneas, and respiratory event–related arousals [RERAs]) per hour.
DSM-V Diagnostic Criteria for Central Sleep Apnea[3]
| “ |
A. Evidence by polysomnography of five or more central apneas per hour of sleep. AND B. The disorder is not better explained by another current sleep disorder. Specify whether:
Specify current severity:
|
” |
References
- ↑ Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK; et al. (2012). "Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine". J Clin Sleep Med. 8 (5): 597–619. doi:10.5664/jcsm.2172. PMC 3459210. PMID 23066376.
- ↑ Epstein LJ, Kristo D, Strollo PJ, Friedman N, Malhotra A, Patil SP; et al. (2009). "Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults". J Clin Sleep Med. 5 (3): 263–76. PMC 2699173. PMID 19960649.
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.