Table 2.
Author and date of Publication | AHI Definition | Changes in Sleep Duration following alcohol use TST (SD) Alcohol Night Placebo Night P value of difference |
Differences based on Sleep Stage REM AHIR(SD) NREM AHI N(SD) P value of difference |
Differences based on hours following alcohol consumption Hours from sleep onset AHIA/SpO2A alcohol(SD) AHIp/SpO2p placebo(SD) P value of difference |
---|---|---|---|---|
Arnedt et al 2017 30 | NA | 425.25(42.60) 436.69(31.02) NS |
NA | NA |
Block et al 1986 19 | Apnea: cessation of flow at the nose and mouth for ≥10 s Hypopnea: Decreased flow and chest movement with oxygen desaturation Desaturation was thought to be clinically significant when a decrease of 4 >% from the preceding baseline occurred |
319.48 (61.01) 338.31 (70.59) NS |
NA | NA |
Block et al 1987 20 | Apnea: cessation of flow at the nose and mouth for ≥10 s Hypopnea: Decreased flow and chest movement with oxygen desaturation Desaturation was thought to be clinically significant when a decrease of >4% from the preceding baseline occurred |
357 (34) 281.5 (59.82) P <0.05 |
NA | NA |
Brander et al 1992 21 | No AHI reported | NA | NA | SpO2 was lower in the first 2 h after alcohol consumption* |
Collop et al 1994 22 | Apnea: cessation of airflow at the mouth and nose for ≥10 s Hypopnea: 50% diminution in airflow accompanied by oxygen desaturation of ≥4% |
403.7 (24) 346.1 (75.7) P <0.05 |
NA | 1st 3 hours: AHIA=23.8 (7.7) AHIP=7.37 (1.7) P <0.05 |
Herzog et al 2004 23 | Apnea: 20% reduction to complete cessation of respiratory airflow for >10 s Hypopnea: 50% reduction in airflow |
NA | NA | NA |
Herzog et al 2004 23 | Apnea: cessation of nasal pressure recording for ≥10 s Hypopnea: ≥30% reduction of nasal pressure for ≥10 s with ≥4% desaturation from baseline, with ≥90% of the event’s duration meeting the amplitude reduction criteria for hypopnea |
354 (62.5) 354 (65.3) NS |
||
Izumi et al 2005 24 | Apnea: >10 second pause in ventilation Hypopnea: ≥30% reduction in airflow |
NA | NA | In the latter half of the night: AHIA=5.5(5.5) AHIP=1.3(1.6) P<0.001 In the early half of the night: SpO2A=94.8(1.4) SpO2P=95.7(1.3) P<0.001∞ |
Kido et al 2016 25 | Not Available | 482.9 (41.3) 474.1 (38.2) NS |
NA | NA |
Reimann et al 2010 26 | NA | NA | NA | NA |
Scanlan et al 2000 27 | Apnea: absence of oronasal airflow for >10 s despite continued out-of-phase chest and abdominal movements Hypopnea: reduction in oronasal airflow for >10 s associated with a >2% fall in SpO2 despite continued out-of-phase chest and abdominal movements, increased submental EMG activity, or snoring |
399 (8) 400 (11) NS |
NA | NA |
Scrima et al 1989 10 | No AHI reported, only DBEs. Apnea: thermistor tracing indicated cessation of breathing for >10 s accompanied by rhythmical bursts of intercostal EMG activity Hypopnea: discernible decrease but not cessation in ventilation for >10 s, accompanied by increased respiratory effort and a decline in SpO2 to 92% or below |
NA | No difference in DBEs in REM and NREM sleep following alcohol consumption compared to placebo | NA |
Taasan et al 1981 28 | Apnea: cessation of nasal or oral flow ≥ 10 s Hypopnea: desaturation (≥4%) and simultaneous decrease in air flow or chest movement |
NA | NA | NA |
Teschler et al 1996 29 | Apnea: episodes of cessation of airflow lasting >10 s associated with paradoxical movements of the chest wall and abdomen Hypopnea: episodes other than apneas lasting >10 seconds during which the thermistor signal was reduced to <50% of its magnitude during normal unobstructed breathing and SpO2 dropped by ≥4% |
320 (6) 333 (5) NS |
First 2 hours of the night: AHIA= 41.0(7.8) AHIP= 45.6(6.2) NS |
AHI= Apnea hypopnea index NA=Not available NS= Not significant AHIA=AHI on alcohol night AHIP=AHI on placebo night SpO2A=SpO2 on alcohol night SpO2P=SpO2 on placebo night DBE=disordered breathing events.
Numerical values not provided.∞ No significant difference in AHI in the early part of the night and SpO2 in the latter part of the night