TABLE 2.
Obstructive sleep apnea (OSA) severity, sleep fragmentation, and intermittent hypoxemia.
| During SWS | CPAP | OSASWS | OSASWS + O2 | p-value | |
| # of CPAP withdrawals | SWS | 0 (0)a,b | 22 (15) | 27 (23) | <0.0001 |
| AHI3A | SWS | 0.0 (0.9)a,b | 18.0 (11.3) | 13.5 (11.5) | <0.0001 |
| AHI4% | SWS | 0.0 (0.0)a,b | 9.6 (13.0)c | 3.5 (5.7) | <0.0001 |
| Arousal index | p/h SWS | 1.1 (2.3)a,b | 10.6 (8.6) | 10.7 ± 6.3 | <0.0001 |
| Average sleep bout | min SWS | 5.9 (4.9)a,b | 2.1 (1.2) | 2.4 (1.4) | <0.001 |
| Lowest event-related SpO2 | % in SWS | – | 86.3 ± 5.8c | 90.5 ± 3.7 | <0.001 |
| Event duration | s | – | 24.3 (7.1) | 26.8 (10.0) | n.s. |
| ODI 3% | SWS | – | 22.8 ± 11.3c | 14.2 ± 10.8 | <0.0001 |
| SpO2 time below 90% | % of SWS | – | 0.8 (1.3)c | 0.2 (0.4) | <0.01 |
| Hypoxic burden | (% min) h SWS | – | 37.5 (19.3)c | 22.6 ± 10.1 | <0.001 |
| SpO2 nadir | % in SWS | – | 88.6 ± 6.3c | 90.6 ± 3.7 | <0.001 |
| Non-SWS (NREM1 + NREM2 + REM) | |||||
| AHI3A | Non-SWS | 1.2 (3.8) | 2.1 (6.5) | 2.4 (5.1) | n.s. |
| AHI4% | Non-SWS | 0.8 (2.2)a,b | 2.1 (5.9) | 2.3 (2.8) | <0.001 |
| Arousal index | p/h non-SWS | 11.8 ± 6.0 | 10.3 (8.2) | 9.6 (4.6) | n.s. |
| SpO2 nadir | % non-SWS | 88.9 ± 2.9 | 87.3 (8.3) | 89.4 (4.3) | n.s. |
| All sleep | |||||
| AHI3A | TST | 1.0 (3.3)a,b | 5.2 (4.2) | 4.0 (4.8) | <0.0001 |
| AHI4% | TST | 0.7 (1.9)a,b | 3.4 (3.6) | 2.7 (2.7) | <0.0001 |
| Arousal index | p/h TST | 10.7 ± 5.0 | 10.7 (7.6) | 9.7 ± 4.1 | n.s. |
| SpO2 nadir | % in TST | 88.4 ± 3.9a | 86.0 (6.3)c | 89.0 (5.3) | <0.001 |
AHI4%, apnea-hypopnea index (hypopnea 4% O2 desaturation criteria); AHI3A, apnea hypopnea index (hypopnea 3% O2 desaturation/EEG arousal criteria); SpO2, peripheral capillary oxygen saturation; TST, total sleep time; TSP, total sleep period; REM, rapid eye movement; NREM 1, non-REM stage 1; NREM 2, non-REM stage 2; SWS, slow-wave sleep.
aSignificant difference between CPAP and OSASWS conditions.
bSignificant difference between CPAP and OSASWS + O2 conditions.
cSignificant difference between OSASWS and OSASWS + O2 conditions; n.s., not significant. Values expressed as mean ± SD or median (interquartile range). All p-values denote the Friedman or one-way repeated measures ANOVA tests when three conditions were compared and represent paired t-tests or Wilcoxon tests when two conditions are compared.