Home sleep test report
- Patient
- Denise R. · 56 · F
- Ordering
- Primary care (placeholder)
- Nights
- Mar 2–4, 2027
- Reported
- Mar 9, 2027
Severity
Moderate obstructive sleep apnea
18.3 breathing events per hour of EEG-confirmed sleep (AHI, 3% rule)
Recommended next step
Discuss treatment with the patient. The interpreting physician recommends a PAP therapy trial.
Refer to sleep medicine if the patient declines PAP or does not tolerate it.
Findings, ranked by clinical significance
- Obstructive events. AHI 18.3 per hour of sleep. Events are worse on the back (AHI 31.2 supine vs 9.4 non-supine).
- Oxygen. Lowest SpO2 82%. Time below 90%: 4.1% of sleep.
- Fragmented sleep. Arousal index 24 per hour. The EEG shows the patient woke 31 times; 58% of those wakings followed a breathing event.
- Central events: low. Central apnea index 0.4. No sign of a central pattern.
What to tell the patient
- "Your breathing stopped or got shallow about 18 times an hour while you slept."
- "That is in the moderate range. It can explain the snoring and the daytime sleepiness."
- "It is treatable. The usual first step is a mask that keeps your airway open at night."
Why the number is trustworthy
EEG measured real sleep, so the index uses sleep time
Denise spent 15 h 18 m in bed across the two usable nights but slept 11 h 30 m. A home test without EEG cannot tell sleep from lying awake, so it divides events by total recording time. The 3 h 48 m she lay awake would have diluted her index into the mild range.
Same 210 events, different denominator. AASM guidance notes that home tests without sleep measurement use monitoring time and may underestimate severity (Kapur et al., JCSM 2017). Values are illustrative.
For readers who want depth
EEG findings
| Measure | Value | What it says |
|---|---|---|
| Sleep efficiency | 75% | A quarter of time in bed was awake. |
| Sleep onset latency | 26 min | Normal time to fall asleep. |
| Wake after sleep onset | 1 h 22 m | Long, broken by many short wakings. |
| Arousal index | 24 / h | Fragmented sleep. |
| N1 / N2 / N3 / REM | 12 / 54 / 11 / 23 % | Stage mix within typical range for age. |
| REM latency | 94 min | Within typical range. |
Night-by-night
| Night | Status | In bed | Sleep | AHI | ODI 3% | SpO₂ low |
|---|---|---|---|---|---|---|
| 1 · Mar 2 | Rejected Headband contact lost 00:58 | 7 h 20 m | — | — | — | — |
| 2 · Mar 3 | Usable | 7 h 42 m | 5 h 50 m | 18.5 | 17.2 | 82% |
| 3 · Mar 4 | Usable | 7 h 36 m | 5 h 40 m | 18.0 | 16.6 | 84% |
Methods
Devices: EEG headband and cardiopulmonary monitor (nasal pressure, effort belt, pulse oximetry). Scoring: hypopneas with ≥3% desaturation or EEG arousal. Scored by a registered sleep technologist and interpreted by a board-certified sleep physician (placeholders). Regulatory labeling, indications for use, and signature blocks would appear here unchanged.