0% found this document useful (0 votes)
98 views2 pages

Respirology Adult Sample Polysomnography Report e

The document is a polysomnography report template that includes sections for patient information, sleep summary statistics, arousal statistics, snoring statistics, respiratory event details and indices, oxygen saturation statistics, and periodic limb movement statistics.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
98 views2 pages

Respirology Adult Sample Polysomnography Report e

The document is a polysomnography report template that includes sections for patient information, sleep summary statistics, arousal statistics, snoring statistics, respiratory event details and indices, oxygen saturation statistics, and periodic limb movement statistics.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Polysomnography Report Template

Patient Information
Age: Height: m BMI: kg/m2
Gender: Weight: kg

Sleep Summary Sleep Information


otal recording time: Sleep period: minutes minutes minutes N1 N2 N3 REM
otal sleep time: Sleep efficiency: Sleep latency: % Minutes
EM latency: minutes minutes
% of TST:
umber of awakenings:

Arousal Statistics (/h)


Respiratory arousals Spontaneous arousals PLM arousals
Total arousals

Snoring Statistics
Snoring time: minutes
Snoring %: %TST
Respiratory Events
Apnea Index/h Hypopnea Index/h
Obstructive Obstructive
Central (all) OH with
Mixed desaturation OH
Total AHI / with arousal
Supine h Central
Non- /
supine h (%TST in position)
REM index / (%TST in position)
Non-REM index h
/
h
/
h
Index/h
Respiratory event related arousal

SpO2 Statistics
Mean oxygen saturation: % % Time spent with
Lowest oxygen saturation: % Saturation <90%:
Saturation <80%
Oxygen desaturation index (/h) Saturation <70%:
PLM Statistics Total Index (/h)
Limb Movements (LM) PLM with arousals

You might also like