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9.1 KiB
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1 line
9.1 KiB
JSON
Executable File
{"orderName":"POLYSOMNOGRAM - KKI","key":"WP-24FappzH3sAGmYdy-2FEyJmAcw-3D-3D-24LPGz3SEdQW9I5gBk7qod1zC7bk-2Fzn1THpH8ZZSJGOfY-3D","results":[{"name":"POLYSOMNOGRAM - KKI","key":"WP-24FappzH3sAGmYdy-2FEyJmAcw-3D-3D-24LPGz3SEdQW9I5gBk7qod1zC7bk-2Fzn1THpH8ZZSJGOfY-3D","showName":false,"showDetails":true,"orderMetadata":{"orderProviderName":"Michelle Melicosta, MD","readingProviderName":"","resultTimestampDisplay":"Sep 09, 2022 9:20 AM","prioritizedInstantISO":"2022-09-09T09:20:10-04:00","prioritizedInstantDisplay":"Sep 09, 2022","latestUpdateInstantISO":"2022-09-09T09:21:24","collectionTimestampsDisplay":"","specimensDisplay":"","resultStatus":"Final","resultType":"PROCEDURE","read":"Read","associatedDiagnoses":[]},"resultComponents":[],"studyResult":{"narrative":{"isRTF":false,"hasContent":true,"contentAsString":"Janet Christine Lam, MD 9/9/2022 9:21 AM\r\nThe Sleep Center, Kennedy Krieger Institute\r\n707 N. Broadway, Baltimore, MD 21205-1890\r\n\r\nPOLYSOMNOGRAPHY REPORT\r\n \r\nPatient Demographics\r\nPatient name: Jongsma, Sophia Acq: 100918 \r\nSex: Female Started: 9/7/2022 at 7:49:22 PM \r\nBirth date: 1/1/2017 Stopped: 9/8/2022 at 6:01:34 AM \r\nPatient age: 5 years Duration: 10:12:12 hours (612.2 min) \r\nHeight: in. Weight: lbs. \r\nBMI: lb/in2 \r\nNeck: in. \r\nScoring Technician: L. Gregory, RPSGT Referring provider: \r\nMichelle Melicosta, M.D. \r\nRecording Technician: L. McKenney, RPSGT Interpreting physician: \r\nJanet Lam, M.D. \r\n\r\nTesting Type & Methods\r\nType of Test: PSG \r\n\r\nMethod: Polysomnography was conducted on the night of 9/7/2022. \r\nThe following parameters were monitored: frontal, central and \r\noccipital EEG, electrooculogram (EOG), submentalis EMG, nasal and \r\noral airflow, anterior tibialis EMG, body position and \r\nelectrocardiogram. Additionally, thoracic and abdominal movements \r\nwere recorded by inductance plethysmography. Oxygen saturation \r\n(SpO2) was monitored using a pulse oximeter. The tracing was \r\nscored using 30 second epochs. Hypopneas were scored per AASM \r\ndefinition (3% desaturation).\r\n\r\nA Central Apnea was defined as a cessation of oral and nasal \r\nairflow with simultaneous cessations of respiratory movements for \r\nat least 10 seconds (2 respiratory cycles in children). \r\n\r\nAn Obstructive Apnea was defined as a cessation of airflow for at \r\nleast 10 seconds (2 respiratory cycles in children) in the \r\npresence of continuous respiratory movements.\r\nHypopneas were scored per AASM definition (3% desaturation).\r\n\r\nMedical History and Indication for Polysomnography: \r\n5yo with history of anoxic brain injury and tracheostomy. This \r\nstudy was performed to determine if ventilation was necessary.\r\n\r\nMedications: \r\n \r\n\r\nSleep Data\r\nThe study began at 8:18:52 PM. The patient was monitored for a \r\ntotal of 582.7 minutes, out of which the patient slept for 433.7 \r\nminutes. Sleep efficiency was 74.4%. Sleep onset occurred at \r\n8:35:52 PM for a sleep latency of 17.0 minutes. REM latency was \r\n109.0. Wake After Sleep Onset (WASO): 132.0 minutes. The study \r\nended at 6:01:34 AM. \r\nA breakdown of sleep staging reveals the following: Stage N1 40.5 \r\nminutes (9.3% of total sleep time), Stage N2 186.7 minutes (43.0% \r\nof total sleep time), Stage N3 82.5 minutes (19.0% of total sleep \r\ntime) and last, REM 124.0 minutes (28.6% total sleep time). \r\n\r\nRespiratory Data\r\nDuring the study, there were a total of 16 apnea events occurred \r\nfor an apnea index of 2.2 /hour. 1 hypopnea events occurred for a \r\nhypopnea index of 0.1 /hour of sleep. 17 apnea and hypopnea \r\nevents were observed during the analysis period as follows, 2 \r\nobstructive apneas, 0 central apneas, 14 mixed apneas, and 1 \r\nhypopneas for an apnea/hypopnea index (AHI) of 2.4 /hour of \r\nsleep. \r\n\r\n CA OA MA Apnea Unclass.\r\nHypop Central\r\nHypop Obs. Hypop Hypop* A+ H RERA Total \r\nNumber: 0 2 14 16 1 0 0 1 17 0 17 \r\nMean Dur : (sec) 0.0 10.0 14.3 13.8 15.5 0.0 0.0 15.5 13.9 0.0 \r\n13.9 \r\nMax Dur (sec): 0.0 10.0 19.0 19.0 15.5 0.0 0.0 15.5 19.0 0.0 19.0 \r\n\r\nTotal Dur (min) : 0.0 0.3 3.3 3.7 0.3 0.0 0.0 0.3 3.9 0.0 3.9 \r\n% of TST: 0.0 0.1 0.8 0.8 0.1 0.0 0.0 0.1 0.9 0.0 0.9 \r\nIndex (#/h TST) : 0.0 0.3 1.9 2.2 0.1 0.0 0.0 0.1 2.4 0.0 2.4 \r\nREM Count: 0 1 9 10 0 0 0 0 10 0 10 \r\nNREM Count: 0 1 5 6 1 0 0 1 7 0 7 \r\nREM Index (#/h): 0.0 0.5 4.4 4.8 0.0 0.0 0.0 0.0 4.8 0.0 4.8 \r\nNREM Index (#/h): 0.0 0.2 1.0 1.2 0.2 0.0 0.0 0.2 1.4 0.0 1.4 \r\n*Above Index Values Based on Total Sleep Time ? Hypopneas scored \r\nbased on 3% or greater desaturation ? UH + CH +OH = Hypopnea \r\nTotal\r\n\r\n\r\n\r\nDuring this time, 9 desaturations occurred during the study. \r\nDesaturations were based on 3% or greater drop from baseline. The \r\nlowest SaO2 was 87% with an average of 94%. The minimum SpO2 \r\nvalue during sleep was 87%. The duration of SpO2 less than 90% \r\nwas 5.2 minutes. Last, the minimum SpO2 value associated with a \r\nrespiratory event was 88%.\r\n\r\nOXYGEN SATURATION \r\n WAKE NREM REM TIB TST \r\n# of Desats 0 6 3 9 9.00 \r\nMean SpO2%: 95 94 93 94 93.50 \r\nMin. SpO2%: 87 87 \r\n <88% (min): 0.1 0.2 1.0 1.3 1.20 \r\n WAKE NREM REM TIB TST \r\n Time Time Time Time Time \r\n Min. % Min. % Min. % Min. % Min. % \r\n90 - 100%: 144.10 96.71 307.50 99.29 120.90 97.50 572.50 98.25 \r\n428.40 98.78 \r\n80 - 89%: 0.60 0.40 1.30 0.42 2.20 1.77 4.10 0.70 3.50 0.81 \r\n70 - 79%: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 \r\n60 - 69%: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 \r\n50 - 59%: 0.00 0.00 0.00 0.00 -0.90 -0.73 0.00 0.00 0.00 0.00 \r\n< 50%: 0.0 0.0 0.2 0.0 0.9 0.2 1.1 0.2 1.10 0.25 \r\nArtifact / Bad Data: 4.3 2.89 0.7 0.23 0.0 0.00 5.0 0.86 0.70 \r\n0.16 \r\n\r\n\r\nThe highest CO2 during TIB was 53. The average CO2 during \r\nwakefulness was 39 mm Hg. The average CO2 during sleep was 37.00 \r\nmm Hg. The duration of CO2 greater than 45mm Hg was 8.2 minutes.\r\n\r\nEtCO2 distribution\r\n(all durations are in minutes)\r\n W REM NREM Total \r\n>=75 0.0 0.0 0.0 0.0 \r\n>=65 0.0 0.0 0.0 0.0 \r\n>=55 0.0 0.0 0.0 0.0 \r\n>=50 0.6 0.0 0.2 0.8 \r\n>=47 4.6 0.1 1.1 5.8 \r\n>=40 16.3 12.2 100.2 128.7 \r\n>=30 39.7 120.5 275.5 435.7 \r\n>45 5.7 0.4 2.1 8.2 \r\nRejected 109.3 3.5 34.2 147.0 \r\nAverage 39 36 38 38 \r\n\r\nHighest EtCO2 during TIB :53 \r\nTotal number of Hypercapnia events during TIB :0 \r\n\r\n\r\nCardiac Data\r\nThe average pulse rate during sleep was 101.5 bpm. The highest \r\npulse rate during sleep (TST) was 114 bpm. The highest heart rate \r\nduring recording (TIB) was 114 bpm. The lowest heart rate during \r\nsleep (TST) was 7 bpm. There were no arrhythmias. \r\n\r\nArousal Statistics\r\nA total of 16 arousals (2.2/hour) were observed during the \r\nanalysis period as follows, 0 respiratory arousals, 11 Leg \r\nMovement arousals, 5 spontaneous arousals and 0 snore arousals.\r\n\r\nPLM Statistics\r\nThere were 14 PLMS with a PLMS Index of 1.9/hour. 3 PLMS arousals \r\nwith a PLMS arousal index of 0.4/hour.\r\n\r\n\r\n\r\n\r\n\r\n\r\nDiagnosis\r\nSleep Apnea\r\n\r\nImpressions\r\nPrimarily mixed sleep apnea with desaturation to 92% requiring \r\nresumption of CPAP 5cm H2O at 10:52PM.\r\nPatient had an overall AHI of 2.4/hour. \r\nPatient's sleep efficiency was decreased.\r\nPatient's sleep architecture was abnormal due to decreased slow \r\nwave sleep.\r\nThere were few periodic limb movements during the procedure.","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:20 PM"},"impression":{"isRTF":false,"hasContent":false,"contentAsString":"","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:20 PM"},"combinedRTFNarrativeImpression":{"isRTF":false,"hasContent":false,"contentAsString":"","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:20 PM"},"addenda":[],"isFullResultText":false,"transcriptions":[],"ecgDiagnosis":[],"hasStudyContent":true},"shouldHideHistoricalData":true,"resultNote":{"isRTF":false,"hasContent":false,"contentAsString":"","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:20 PM"},"hiddenProxies":"","reportDetails":{"isDownloadablePDFReport":false,"reportID":"","openRemotely":false,"reportContext":"","reportVars":{"ordId":"WP-24FappzH3sAGmYdy-2FEyJmAcw-3D-3D-24LPGz3SEdQW9I5gBk7qod1zC7bk-2Fzn1THpH8ZZSJGOfY-3D","ordDat":"WP-24hcBrrcMsP2rqGRz9kokTgg-3D-3D-24M0p9cCj-2FHwRhKxe6DygZtdRpr1TMy96Gjj7-2F7TP6bsU-3D"}},"scans":[],"imageStudies":[],"indicators":[],"geneticProfileLink":"/app/genetic-profile","shareEverywhereLogin":false,"showProviderNotReviewed":false,"providerComments":[],"resultLetter":{"isRTF":false,"hasContent":false,"contentAsString":"","contentAsHtml":"","signingInstantTimestamp":"12/12/2025 4:20 PM"},"warningType":"","warningMessage":"","variants":[],"tooManyVariants":false,"hasComment":false,"hasAllDetails":true,"isAbnormal":false,"baseSingleMessageUrl":"/app/communication-center/conversation?id=","fullMultipleMessagesUrl":"/app/communication-center?filterType=testResults&filterKey=WP-24FappzH3sAGmYdy-2FEyJmAcw-3D-3D-24LPGz3SEdQW9I5gBk7qod1zC7bk-2Fzn1THpH8ZZSJGOfY-3D","relatedConversationIds":[]}],"orderLimitReached":false,"ordersDeduplicated":false,"isEnhancedAskAQuestionActive":false,"hideEncInfo":false} |