Talk to your physician
Your treatment plan should be made with a clinician who can review your full sleep test results. If you don't have a sleep medicine doctor yet, your primary care physician can refer you.
How to find oneWhat does your AHI mean?
Enter your AHI (Apnea-Hypopnea Index) from your sleep test report to see what it means and what your treatment options look like. Educational tool. Talk to your physician about your specific results.
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Severe OSA
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AHI 44 falls in the Severe OSA range per AASM scoring criteria.
Educational tool. Not medical advice. Severity tiers reflect criteria from the American Academy of Sleep Medicine. This tool does not diagnose sleep apnea. Talk to your physician about your sleep test results and treatment options.
AHI 44: Severe OSA
CPAP is first-line at this severity, and physicians typically recommend treating without delay.
Refine your interpretation
Optional. Adding details from your sleep test report tailors the recommendations below to your specific case.
Refine your interpretation
Optional. Adding details from your sleep test report tailors the recommendations below to your specific case.
What this means
An AHI of 30 or more events per hour falls into the severe obstructive sleep apnea (OSA) range per AASM scoring criteria. This means you experience 30 or more apneas or hypopneas per hour of sleep on average. That's substantial disruption, and physicians typically recommend treating without delay.
CPAP (continuous positive airway pressure) is the first-line treatment at this severity. It is the most effective therapy for severe OSA and reliably reduces AHI to normal or near-normal levels for the majority of patients who use it consistently. Oral appliance therapy (OAT) may be considered for patients who cannot tolerate CPAP, but its effectiveness drops as severity increases.
For severe OSA that doesn't respond to CPAP or OAT, additional options include hypoglossal nerve stimulation (e.g., the Inspire device) for select patients, and various surgical approaches evaluated by a sleep surgeon. Most patients see meaningful improvement with consistent CPAP use; the main barriers are typically tolerability and adherence, both of which a sleep medicine specialist can help you troubleshoot.
Untreated severe OSA carries substantial cardiovascular, cognitive, and quality-of-life risks. Talk to your physician promptly about starting treatment, and consider asking for a referral to a board-certified sleep medicine specialist if you don't already see one.
Treatment landscape at this severity
At severe OSA severity, CPAP (continuous positive airway pressure) is the first-line treatment. It is the most effective therapy at this severity and reliably brings AHI to normal or near-normal levels for the majority of patients who use it consistently.
Oral appliance therapy (OAT) may be considered for patients who can't tolerate CPAP, but its effectiveness drops as severity increases. For severe OSA that doesn't respond to either CPAP or OAT, additional options include hypoglossal nerve stimulation (e.g., the Inspire device) for select candidates, and various surgical approaches evaluated by a sleep surgeon. The main barriers to CPAP success are typically tolerability and adherence, both of which a sleep medicine specialist can help troubleshoot.
What to do next
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