Obstructive sleep apnea is a common disorder associated with significant cardiovascular and metabolic risks. Polysomnography is considered the gold standard for diagnosis and severity assessment; however, it may not fully reflect symptom burden and comorbidity profiles. The Baveno classification has been proposed as a multidimensional clinical tool that integrates symptoms and comorbidities to guide treatment decisions. This retrospective study aims to evaluate the agreement between the Baveno classification and polysomnography results in patients with obstructive sleep apnea. The study includes adult patients who underwent overnight polysomnography between January 2016 and June 2024. Clinical data, including symptom burden and comorbid conditions, were collected from medical records and used to classify patients according to the Baveno system. The primary objective is to assess the concordance between the Baveno classification and polysomnography-based disease severity and treatment recommendations. Secondary analyses explore the distribution of disease severity across Baveno groups and the potential implications for clinical decision-making. The findings of this study may provide insight into the clinical utility of the Baveno classification as a complementary tool to polysomnography in the management of obstructive sleep apnea.
Age range
18 Years – 80 Years
Sex
ALL
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Concordance between PSG-based and Baveno-based PAP treatment indication
Timeframe: Time Frame: Baseline sleep study assessment
Apnea-Hypopnea Index (AHI)
Timeframe: Time Frame: Baseline sleep study assessment
Epworth Sleepiness Scale (ESS) score
Timeframe: Time Frame: Baseline clinical evaluation
Oxygen Desaturation Index (ODI)
Timeframe: Time Frame: Baseline sleep study assessment
Minimum Oxygen Saturation (Minimum SpO₂)
Timeframe: Time Frame: Baseline sleep study assessment