Table 1

Vital signs and sleep variables

Sea level (130 m)Moderate altitude (1300 m)High altitude (3500 m)High altitude %Δ from seap Value
Mean daytime oxygen saturation (SpO2; %)*98 (98, 99)NA90 (87, 91)†−9.17 (2.1)0.004
Mean overnight oxygen saturation (SpO2; %)* ‡ §97 (96, 98)94 (92, 97)†87(85, 88)† ¶−11.1 (2.9)<0.0005
Minimum oxygen saturation (SpO2; %)* ‡92 (89, 93)84 (78, 94)*79 (76, 80)† ¶−14.4 (7.7)<0.0005
Number of oxygen desaturations per hour* ‡0.2 (0, 1.2)4.9 (2, 12)*10.0 (4, 22)† ¶<0.0005
Number of central apnoeas per hour* **0.2 (0, 1.2)1.2 (0.7, 3.2)3.5 (1.1, 5.7)†0.2
Periodic breathing (% TST)* **0.0 (0, 0.3)0 (0, 1.2)0.2 (0, 1.15)†0.5
Daytime EtCO2 (mmHg)42.7 (40, 45)NA36.0 (34, 38)†−16 (5.1)0.004
Daytime respiratory rate (breaths per min)21 (20, 24)NA23 (22, 26)†8.2 (7.0)0.01
Daytime heart rate (bpm)78 (72, 85)NA97 (87, 109)†26.7 (16.3)0.004
  • *For the sleep and respiratory variables, transformation did not redress distributional problems, so data are presented as median and IQR (25th and 75th centiles), and were compared using Wilcoxon signed-rank test where there were no data at mid-altitude, or Friedman's ANOVA where data were available at all three altitudes, with posthoc testing using the Wilcoxon signed-rank test. p Values refer to significant change across all three altitudes.

  • †Significantly different from 130 m.

  • ‡(η2) for mean overnight oxygen saturation=16.2, for minimum oxygen saturation=13.8 and for number of oxygen desaturations per hour=16.2.

  • §n=7 at moderate altitude.

  • ¶Significantly different from 1300 m.

  • **n=3 at moderate altitude, n=8 at high altitude.

  • EtCO2, end-tidal pCO2; TST, total sleep time; NA, equipment failure.