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The apnea-hypopnea index (AHI) counts the number of these events per hour of sleep: Mild OSA : 5 to 14 events per hour Moderate OSA : 15 to 29 events per hour Severe OSA : 30 or more events per hour OSA fragments sleep architecture, reduces blood oxygen levels, and triggers a stress response each time the body wakes enough to reopen the airway