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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Sleep Perception in Obstructive Sleep Apnea: A Study Using Polysomnography and the Multiple Sleep Latency Test.

Hyunwoo Nam1, Jae Sung Lim2, Jun Soon Kim1

  • 1Department of Neurology, Seoul National University Boramae Hospital, Seoul, Korea.

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|April 14, 2016
PubMed
Summary

Patients with obstructive sleep apnea (OSA) may perceive poor sleep despite objective findings of good sleep. Factors like daytime sleepiness and dreaming influence this sleep perception discrepancy in OSA.

Keywords:
multiple sleep latency testobstructive sleep apneapolysomnographysleep perception

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Area of Science:

  • Sleep Medicine
  • Neurology

Background:

  • Sleep-state misperception is documented in insomnia but understudied in obstructive sleep apnea (OSA).
  • Understanding sleep perception discrepancies is crucial for managing OSA patients.

Purpose of the Study:

  • To identify factors influencing sleep-state misperception in OSA patients.
  • To explore potential underlying mechanisms of this discrepancy.

Main Methods:

  • Recruited 50 OSA patients from a sleep clinic.
  • Collected data via questionnaires, polysomnography, and multiple sleep latency tests (MSLT).
  • Categorized patients into normal and abnormal sleep perception groups based on perceived vs. measured sleep time.

Main Results:

  • Excessive daytime sleepiness, periodic limb movement index (PLMI), and dreaming correlated with poor sleep perception.
  • REM sleep near sleep termination and prolonged initial MSLT sleep latency suggested a delayed sleep phase in poor perceivers.
  • Respiratory disturbance parameters did not correlate with sleep perception.

Conclusions:

  • Objective sleep quality may not align with subjective perception in OSA.
  • Physicians must recognize that good self-reported sleep does not indicate less severe OSA.