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Updated: Jan 16, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Unrefreshing sleep following polysomnography: An analysis of daily habits and sleep metrics
Hiromitsu Sekizuka1,2, Tsuyoshi Saitoh1, Yoshiaki Ono1
1Yokohama Respiratory Clinic, Kanagawa, Japan.
Objective:
Among subjects undergoing polysomnography (PSG), some subjects complain of unrefreshing sleep (URS) after in-laboratory PSG (lab-PSG). The purpose of this study was to clarify whether there are differences in the backgrounds of such subjects and their polysomnographic findings.
Methods:
We asked subjects undergoing lab-PSG for the diagnosis of sleep-related breathing disorders whether they had URS immediately after lab-PSG (PSG-URS) and compared their backgrounds and polysomnographic findings.
Results:
We conducted an analysis of 151 subjects undergoing lab-PSG. Multivariate analysis demonstrated that the presence of smoking up to six hours before PSG, total sleep time (TST), sleep efficiency (SE), sleep latency (SL), and wake time after sleep onset (WASO) were independent determinants of PSG-URS after adjusting for some factors.
Conclusion:
Smoking up to 6 hours before PSG and short TST, small SE, long SL, and long WASO in PSG were significantly associated with the presence of PSG-URS.
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