Polysomnography vs Self-reported Measures in Patients With Sleep Apnea

Abstract

Background: While obstructive sleep apnea syndrome is defined by both polysomnographic (PSG) abnormalities and symptoms, severity is quantified primarily by the apneahypopnea index (AHI) alone. Objective: To determine the correlation between standard PSG indices (AHI and others) and self-reported sleepiness, mental health status, and general health in patients with sleep apnea.

Treatment choice by patients with obstructive sleep apnea: data from two centers in China

“…Lower ESS score might be explained by several aspects: (I) the majority of the study sample was <60 years of age (83.79%); (II) taking naps after lunch is considered as a norm in China; (III) majority of Chinese people do not drive a car; (IV) relatively low literacy level (23). These findings were consistent with previous studies showing poor correlation between polysomnographic measures with excessive daytime somnolence, patient-perceived sleep quality, depression, and quality of life (24)(25)(26)(27). Our data first confirmed that patients who consider their condition not sufficiently serious, but not PSG-measured OSA severity, was the main factor that may have contributed to their decision for OSA treatment.…”

Treatment choice by patients with obstructive sleep apnea: data from two centers in China

“…Lower ESS score might be explained by several aspects: (I) the majority of the study sample was <60 years of age (83.79%); (II) taking naps after lunch is considered as a norm in China; (III) majority of Chinese people do not drive a car; (IV) relatively low literacy level (23). These findings were consistent with previous studies showing poor correlation between polysomnographic measures with excessive daytime somnolence, patient-perceived sleep quality, depression, and quality of life (24)(25)(26)(27). Our data first confirmed that patients who consider their condition not sufficiently serious, but not PSG-measured OSA severity, was the main factor that may have contributed to their decision for OSA treatment.…”

Polysomnography indexes are discordant with quality of life, symptoms, and reaction times in sleep apnea patients

“…Standard baseline PSG indexes correlate poorly with other measures of OSAS burden. These results are consistent with prior studies showing poor pre‐treatment correlation between PSG and other measures in distinct clinical samples, 7,8 and this study extends these results to include objective measures of function (reaction times). Moreover, the changes in PSG indices correlate poorly with changes in other measures important to OSAS, including subjective sleepiness, OSAS‐related quality of life, general health status, and function (reaction times).…”

Fatigue and sleepiness determine respiratory quality of life among veterans evaluated for sleep apnea

“…Although untreated OSA may be associated with poorer sleep-specific quality of life, both general population and sleep clinic-based studies have reported inconsistent associations between OSA severity and generic physical HRQL [5–7, 9–11, 30, 31]. Additionally, studies evaluating symptomatic patients referred for OSA assessment report similar findings to our investigation.…”

Treatment choice by patients with obstructive sleep apnea: data from two centers in China

“…Lower ESS score might be explained by several aspects: (I) the majority of the study sample was <60 years of age (83.79%); (II) taking naps after lunch is considered as a norm in China; (III) majority of Chinese people do not drive a car; (IV) relatively low literacy level (23). These findings were consistent with previous studies showing poor correlation between polysomnographic measures with excessive daytime somnolence, patient-perceived sleep quality, depression, and quality of life (24)(25)(26)(27). Our data first confirmed that patients who consider their condition not sufficiently serious, but not PSG-measured OSA severity, was the main factor that may have contributed to their decision for OSA treatment.…”

Polysomnography indexes are discordant with quality of life, symptoms, and reaction times in sleep apnea patients

“…Standard baseline PSG indexes correlate poorly with other measures of OSAS burden. These results are consistent with prior studies showing poor pre‐treatment correlation between PSG and other measures in distinct clinical samples, 7,8 and this study extends these results to include objective measures of function (reaction times). Moreover, the changes in PSG indices correlate poorly with changes in other measures important to OSAS, including subjective sleepiness, OSAS‐related quality of life, general health status, and function (reaction times).…”

Fatigue and sleepiness determine respiratory quality of life among veterans evaluated for sleep apnea

“…Although untreated OSA may be associated with poorer sleep-specific quality of life, both general population and sleep clinic-based studies have reported inconsistent associations between OSA severity and generic physical HRQL [5–7, 9–11, 30, 31]. Additionally, studies evaluating symptomatic patients referred for OSA assessment report similar findings to our investigation.…”

Treatment choice by patients with obstructive sleep apnea: data from two centers in China

“…Lower ESS score might be explained by several aspects: (I) the majority of the study sample was <60 years of age (83.79%); (II) taking naps after lunch is considered as a norm in China; (III) majority of Chinese people do not drive a car; (IV) relatively low literacy level (23). These findings were consistent with previous studies showing poor correlation between polysomnographic measures with excessive daytime somnolence, patient-perceived sleep quality, depression, and quality of life (24)(25)(26)(27). Our data first confirmed that patients who consider their condition not sufficiently serious, but not PSG-measured OSA severity, was the main factor that may have contributed to their decision for OSA treatment.…”

Polysomnography indexes are discordant with quality of life, symptoms, and reaction times in sleep apnea patients

“…Standard baseline PSG indexes correlate poorly with other measures of OSAS burden. These results are consistent with prior studies showing poor pre‐treatment correlation between PSG and other measures in distinct clinical samples, 7,8 and this study extends these results to include objective measures of function (reaction times). Moreover, the changes in PSG indices correlate poorly with changes in other measures important to OSAS, including subjective sleepiness, OSAS‐related quality of life, general health status, and function (reaction times).…”

Fatigue and sleepiness determine respiratory quality of life among veterans evaluated for sleep apnea

“…Although untreated OSA may be associated with poorer sleep-specific quality of life, both general population and sleep clinic-based studies have reported inconsistent associations between OSA severity and generic physical HRQL [5–7, 9–11, 30, 31]. Additionally, studies evaluating symptomatic patients referred for OSA assessment report similar findings to our investigation.…”