Outcome of patients with sleep complaints and normal polysomnograms

Cormac A. O'Donovan, Richard Rissmiller, Andrea Rinn, Shawn Fleming, James R. White, William Vaughn McCall

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Study Objective: To determine the outcome in patients with sleep complaints and normal polysomnograms (PSG). Background: PSG is used in the evaluation of persons with sleep complaints. There is a small amount of literature available on patients with sleep complaints and normal PSGs. Methods: PSGs interpreted as normal at the sleep laboratory at Wake Forest University Baptist Medical Center over a 3-year period were considered for inclusion. All PSG requests were screened for appropriateness. Follow-up data were obtained by structured telephone interview (within a period of 5 months of PSG) and chart review. This interview requested: (1) main sleep complaint, (2) diagnosis given by the ordering physician, (3) treatment for the sleep complaint, (4) further studies, and (5) overall satisfaction. Results: Forty-six patients were identified with a normal PSG, and 27 (58%) were successfully contacted for the telephone interview. Of these 27 patients, 8 were men and 19 were women. Fifty-two percent of patients were not given a diagnosis by the referring physician after their normal PSG to explain their sleep symptoms. Eight patients (29%) were offered treatment for their sleep complaints despite their normal PSGs. Twenty patients (74%) reported no change in their sleep quality since the PSG. Most patients (66%) did not find the PSG helpful. Conclusions: The majority of patients with sleep complaints and normal PSG were not given a clear diagnosis by the referring physician, and sleep complaints persist after a normal PSG. Further evaluation by a sleep specialist may be appropriate.

Original languageEnglish (US)
Pages (from-to)325-327
Number of pages3
JournalJournal of Clinical Sleep Medicine
Volume2
Issue number3
StatePublished - Jul 15 2006

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Sleep
Interviews
Physicians
Therapeutics

Keywords

  • Diagnosis
  • Polysomnogram
  • Sleep disorders

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

Cite this

O'Donovan, C. A., Rissmiller, R., Rinn, A., Fleming, S., White, J. R., & McCall, W. V. (2006). Outcome of patients with sleep complaints and normal polysomnograms. Journal of Clinical Sleep Medicine, 2(3), 325-327.

Outcome of patients with sleep complaints and normal polysomnograms. / O'Donovan, Cormac A.; Rissmiller, Richard; Rinn, Andrea; Fleming, Shawn; White, James R.; McCall, William Vaughn.

In: Journal of Clinical Sleep Medicine, Vol. 2, No. 3, 15.07.2006, p. 325-327.

Research output: Contribution to journalArticle

O'Donovan, CA, Rissmiller, R, Rinn, A, Fleming, S, White, JR & McCall, WV 2006, 'Outcome of patients with sleep complaints and normal polysomnograms', Journal of Clinical Sleep Medicine, vol. 2, no. 3, pp. 325-327.
O'Donovan CA, Rissmiller R, Rinn A, Fleming S, White JR, McCall WV. Outcome of patients with sleep complaints and normal polysomnograms. Journal of Clinical Sleep Medicine. 2006 Jul 15;2(3):325-327.
O'Donovan, Cormac A. ; Rissmiller, Richard ; Rinn, Andrea ; Fleming, Shawn ; White, James R. ; McCall, William Vaughn. / Outcome of patients with sleep complaints and normal polysomnograms. In: Journal of Clinical Sleep Medicine. 2006 ; Vol. 2, No. 3. pp. 325-327.
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