Patients with the sleep apnoea/hypopnoea syndrome (SANS) have impaired dayt
ime function with demonstrable sleepiness and impaired cognition, The hypot
hesis that brief arousals From sleep cause these daytime impairments was te
sted.
One hundred and fifty patients with sleep disordered breathing were studied
prospectively, comparing overnight polysomnography with daytime measures o
f objective sleepiness, psychological well-being and cognitive performance.
Significant, but weak (r(2)<0.1), relatonships were seen between several no
cturnal measures (apnoea/hypopnoea index, arousals and desaturation variabl
es) and daytime measures of quality of life, well-being, subjective sleepin
ess, symptoms and cognitive performance,The only significant relationship b
etween nocturnal variables and objective sleepiness was a very weak correla
tion (r(2)<0.05) between the lowest oxygen saturation and mean maintenance
of wakefulness test (MWT) result, The MWT was better correlated with daytim
e function than the multiple sleep latency test. This study shows a lack of
strong relationships between conventional nocturnalvariables and objective
sleepiness was a very weak correlation (r(2)<0.05) between the lowest oxyg
en saturation and mean maintenance of wakefulness test (MWT) result, The MW
T was better correlated with daytime function than the multiple sleep laten
cy test.
This study shows a lack of strong relationships between conventional noctur
nal measures and daytime function in patients with sleep disordered breathi
ng.