The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography

© 2018 Springer International Publishing AG, part of Springer Nature Purpose: To determine the effect of temazepam on assessment of the severity of obstructive sleep apnea (OSA) by polysomnography (PSG). Methods: Analysis of diagnostic laboratory-PSG studies was performed in OSA patients who were ad...

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Main Authors: Walsh, J., Visser, C., Maddison, K., Bharat, C., Hillman, D., Eastwood, Peter
Format: Journal Article
Published: 2018
Online Access:http://hdl.handle.net/20.500.11937/67245
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author Walsh, J.
Visser, C.
Maddison, K.
Bharat, C.
Hillman, D.
Eastwood, Peter
author_facet Walsh, J.
Visser, C.
Maddison, K.
Bharat, C.
Hillman, D.
Eastwood, Peter
author_sort Walsh, J.
building Curtin Institutional Repository
collection Online Access
description © 2018 Springer International Publishing AG, part of Springer Nature Purpose: To determine the effect of temazepam on assessment of the severity of obstructive sleep apnea (OSA) by polysomnography (PSG). Methods: Analysis of diagnostic laboratory-PSG studies was performed in OSA patients who were administered temazepam (10 mg) to facilitate sleep (“temazepam group”, n = 73) and in OSA patients (matched for age, gender, body mass index and study date) in whom temazepam was not administered (“control group”, n = 73). Sleep- and respiratory-related variables were compared between the groups for the (i) first 3 h of study following temazepam in the temazepam group (when peak blood concentration is expected) or following lights out in the control group, and (ii) entire study duration. Results: Within the first 3 h, no differences in sleep-related variables were observed between the groups. Over the entire study duration, the temazepam group had a reduced total sleep time compared to the control group, likely due to the overnight sleep difficulties that led to its use. Whether measured during the first 3 h of study or over the entire study duration, no significant differences were detected between the groups for any respiratory-related variable, including apnea hypopnea index, arousal index, oxygen desaturation, apnea index, hypopnea index, and event duration. When patients were considered in terms of OSA severity, decreased arousal index was noted in the temazepam group over the entire study duration, but only in those with severe OSA. Conclusion: Oral administration of 10 mg of temazepam during the course of PSG does not systematically affect assessment of the severity of OSA by PSG.
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spelling curtin-20.500.11937-672452018-05-18T08:06:03Z The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography Walsh, J. Visser, C. Maddison, K. Bharat, C. Hillman, D. Eastwood, Peter © 2018 Springer International Publishing AG, part of Springer Nature Purpose: To determine the effect of temazepam on assessment of the severity of obstructive sleep apnea (OSA) by polysomnography (PSG). Methods: Analysis of diagnostic laboratory-PSG studies was performed in OSA patients who were administered temazepam (10 mg) to facilitate sleep (“temazepam group”, n = 73) and in OSA patients (matched for age, gender, body mass index and study date) in whom temazepam was not administered (“control group”, n = 73). Sleep- and respiratory-related variables were compared between the groups for the (i) first 3 h of study following temazepam in the temazepam group (when peak blood concentration is expected) or following lights out in the control group, and (ii) entire study duration. Results: Within the first 3 h, no differences in sleep-related variables were observed between the groups. Over the entire study duration, the temazepam group had a reduced total sleep time compared to the control group, likely due to the overnight sleep difficulties that led to its use. Whether measured during the first 3 h of study or over the entire study duration, no significant differences were detected between the groups for any respiratory-related variable, including apnea hypopnea index, arousal index, oxygen desaturation, apnea index, hypopnea index, and event duration. When patients were considered in terms of OSA severity, decreased arousal index was noted in the temazepam group over the entire study duration, but only in those with severe OSA. Conclusion: Oral administration of 10 mg of temazepam during the course of PSG does not systematically affect assessment of the severity of OSA by PSG. 2018 Journal Article http://hdl.handle.net/20.500.11937/67245 10.1007/s11325-018-1653-3 restricted
spellingShingle Walsh, J.
Visser, C.
Maddison, K.
Bharat, C.
Hillman, D.
Eastwood, Peter
The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography
title The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography
title_full The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography
title_fullStr The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography
title_full_unstemmed The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography
title_short The effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography
title_sort effect of temazepam on assessment of severity of obstructive sleep apnea by polysomnography
url http://hdl.handle.net/20.500.11937/67245