TY  - JOUR
AU  - Muza, Rexford
AU  - Lykouras, Dimosthenis
AU  - Rees, Kate
PY  - 2016
TI  - The utility of a 5 th  nap in multiple sleep latency test
JF  - Journal of Thoracic Disease; Vol 8, No 2 (February 01, 2016): Journal of Thoracic Disease [(dedicated to) the International Conference: Clinical Update Sleep 2016]
Y2  - 2016
KW  - 
N2  -  Background:  This is the first study that aimed to look specifically at the utility of the 5 th  nap in the multiple sleep latency test (MSLT), a test used to assist in the diagnosis of narcolepsy.   Methods:  Data was retrospectively collected from the Sleep Disorders Centre of a Tertiary Hospital on patients that had a 5 th  nap during their MSLT from the 08 th  November 2011 to 12 th  November 2014.   Results:  Fifty-three patients had a 5 th  nap performed out of 378 MSLT studies. In 16% of cases a diagnosis of narcolepsy was given directly due to the inclusion of the 5 th  nap on the MSLT. Here a 5 th  nap allowed diagnostic criteria of mean sleep latency  2 SOREMPS to be met. In 53% of cases the mean sleep latency increased due to 5 th  nap inclusion; the mean sleep latency of the first four naps was 5.6  vs.  6.7 after inclusion of the 5 th  nap.   Conclusions:  The 5 th  nap is not often performed within the MSLT studies. Our study shows that only a few patients may benefit from a 5 th  nap opportunity which also led to increase of the mean sleep latency at the expense of extra time, cost, labour and increased patient anxiety.
UR  - https://jtd.amegroups.org/article/view/6331