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West J Med. 1981 July; 135(1): 14–18.
PMCID: PMC1272908

Benefits of a Sleep Disorders Clinic in a Veterans Administration Medical Center


The Sleep Disorders Clinic at the San Diego Veterans Administration Medical Center provides a diagnostic service within a public hospital. Case records of the first 117 patients receiving polysomnograms in our clinic were reviewed. Of these patients, 44 percent were found to have sleep apnea, 24 percent nocturnal myoclonus and 8 percent narcolepsy. Our experience shows that in a health maintenance organization, a sleep disorders clinic provides diagnostic information (based on a polysomnogram and a sleep history) which is very helpful in the final diagnosis of medical disorders. Very few recordings were noncontributory. In this setting, a sleep disorders clinic is justified by its rich diagnostic yield.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Soldatos CR, Kales A, Kales JD. Management of insomnia. Annu Rev Med. 1979;30:301–312. [PubMed]
  • Moloney TW, Rogers DE. Medical technology -- a different view of the contentious debate over costs. N Engl J Med. 1979 Dec 27;301(26):1413–1419. [PubMed]
  • Mitler MM, Van den Hoed J, Carskadon MA, Richardson G, Park R, Guilleminault C, Dement WC. REM sleep episodes during the Multple Sleep Latency Test in narcoleptic patients. Electroencephalogr Clin Neurophysiol. 1979 Apr;46(4):479–481. [PMC free article] [PubMed]

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