Exclusion of EEG-based arousals in wake epochs of polysomnography leads to underestimation of the arousal index.
analysis
arousal
continuous
epoch
polysomnography
wake
Journal
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977
Informations de publication
Date de publication:
01 05 2022
01 05 2022
Historique:
pubmed:
14
1
2022
medline:
3
5
2022
entrez:
13
1
2022
Statut:
ppublish
Résumé
There is an internal contradiction in current American Academy of Sleep Medicine standards for arousal index (AI) calculation in polysomnography: Arousals in sleep and wake epochs are counted, but only sleep time is used in the denominator. This study aimed to investigate the impact of including arousals scored in wake epochs on the AI. We compared AIs including (AI The median (interquartile range) increase in AI There was a notable increase in AI when we included wake-epoch arousals, particularly in patients with more severe obstructive sleep apnea or reduced sleep efficiency. However, the AI including wake-epoch arousals best matched the "true" continuous sleep-scoring AI. Our study informs clinical and research practice, highlights epoch scoring pitfalls, and supports the current American Academy of Sleep Medicine standard arousal reporting approach for future standards. Wilson DL, Tolson J, Churchward TJ, Melehan K, O'Donoghue FJ, Ruehland WR. Exclusion of EEG-based arousals in wake epochs of polysomnography leads to underestimation of the arousal index.
Identifiants
pubmed: 35022129
pii: jcsm.9878
doi: 10.5664/jcsm.9878
pmc: PMC9059578
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1385-1393Informations de copyright
© 2022 American Academy of Sleep Medicine.
Références
J Clin Sleep Med. 2007 Apr 15;3(3):271-4
pubmed: 17561594
J Korean Med Sci. 2001 Dec;16(6):707-11
pubmed: 11748349
J Appl Physiol (1985). 1993 Mar;74(3):1123-30
pubmed: 8482650
Clin Neurophysiol. 2006 Apr;117(4):731-9
pubmed: 16458068
Sleep Med. 2019 Oct;62:86-91
pubmed: 30975558
Sleep. 2000 Nov 1;23(7):901-8
pubmed: 11083599
J Sleep Res. 1993 Sep;2(3):179-185
pubmed: 10607092
Sleep. 1992 Apr;15(2):173-84
pubmed: 11032543
Sleep. 1999 Aug 1;22(5):667-89
pubmed: 10450601
Sleep. 1996 Dec;19(10 Suppl):S193-5
pubmed: 9085508
J Sleep Res. 1996 Dec;5(4):201-10
pubmed: 9065871
J Clin Sleep Med. 2007 Mar 15;3(2):133-45
pubmed: 17557423
J Clin Sleep Med. 2008 Apr 15;4(2):99-103
pubmed: 18468306
Sleep Breath. 2011 Sep;15(3):385-92
pubmed: 20386991
J Clin Sleep Med. 2007 Mar 15;3(2):121-31
pubmed: 17557422
Sleep Med. 2017 Aug;36 Suppl 1:S2-S22
pubmed: 28648224
Curr Hypertens Rep. 2012 Oct;14(5):442-8
pubmed: 22846982
Sleep. 2020 Jan 13;43(1):
pubmed: 31328230
Sleep. 2004 Aug 1;27(5):990-5
pubmed: 15453560
Sleep Med Clin. 2016 Dec;11(4):435-444
pubmed: 28118868
Sleep. 1984;7(1):18-26
pubmed: 6718922