AASM criteria for scoring respiratory events: Interaction between apnea sensor and hypopnea definition

Sleep

Volumn 35, Issue 3, 2012, Pages 425-432

  Thornton, Andrew T ^a   Singh, Parmjit ^a   Ruehland, Warren R ^b   Rochford, Peter D ^b  

^a ROYAL ADELAIDE HOSPITAL   (Australia)

^b AUSTIN HEALTH   (Australia)

Author keywords

AASM guidelines; Apnea; Diagnosis; Hypopnea; Methodology; Nasal pressure sensor; Obstructive sleep apnea; Polysomnography; Scoring; Sleep disordered breathing; Thermal sensor

Indexed keywords

ADULT; APNEA; APNEA HYPOPNEA INDEX; APNEA INDEX; ARTICLE; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; NASAL PRESSURE SENSOR; POLYSOMNOGRAPHY; PRACTICE GUIDELINE; PRESSURE MEASUREMENT; PRESSURE TRANSDUCER; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SENSOR; TEMPERATURE MEASUREMENT; THERMAL SENSOR;

ADULT; FEMALE; HUMANS; MALE; MIDDLE AGED; NOSE; POLYSOMNOGRAPHY; PRACTICE GUIDELINES AS TOPIC; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; SLEEP APNEA, OBSTRUCTIVE; SOCIETIES, MEDICAL; SOUTH AUSTRALIA; TRANSDUCERS, PRESSURE; UNITED STATES;

EID: 84858613399     PISSN: 01618105     EISSN: 15509109     Source Type: Journal    
DOI: 10.5665/sleep.1710     Document Type: Article

References (39)

1. st ed. Westchester, IL: American Academy of Sleep Medicine; 2007.
2. Parrino L, Ferri R, Zucconi M, Fanfulla F. Commentary from the Italian Association of Sleep Medicine on the AASM manual for the scoring of sleep and related events: For debate and discussion. Sleep Med 2009;10:799-808.
3. Lee-Chiong T. New Sleep Scoring Guidelines. American College of Chest Physicians: Pulmonary, Critical Care, Sleep Update 2008; Volume 22. Available at: http://www.chestnet.org/accp/pccsu/new-sleep-scoring-guidelines?page=0,3. Accessed: October 26, 2011.
4. Cardozo JS. New AASM recommendations for sensors: a simple guide for the sleep technologist. Sleep Diagnosis Therap 2008;3:21.
5. Moser D, Anderer P, Gruber G, et al. Sleep classification according to AASM and Rechtschaffen & Kales: effects on sleep scoring parameters. Sleep 2009; 32:139-49.
6. Ruehland WR, Rochford PD, O'Donoghue FJ, Pierce RJ, Singh P, Thornton AT. The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Sleep 2009;32:150-7.
7. Grigg-Damberger MM, The AASM scoring manual: a critical appraisal. Curr Opin Pulm Med 2009;15:540-9.
8. Guilleminault C, Hagen CC, Huynh NT. Comparison of hypopnea definitions in lean patients with known obstructive sleep apnea hypopnea syndrome (OSAHS). Sleep Breath 2009;13:341-7.
9. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667-89.
10. Norman RG, Ahmed MM, Walsleben JA, Rapoport DM. Detection of respiratory events during NPSG: nasal cannula/pressure sensor versus thermistor. Sleep 1997;20:1175-84. (Pubitemid 28082312)
11. Budhiraja R, Goodwin JL, Parthasarathy S, Quan SF. Comparison of nasal pressure transducer and thermistor for detection of respiratory events during polysomnography in children. Sleep 2005;28:1117-21. (Pubitemid 41279509)
12. Thorpy M, Chesson A, Ferber R, et al. Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice. Sleep 1994;17:378-92. (Pubitemid 24234001)
13. Portable Monitoring Task Force of the American Academy of Sleep Medicine Task Force. Collop NA, Anderson WM, Boehlecke B, et al. Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. J Clin Sleep Med 2007;3:737-47
14. Qsleep. External proficiency testing program for polysomnography scoring. Available at www.qsleep.com.au. Accessed on October 26, 2011.
15. Rechtschaffen A, Kales A. A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects. Los Angeles, CA: University of California, Brain Information Service/Brain Research Institute; 1968.
16. Bonnet MH, Carley D, Carskadon M, et al. EEG arousals: scoring rules and examples. Sleep 1992;15:173-84.
17. Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res 1999;8:135-160. (Pubitemid 29425900)
18. Berg S, Haight JS, Yap V, Hoffstein V, Cole P. Comparison of direct and indirect measurements of respiratory airflow: implications for hypopneas. Sleep 1997;20:60-4. (Pubitemid 27176322)
19. Farre R, Montserrat JM, Rotger M, Ballester E, Navajas D. Accuracy of thermistors and thermocouples as flow-measuring devices for detecting hypopnoeas. Eur Respir J 1998;11:179-82. (Pubitemid 28081815)
20. Epstein MD, Chicoine SA, Hanumara RC. Detection of upper airway resistance syndrome using a nasal cannula/pressure transducer. Chest 2000;117:1073-7. (Pubitemid 30228366)
21. Hernandez L, Ballester E, Farre R, et al. Performance of nasal prongs in sleep studies: spectrum of flow-related events. Chest 2001;119:442-50. (Pubitemid 32163755)
22. Norman RG, Ahmed MM, Walsleben JA, Rapoport DM. Detection of respiratory events during NPSG: nasal cannula/pressure sensor versus thermistor. Sleep 1997;20:1175-84. (Pubitemid 28082312)
23. Teichtahl H, Cunnington D, Cherry G, Wang D. Scoring polysomnography respiratory events: the utility of nasal pressure and oronasal thermal sensor recordings. Sleep Med 2003;4:419-25. (Pubitemid 37193025)
24. BaHammam A. Comparison of nasal prong pressure and thermistor measurements for detecting respiratory events during sleep. Respiration 2004;71:385-90.
25. Redline S, Budhiraja R, Kapur V, et al. The scoring of respiratory events in sleep: reliability and validity. J Clin Sleep Med 2007;3:169-200. (Pubitemid 46649106)
26. Guyatt AR, Parker SP, McBride MJ; measurement of human nasal ventilation using an oxygen cannula as a Pitot tube. Am Rev Respir Dis 1984;126:434-8. (Pubitemid 12022903)
27. Heitman SJ, Atkar RS, Hajduk EA, Wanner RA, Flemons WW. Validation of nasal pressure for the identification of apneas/hypopneas during sleep. Am J Respir Crit Care Med 2002;166:386-91. (Pubitemid 34864432)
28. Ballester E, Badia JR, Hernandez L, Farre R, Navajas D, Montserrat JM. Nasal prongs in the detection of sleep-related disordered breathing in the sleep apnoea/hypopnoea syndrome. Eur Respir J 1998;11:880-3. (Pubitemid 28231281)
29. Farre R, Montserrat JM, Rotger M, Ballester E, Navajas D. Accuracy of thermistors and thermocouples as flow-measuring devices for detecting hypopnoeas. Eur Respir J 1998;11:179-82. (Pubitemid 28081815)
30. Epstein MD, Chicoine SA, Hanumara RC. Detection of upper airway resistance syndrome using a nasal cannula/pressure transducer. Chest 2000;117:1073-7. (Pubitemid 30228366)
31. Hernandez L, Ballester E, Farre R, et al. Performance of nasal prongs in sleep studies: spectrum of flow-related events. Chest 2001;119:442-50. (Pubitemid 32163755)
32. Heitman SJ, Atkar RS, Hajduk EA, Wanner RA, Flemons WW. Validation of nasal pressure for the identification of apneas/hypopneas during sleep. Am J Respir Crit Care Med 2002;166:386-91. (Pubitemid 34864432)
33. Series F, Marc I. Nasal pressure recording in the diagnosis of sleep apnoea hypopnoea syndrome. Thorax 1999;54:506-10. (Pubitemid 29241622)
34. Ayappa I, Norman RG, Krieger AC, Rosen A, O'Malley R L, Rapoport DM. Non-invasive detection of respiratory effort-related arousals (RERAs) by a nasal cannula/pressure transducer system. Sleep 2000;23:763-71.
35. Hosselet JJ, Norman RG, Ayappa I, Rapoport DM. Detection of flow limitation with a nasal cannula/pressure transducer system. Am J Respir Crit Care Med 1998;157:1461-7.
36. Muzumdar H, Arens R. Diagnostic issues in paediatric obstructive sleep apnea. Proc Am Thor Soc 2008;5:263-73. (Pubitemid 351237886)
37. Madronio MR, Di Somma E, Stavrinou R, et al. Older individuals have increased oro-nasal breathing during sleep. Eur Respir J 2004;24:71-7. (Pubitemid 39029071)
38. Fitzpatrick MF, Driver HS, Chatha N, Voduc N, Girard AM. Partitioning of inhaled ventilation between the nasal and oral routes during sleep in normal subjects. J Appl Physiol 2003;94:883-90. (Pubitemid 36231999)
39. Koutsourelakis I, Vagiakis E, Roussos C, Zakynthinos S. Obstructive sleep apnoea and oral breathing in patients free of nasal obstruction. Eur Respir J 2006;28:1222-8. (Pubitemid 44883860)