4.6 Article

Commentary from the Italian Association of Sleep Medicine on the AASM manual for the scoring of sleep and associated events: For debate and discussion

Journal

SLEEP MEDICINE
Volume 10, Issue 7, Pages 799-808

Publisher

ELSEVIER
DOI: 10.1016/j.sleep.2009.05.009

Keywords

Sleep; Scoring rules; Arousals; CAP; Sleep-related movements; Respiratory events

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In 2007, the American Academy of Sleep Medicine (AASM) completed a new manual for the scoring of sleep and associated events. The AASM manual is divided into separate sections relative to the parameters reported for polysomnography. The present commentary, accomplished by a Task Force of the Italian Association of Sleep Medicine, focuses on sleep scoring data, arousal rules, movement and respiratory events. Comparisons with the previous Rechtschaffen and Kales system are detailed and a number of methodological weaknesses are pointed out. Major comments address the 30-s scoring epochs, the restrictive approach to arousals and EEG activating patterns, the incomplete quantification of motor events and the thresholds for the definition of hypopnea. Since the new AASM manual is an iterative process, proposals for discussion and re-examination of the agreed criteria with other national and international organizations are encouraged. (C) 2009 Elsevier B.V. All rights reserved.

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