期刊
JOURNAL OF CLINICAL SLEEP MEDICINE
卷 14, 期 7, 页码 1209-1230出版社
AMER ACAD SLEEP MEDICINE
DOI: 10.5664/jcsm.7228
关键词
actigraphy; circadian rhythm; sleep disorders; systematic review
资金
- American Academy of Sleep Medicine
Introduction: The purpose of this systematic review is to provide supporting evidence for a clinical practice guideline on the use of actigraphy. Methods: The American Academy of Sleep Medicine commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies that compared the use of actigraphy, sleep logs, and/or polysomnography. Statistical analyses were performed to determine the clinical significance of using actigraphy as an objective measure of sleep and circadian parameters. Finally, the Grading of Recommendations Assessment, Development, and Evaluation ( GRADE) process was used to assess the evidence for making recommendations. Results: The literature search resulted in 81 studies that met inclusion criteria; all 81 studies provided data suitable for statistical analyses. These data demonstrate that actigraphy provides consistent objective data that is often unique from patient-reported sleep logs for some sleep parameters in adult and pediatric patients with suspected or diagnosed insomnia, circadian rhythm sleep-wake disorders, sleep-disordered breathing, central disorders of hypersomnolence, and adults with insufficient sleep syndrome. These data also demonstrate that actigraphy is not a reliable measure of periodic limb movements in adult and pediatric patients. The task force provided a detailed summary of the evidence along with the quality of evidence, the balance of benefits and harms, patient values and preferences, and resource use considerations.
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