Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2009-3-2
pubmed:abstractText
Interrater variability of sleep stage scorings has an essential impact not only on the reading of polysomnographic sleep studies (PSGs) for clinical trials but also on the evaluation of patients' sleep. With the introduction of a new standard for sleep stage scorings (AASM standard) there is a need for studies on interrater reliability (IRR). The SIESTA database resulting from an EU-funded project provides a large number of studies (n = 72; 56 healthy controls and 16 subjects with different sleep disorders, mean age +/- SD: 57.7 +/- 18.7, 34 females) for which scorings according to both standards (AASM and R&K) were done. Differences in IRR were analysed at two levels: (1) based on quantitative sleep parameter by means of intraclass correlations; and (2) based on an epoch-by-epoch comparison by means of Cohen's kappa and Fleiss' kappa. The overall agreement was for the AASM standard 82.0% (Cohen's kappa = 0.76) and for the R&K standard 80.6% (Cohen's kappa = 0.68). Agreements increased from R&K to AASM for all sleep stages, except N2. The results of this study underline that the modification of the scoring rules improve IRR as a result of the integration of occipital, central and frontal leads on the one hand, but decline IRR on the other hand specifically for N2, due to the new rule that cortical arousals with or without concurrent increase in submental electromyogram are critical events for the end of N2.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1365-2869
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
74-84
pubmed:meshHeading
pubmed-meshheading:19250176-Adult, pubmed-meshheading:19250176-Aged, pubmed-meshheading:19250176-Aged, 80 and over, pubmed-meshheading:19250176-Anxiety Disorders, pubmed-meshheading:19250176-Arousal, pubmed-meshheading:19250176-Cerebral Cortex, pubmed-meshheading:19250176-Databases as Topic, pubmed-meshheading:19250176-Electroencephalography, pubmed-meshheading:19250176-Female, pubmed-meshheading:19250176-Humans, pubmed-meshheading:19250176-Male, pubmed-meshheading:19250176-Manuals as Topic, pubmed-meshheading:19250176-Middle Aged, pubmed-meshheading:19250176-Nocturnal Myoclonus Syndrome, pubmed-meshheading:19250176-Observer Variation, pubmed-meshheading:19250176-Parkinson Disease, pubmed-meshheading:19250176-Polysomnography, pubmed-meshheading:19250176-Reference Standards, pubmed-meshheading:19250176-Retrospective Studies, pubmed-meshheading:19250176-Signal Processing, Computer-Assisted, pubmed-meshheading:19250176-Sleep Disorders, pubmed-meshheading:19250176-Sleep Initiation and Maintenance Disorders, pubmed-meshheading:19250176-Sleep Stages, pubmed-meshheading:19250176-Statistics as Topic, pubmed-meshheading:19250176-Young Adult
pubmed:year
2009
pubmed:articleTitle
Interrater reliability for sleep scoring according to the Rechtschaffen & Kales and the new AASM standard.
pubmed:affiliation
Department of Psychiatry and Psychotherapy, Charité-Universitätsmedizin Berlin, Berlin, Germany. heidi.danker-hopfe@charite.de
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't