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An Australasian Commentary on the AASM Manual for the Scoring of Sleep and Associated Events
Sleep and Biological Rhythms ( IF 1.0 ) Pub Date : 2020-03-04 , DOI: 10.1007/s41105-020-00259-9
Greg Jorgensen , Carl Downey , Jeremy Goldin , Kerri Melehan , Peter Rochford , Warren Ruehland

The aim of this document was to provide a commentary on the AASM Manual for Scoring of Sleep and Associated Events in an Australasian context. A panel of Australasian sleep professionals developed the commentary. Each member was tasked with reviewing an assigned section and reporting back with potential AASM Manual clarifications and alterations. These suggestions were evaluated by the panel and ultimately resulted in the recommendations in this document. The panel recognised that the AASM manual significantly advanced the standardisation of polysomnography recording, analysis, and reporting; however, there were sections of the AASM Manual where the panel determined there were clarifications, additions, or alterations required. Some of the key panel recommendations included: (1) advice to exclude arousals in awake epochs in the arousal index, (2) recommendation of a single hypopnoea definition, as well as single options for EEG and EOG placements, (3) a minimum duration for the central and mixed components of a mixed apnoea, (4) the addition of a baseline definition for scoring respiratory events, (5) the addition of criteria for defining oxygen desaturation, and (6) advice change so that the scoring and reporting of respiratory effort-related arousals (RERAs) and snoring is ‘recommended’ rather than ‘optional’. While it is anticipated that the recommendations will improve standardisation across Australasian sleep services many of the recommendations are also relevant in a global setting and should be considered for inclusion in future updates of the AASM Manual.

中文翻译:

澳大利亚对 AASM 睡眠和相关事件评分手册的评论

本文档的目的是对 AASM 澳大利亚背景下的睡眠和相关事件评分手册进行评论。澳大利亚睡眠专家小组制定了评论。每个成员的任务是审查指定的部分,并报告可能的 AASM 手册澄清和更改。专家组对这些建议进行了评估,最终形成了本文件中的建议。小组认识到 AASM 手册显着推进了多导睡眠图记录、分析和报告的标准化;但是,在 AASM 手册的某些部分,专家组确定需要进行澄清、添加或更改。一些关键的小组建议包括:(1)建议在觉醒指数中排除清醒时期的觉醒,(2) 推荐单一低通气定义,以及 EEG 和 EOG 放置的单一选项,(3) 混合呼吸暂停的中枢和混合成分的最短持续时间,(4) 增加用于评分呼吸的基线定义事件,(5) 增加定义氧饱和度下降的标准,以及 (6) 建议改变,以便呼吸努力相关的觉醒 (RERA) 和打鼾的评分和报告是“推荐”而不是“可选”。虽然预计这些建议将提高澳大利亚睡眠服务的标准化程度,但许多建议也与全球环境相关,应考虑纳入 AASM 手册的未来更新。(3) 混合性呼吸暂停的中枢和混合成分的最短持续时间,(4) 增加了对呼吸事件评分的基线定义,(5) 增加了定义氧饱和度下降的标准,以及 (6) 建议改变呼吸努力相关觉醒 (RERA) 和打鼾的评分和报告是“推荐的”而不是“可选的”。虽然预计这些建议将提高澳大利亚睡眠服务的标准化程度,但许多建议也与全球环境相关,应考虑纳入 AASM 手册的未来更新。(3) 混合性呼吸暂停的中枢和混合成分的最短持续时间,(4) 增加了对呼吸事件评分的基线定义,(5) 增加了定义氧饱和度下降的标准,以及 (6) 建议改变呼吸努力相关觉醒 (RERA) 和打鼾的评分和报告是“推荐的”而不是“可选的”。虽然预计这些建议将提高澳大利亚睡眠服务的标准化程度,但许多建议也与全球环境相关,应考虑纳入 AASM 手册的未来更新。(6) 改变建议,使呼吸努力相关觉醒 (RERA) 和打鼾的评分和报告成为“推荐”而不是“可选”。虽然预计这些建议将提高澳大利亚睡眠服务的标准化程度,但许多建议也与全球环境相关,应考虑纳入 AASM 手册的未来更新。(6) 改变建议,使呼吸努力相关觉醒 (RERA) 和打鼾的评分和报告成为“推荐”而不是“可选”。虽然预计这些建议将提高澳大利亚睡眠服务的标准化程度,但许多建议也与全球环境相关,应考虑纳入 AASM 手册的未来更新。
更新日期:2020-03-04
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