Variability in recording and scoring of respiratory events during sleep in Europe: a need for uniform standards


Por: Arnardottir ES, Verbraecken J, Gonçalves M, Gjerstad MD, Grote L, Puertas FJ, Mihaicuta S, McNicholas WT, Parrino L and The National Representatives as Study Collaborators

Publicada: 1 abr 2016
Resumen:
Uniform standards for the recording and scoring of respiratory events during sleep are lacking in Europe, although many centres follow the published recommendations of the American Academy of Sleep Medicine. The aim of this study was to assess the practice for the diagnosis of sleep-disordered breathing throughout Europe. A specially developed questionnaire was sent to representatives of the 31 national sleep societies in the Assembly of National Sleep Societies of the European Sleep Research Society, and a total of 29 countries completed the questionnaire. Polysomnography was considered the primary diagnostic method for sleep apnea diagnosis in 10 (34.5%), whereas polygraphy was used primarily in six (20.7%) European countries. In the remaining 13 countries (44.8%), no preferred methodology was used. Fifteen countries (51.7%) had developed some type of national uniform standards, but these standards varied significantly in terms of scoring criteria, device specifications and quality assurance procedures between countries. Only five countries (17.2%) had published these standards. Most respondents supported the development of uniform recording and scoring criteria for Europe, which might be based partly on the existing American Academy of Sleep Medicine rules, but also take into account differences in European practice when compared to North America. This survey highlights the current varying approaches to the assessment of patients with sleep-disordered breathing throughout Europe and supports the need for the development of practice parameters in the assessment of such patients that would be suited to European clinical practice.

Filiaciones:
Arnardottir ES:
 Department of Respiratory Medicine and Sleep, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland

 Faculty of Medicine, University of Iceland, Reykjavik, Iceland

Verbraecken J:
 Department of Pulmonary Medicine and Multidisciplinary Sleep Disorders Centre, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium

Gonçalves M:
 Centro de Medicina do Sono, Hospital Cuf Porto, Porto, Portugal

Gjerstad MD:
 Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway

 Department of Neurology, Stavanger University Hospital, Stavanger, Norway

Grote L:
 Sleep Disorders Center, Sahlgrenska University Hospital, Gothenburg, Sweden

 Center for Sleep and Wakefulness Disorders, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

:
 Sleep Unit, Neurophysiology Department, La Ribera University Hospital, Valencia, Spain

 Physiology Department, University of Valencia, Valencia, Spain

Mihaicuta S:
 Pulmonology Department, University of Medicine and Pharmacy 'Victor Babes', Sleep Medicine Laboratory, Cardioprevent Foundation, Timisoara, Romania

McNicholas WT:
 Department of Respiratory and Sleep Medicine, University College Dublin, St Vincent's University Hospital, Dublin, Ireland

 On behalf of the European Sleep Research Society (ESRS), Regensburg, Germany

Parrino L:
 Department of Neurosciences, Sleep Disorders Center, University of Parma, Parma, Italy
ISSN: 09621105





JOURNAL OF SLEEP RESEARCH
Editorial
WILEY-BLACKWELL, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA, Reino Unido
Tipo de documento: Article
Volumen: 25 Número: 2
Páginas: 144-157
WOS Id: 000375102200003
ID de PubMed: 26365742

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