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
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