Practice parameters for the indications for polysomnography and related procedures: an update for 2005.
Clete A. Kushida,Michael R. Littner,Timothy I. Morgenthaler,Cathy A. Alessi,Dennis R. Bailey,Jack Coleman,Leah Friedman,Max Hirshkowitz,Sheldon Kapen,Milton Kramer,Teofilo Lee-Chiong,Daniel L. Loube,Judith A. Owens,Jeffrey Pancer,Merrill S. Wise +14 more
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TLDR
These practice parameters are an update of the previously-published recommendations regarding the indications for polysomnography and related procedures in the diagnosis of sleep disorders.Abstract:
These practice parameters are an update of the previously-published recommendations regarding the indications for polysomnography and related procedures in the diagnosis of sleep disorders. Diagnostic categories include the following: sleep related breathing disorders, other respiratory disorders, narcolepsy, parasomnias, sleep related seizure disorders, restless legs syndrome, periodic limb movement sleep disorder, depression with insomnia, and circadian rhythm sleep disorders. Polysomnography is routinely indicated for the diagnosis of sleep related breathing disorders; for continuous positive airway pressure (CPAP) titration in patients with sleep related breathing disorders; for the assessment of treatment results in some cases; with a multiple sleep latency test in the evaluation of suspected narcolepsy; in evaluating sleep related behaviors that are violent or otherwise potentially injurious to the patient or others; and in certain atypical or unusual parasomnias. Polysomnography may be indicated in patients with neuromuscular disorders and sleep related symptoms; to assist in the diagnosis of paroxysmal arousals or other sleep disruptions thought to be seizure related; in a presumed parasomnia or sleep related seizure disorder that does not respond to conventional therapy; or when there is a strong clinical suspicion of periodic limb movement sleep disorder. Polysomnography is not routinely indicated to diagnose chronic lung disease; in cases of typical, uncomplicated, and noninjurious parasomnias when the diagnosis is clearly delineated; for patients with seizures who have no specific complaints consistent with a sleep disorder; to diagnose or treat restless legs syndrome; for the diagnosis of circadian rhythm sleep disorders; or to establish a diagnosis of depression.read more
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Rules for Scoring Respiratory Events in Sleep: Update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events
Richard B. Berry,Rohit Budhiraja,Daniel J. Gottlieb,David Gozal,Conrad Iber,Vishesh K. Kapur,Carole L. Marcus,Reena Mehra,Sairam Parthasarathy,Stuart F. Quan,Susan Redline,Kingman P. Strohl,Sally L. Davidson Ward,Michelle M. Tangredi +13 more
TL;DR: The task force made recommendations concerning recommended and alternative sensors for the detection of apnea and hypopnea to be used during diagnostic and positive airway pressure (PAP) titration polysomnography, and recommended scoring rules.
Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine
Lawrence J. Epstein,David A. Kristo,Patrick J. Strollo,Norman R. Friedman,Atul Malhotra,P Susheel,Kannan Ramar,Robert M. Rogers,Richard Schwab,Edward M. Weaver,Michael D. Weinstein +10 more
TL;DR: This guideline is designed to assist primary care providers as well as sleep medicine specialists, surgeons, and dentists who care for patients with OSA by providing a comprehensive strategy for the evaluation, management and long-term care of adult patients withOSA.
Journal ArticleDOI
Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults.
Lawrence J. Epstein,David A. Kristo,Patrick J. Strollo,Norman R. Friedman,Atul Malhotra,Susheel P. Patil,Kannan Ramar,Robert M. Rogers,Richard Schwab,Edward M. Weaver,Weinstein +10 more
TL;DR: The Adult OSA Task Force of the American Academy of Sleep Medicine (AASM) was assembled to produce a clinical guideline from a review of existing practice parameters and available literature as discussed by the authors.
Journal ArticleDOI
Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An American academy of sleep medicine clinical practice guideline
Vishesh K. Kapur,Dennis Auckley,Susmita Chowdhuri,David Kuhlmann,Reena Mehra,Kannan Ramar,Christopher G. Harrod +6 more
TL;DR: This guideline establishes clinical practice recommendations for the diagnosis of obstructive sleep apnea (OSA) in adults and is intended for use in conjunction with other American Academy of Sleep Medicine guidelines on the evaluation and treatment of sleep-disordered breathing in adults.
Journal Article
Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Portable Monitoring Task Force of the American Academy of Sleep Medicine.
Nancy A. Collop,W. McDowell Anderson,Brian Boehlecke,Rochelle Goldberg,Daniel J. Gottlieb,David W. Hudgel,Michael J. Sateia,Richard Schwab,James A. Haley +8 more
TL;DR: PM testing be performed under the auspices of an AASM-accredited comprehensive sleep medicine program with written policies and procedures and must allow for display of raw data with the capability of manual scoring or editing of automated scoring by a qualified sleep technician/technologist.
References
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Eyal Shahar,Coralyn Whitney,Susan Redline,Lee Et,A.B. Newman,F. J. Nieto,George T. O'Connor,Lori L. Boland,Joseph E. Schwartz,Jonathan M. Samet +9 more
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Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health.
Richard P. Allen,Daniel L. Picchietti,Wayne A. Hening,Claudia Trenkwalder,Arthur S. Walters,Jacques Montplaisi +5 more
TL;DR: Modification of the criteria for the diagnosis of restless legs syndrome is modified to better reflect that increased body of knowledge, as well as to clarify slight confusion with the wording of the original criteria.