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Sleep classification according to AASM and Rechtschaffen and Kales: effects on sleep scoring parameters of children and adolescents

2009; Wiley; Volume: 19; Issue: 1p2 Linguagem: Inglês

10.1111/j.1365-2869.2009.00785.x

1365-2869

Luana Novelli, Raffaele Ferri, Oliviero Bruni,

Sleep and Wakefulness Research

Journal of Sleep ResearchVolume 19, Issue 1p2 p. 238-247 Sleep classification according to AASM and Rechtschaffen and Kales: effects on sleep scoring parameters of children and adolescents LUANA NOVELLI, LUANA NOVELLI Department of Developmental Neurology and Psychiatry, Pediatric Sleep Center, Sapienza University, RomeSearch for more papers by this authorRAFFAELE FERRI, RAFFAELE FERRI Department of Neurology IC, Sleep Research Centre, Oasi Institute (IRCCS), Troina, ItalySearch for more papers by this authorOLIVIERO BRUNI, OLIVIERO BRUNI Department of Developmental Neurology and Psychiatry, Pediatric Sleep Center, Sapienza University, RomeSearch for more papers by this author LUANA NOVELLI, LUANA NOVELLI Department of Developmental Neurology and Psychiatry, Pediatric Sleep Center, Sapienza University, RomeSearch for more papers by this authorRAFFAELE FERRI, RAFFAELE FERRI Department of Neurology IC, Sleep Research Centre, Oasi Institute (IRCCS), Troina, ItalySearch for more papers by this authorOLIVIERO BRUNI, OLIVIERO BRUNI Department of Developmental Neurology and Psychiatry, Pediatric Sleep Center, Sapienza University, RomeSearch for more papers by this author First published: 19 February 2010 https://doi.org/10.1111/j.1365-2869.2009.00785.xCitations: 38 Oliviero Bruni MD, Department of Developmental Neurology and Psychiatry, Center for Pediatric Sleep Disorders, Sapienza University, Via dei Sabelli 108, Rome 00185, Italy. Tel.: +39-0644712257; fax: +39-064957857; e-mail: [email protected] Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Summary Recently, the new American Academy of Sleep Medicine (AASM) rules and the old Rechtschaffen and Kales (R&K) criteria for sleep scoring have been shown to produce significantly different results in adults. The aim of this study was to describe in detail such differences in a group of normal children. Polysomnographic recordings from 45 healthy children (18 females and 27 males) aged between 3 and 16 years were scored following both systems and the results compared. Several significant differences between the two scoring systems were found: N1 (AASM) was significantly higher than S1 (R&K) while Stages N2 and R (AASM) were significantly smaller than S2 and rapid eye movement (R&K). The Kendall Τ correlation coefficient revealed a relatively low concordance between the two systems for the scoring of number of stage shifts per hour, minutes and percentage of Stage N1/S1, and of a percentage of Stage S2/N2. The significant differences between R&K and AASM scoring systems suggest taking some caution in adopting the new scoring criteria in children; these might be shown to be potentially useful if careful selection of the appropriate indicators derived from this new method is carried out, such as the percentage of N1 and the number of stage shifts, which are measures very sensitive to the occurrence of arousals in the new AASM system. Citing Literature Volume19, Issue1p2March 2010Pages 238-247 RelatedInformation