GuidelineJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2018
Polysomnography for Obstructive Sleep Apnea Should Include Arousal-Based Scoring: An American Academy of Sleep Medicine Position Statement.
Guideline in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 1 of them a synthesis that pooled it.
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93 citing papers in PubMed, 1 synthesis or guideline pooled it, 166 citations in OpenAlex.
- Characterizing Differences in Polysomnography Data for Children With Robin Sequence Undergoing Conservative and Surgical Management.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Pooled it
- Three-dimensional upper airway phenotyping and OSA severity: a CT-based study.European radiology · 2026Article
- Rapid eye movement-related obstructive sleep apnea: a physiological phenotype predicting favorable outcomes following palatal surgery.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- The Pharyngeal Resistance Index-A Promising Diagnostic Tool in OSA.Journal of sleep research · 2026Article
- Article
- Assessment of the knowledge and awareness among general medical practitioners toward dental intervention in diagnosing and treating obstructive sleep apnea: a cross-sectional study.BMC oral health · 2026Article
- Clinical and Polysomnographic Differences in Obese and Nonobese Patients with Obstructive Sleep Apnea.Annals of African medicine · 2026Article
- Factors associated with respiratory disturbance index higher than apnea-hypopnea index in patients with obstructive sleep apnea.Biomedical reports · 2026Article
- Analysis of Interrater Reliability and Interpretive Discrepancies in Polysomnography Scoring Across Clinical Subgroups.Life (Basel, Switzerland) · 2026Article
- Varying Hypopnea Definitions and Treatment Eligibility in Obstructive Sleep Apnea.Sleep & breathing = Schlaf & Atmung · 2026Article
- Redefining Obstructive Sleep Apnea: Multidimensional Phenotyping Beyond the Apnea-Hypopnea Index.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026Review
- Emergence of central sleep apnea at high altitude in patients with mild obstructive sleep apnea: a case report.Journal of medical case reports · 2026Article
- Sleep and psychiatric problems in pediatric oncology patients: A case-control study.Sleep & breathing = Schlaf & Atmung · 2026Article
- Sex differences in obstructive sleep apnea: a population-based study from northeastern Germany.Sleep & breathing = Schlaf & Atmung · 2026Article
- Hypoxic burden as a cause of cardiovascular morbidity in childhood obstructive sleep apnea.Pediatric research · 2026Article
- Combined red blood cell distribution width and neutrophil-to-lymphocyte ratio and risk of composite cardiovascular events in patients with moderate-to-severe obstructive sleep apnea: a prospective cohort study.Frontiers in medicine · 2026Article
- [The role of body roundness index and a body size index in the assessment of obstructive sleep apnea-hypopnea syndrome].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026Article
- The delta/alpha ratio in sleep EEG increases with the severity of depression in patients over 50 years old.BMC psychiatry · 2025Article
- Sleep Quality Assessment in Intensive Care Units: Comparing Actigraphy and the Richards Campbell Sleep Questionnaire-A Pilot Study in the Moroccan Context.Clocks & sleep · 2025Article
- Article
33 more citing papers are in PubMed but not listed here.
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13 authors at 11 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
abstractThe diagnostic criteria for obstructive sleep apnea (OSA) in adults, as defined in the International Classification of Sleep Disorders, Third Edition, requires an increased frequency of obstructive respiratory events demonstrated by in-laboratory, attended polysomnography (PSG) or a home sleep apnea test (HSAT). However, there are currently two hypopnea scoring criteria in The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications (AASM Scoring Manual). This dichotomy results in differences among laboratory reports, patient treatments and payer policies. Confusion occurs regarding recognizing and scoring "arousal-based respiratory events" during OSA testing. "Arousal-based scoring" recognizes hypopneas associated with electroencephalography-based arousals, with or without significant oxygen desaturation, when calculating an apnea-hypopnea index (AHI), or it includes respiratory effort-related arousals (RERAs), in addition to hypopneas and apneas, when calculating a respiratory disturbance index (RDI). Respiratory events associated with arousals, even without oxygen desaturation, cause significant, and potentially dangerous, sleep apnea symptoms. During PSG, arousal-based respiratory scoring should be performed in the clinical evaluation of patients with suspected OSA, especially in those patients with symptoms of excessive daytime sleepiness, fatigue, insomnia, or other neurocognitive symptoms. Therefore, it is the position of the AASM that the
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