睡眠革命项目中的多中心睡眠阶段评分协议
Sami Nikkonen1,2, Pranavan Somaskandhan3, Henri Korkalainen1,2
1Department of Technical Physics, University of Eastern Finland, Kuopio, Finland.
Journal of sleep research
|June 13, 2023
概括
手动睡眠阶段评分显示了很高的总体一致性,但在得分者和睡眠阶段之间有很大的差异. 这影响了睡眠障碍的诊断,强调了需要改善睡眠阶段的标准化.
科学领域:
- 睡眠医学 睡眠医学
- 神经科学是一个神经科学.
- 生物医学工程 生物医学工程
背景情况:
- 准确的睡眠阶段确定对于诊断睡眠障碍至关重要.
- 睡眠阶段的手动视觉评分可以导致得分者之间的显著变化.
- 这种变化可能会影响睡眠研究解释的可靠性.
研究的目的:
- 在手动睡眠阶段评分中全面评估评审者间的协议.
- 为了确定特定的睡眠阶段,在得分者之间达成较低的协议.
- 探索影响协议的因素,如得分经验和睡眠障碍严重程度.
主要方法:
- 来自七个睡眠中心的10名得分者独立评分了50个多睡眠记录.
- 每个时代的多数分数是根据十个个人的得分计算出来的.
- 使用科恩的卡帕 (κ) 和百分比协议量化了评价者间的协议.
主要成果:
- 总体上,睡眠分阶段的同意率是 κ = 0.71,平均同意率为 86%,大多数得分.
- 根据睡眠阶段的不同,一致性差异很大,在REM睡眠中最高 (κ = 0.86),在N1睡眠中最低 (κ = 0.41).
- 来自同一睡眠中心的得分者之间的对比一致性高于来自不同中心的得分者之间的对比一致性 (κ = 0.79) (κ = 0.58).
结论:
- 虽然睡眠阶段的总体评价者间一致性很大,但存在显著的变化,特别是在非REM阶段.
- 评分的差异凸显了需要加强睡眠分阶段的标准化和培训协议的需要.
- 对自动评分方法的进一步研究可能有助于减少得分者之间的变化,并提高诊断准确性.
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