Giuseppe Loddo1, Luca Vignatelli2, Corrado Zenesini2, Francesco Lusa1, Luisa Sambati1,2, Luca Baldelli1, Valentina Favoni1,2, Laura Rosa Pisani3, Giulia Pierangeli1,2, Sabina Cevoli2, Federica Provini4,5. 1. Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy. 2. IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy. 3. UOC di Neurologia, Ospedale Cutroni Zodda, Barcellona PG, Messina, Italy. 4. Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy. federica.provini@unibo.it. 5. IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy. federica.provini@unibo.it.
Abstract
PURPOSE: Disorders of arousal include confusional arousals, sleepwalking and sleep terrors. The diagnosis of disorders of arousal is based on the clinical criteria established in the International Classification of Sleep Disorders, third edition, although the interobserver reliability of these criteria has never been investigated. The aim of this study was to estimate the inter-rater reliability of the diagnostic criteria for disorders of arousal throughout the whole life in order to understand their feasibility in clinical daily activity and in multicenter observational studies. METHODS: Three raters interviewed 126 subjects (patients complaining of sleep disorders, headache, and healthy subjects), aged 18-80 years, with a standardized questionnaire created by applying the International Diagnostic Criteria for Disorders of Arousal. RESULTS: An "almost perfect" inter-rater reliability for disorders of arousal criteria and the final diagnosis was found among the raters (kappa 0.89 for confusional arousals, 0.87 for sleepwalking, and 0.87 for sleep terrors). CONCLUSIONS: The International Classification of Sleep Disorders, Third Edition criteria are adequate for a reliable diagnosis of disorders of arousal. Further validation studies, confirming DOA diagnosis with video polysomnography, are needed to investigate the predictive value of ICSD-3 criteria.
PURPOSE: Disorders of arousal include confusional arousals, sleepwalking and sleep terrors. The diagnosis of disorders of arousal is based on the clinical criteria established in the International Classification of Sleep Disorders, third edition, although the interobserver reliability of these criteria has never been investigated. The aim of this study was to estimate the inter-rater reliability of the diagnostic criteria for disorders of arousal throughout the whole life in order to understand their feasibility in clinical daily activity and in multicenter observational studies. METHODS: Three raters interviewed 126 subjects (patients complaining of sleep disorders, headache, and healthy subjects), aged 18-80 years, with a standardized questionnaire created by applying the International Diagnostic Criteria for Disorders of Arousal. RESULTS: An "almost perfect" inter-rater reliability for disorders of arousal criteria and the final diagnosis was found among the raters (kappa 0.89 for confusional arousals, 0.87 for sleepwalking, and 0.87 for sleep terrors). CONCLUSIONS: The International Classification of Sleep Disorders, Third Edition criteria are adequate for a reliable diagnosis of disorders of arousal. Further validation studies, confirming DOA diagnosis with video polysomnography, are needed to investigate the predictive value of ICSD-3 criteria.
Authors: Panagis Drakatos; Lucy Marples; Rexford Muza; Sean Higgins; Alexander Nesbitt; Eptehal M Dongol; Raluca Macavei; Valentina Gnoni; Laura Perez Carbonell; Iain Duncan; Adam Birdseye; Sakina Dastagir; Ivana Rosenzweig; David O'Regan; Adrian J Williams; Guy D Leschziner; Brian D Kent Journal: J Sleep Res Date: 2018-10-08 Impact factor: 3.981
Authors: Christophe Gauld; Régis Lopez; Pierre Philip; Jacques Taillard; Charles M Morin; Pierre Alexis Geoffroy; Jean-Arthur Micoulaud-Franchi Journal: Biomedicines Date: 2022-07-06