Scoring reliability of the multiple sleep latency test in a clinical population

To determine intrarater and interrater scoring reliability of the multiple sleep latency test (MSLT) in a population of sleep clinic patients. N/A. Urban sleep center. 200 consecutive sleep center patients (diagnoses included: obstructive sleep apnea, narcolepsy, periodic-limb-movement, and individu...

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Veröffentlicht in:Sleep (New York, N.Y.) N.Y.), 2000-11, Vol.23 (7), p.911-913
Hauptverfasser: DRAKE, Christopher L, RICE, Matthew F, ROEHRS, Timothy A, ROSENTHAL, Leon, GUIDO, Peter, ROTH, Thomas
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container_end_page 913
container_issue 7
container_start_page 911
container_title Sleep (New York, N.Y.)
container_volume 23
creator DRAKE, Christopher L
RICE, Matthew F
ROEHRS, Timothy A
ROSENTHAL, Leon
GUIDO, Peter
ROTH, Thomas
description To determine intrarater and interrater scoring reliability of the multiple sleep latency test (MSLT) in a population of sleep clinic patients. N/A. Urban sleep center. 200 consecutive sleep center patients (diagnoses included: obstructive sleep apnea, narcolepsy, periodic-limb-movement, and individuals with no diagnosis). N/A. MSLTs were recorded and scored according to standard clinical procedures. One of four clinical polysomnographers and one of seven polysomnographic technologists scored each MSLT. All MSLTs were then rescored by the same polysomnographer. The intrarater reliability coefficient for mean MSLT score was .87 and interrater reliability was .90. Coefficients for the mean number of REM onsets during the MSLT were .81 for intrarater and .88 for interrater reliability. Intrarater and interrater agreement (kappa coefficients) for the presence of at least one REM onset during the MSLT was .78 and .86, respectively. For the presence of greater than one REM onset, a kappa of .78 was obtained for intrarater agreement and .91 for interrater agreement. The clinical MSLT displays excellent interrater and intrarater reliability estimates for both sleep latency and REM onset scores in a sleep-disordered population.
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Psychology</topic><topic>General aspects. Models. Methods</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Narcolepsy - diagnosis</topic><topic>Nocturnal Myoclonus Syndrome - diagnosis</topic><topic>Observer Variation</topic><topic>Polysomnography - methods</topic><topic>Reaction Time</topic><topic>Reproducibility of Results</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Stages - physiology</topic><topic>Sleep, REM - physiology</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DRAKE, Christopher L</creatorcontrib><creatorcontrib>RICE, Matthew F</creatorcontrib><creatorcontrib>ROEHRS, Timothy A</creatorcontrib><creatorcontrib>ROSENTHAL, Leon</creatorcontrib><creatorcontrib>GUIDO, Peter</creatorcontrib><creatorcontrib>ROTH, Thomas</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DRAKE, Christopher L</au><au>RICE, Matthew F</au><au>ROEHRS, Timothy A</au><au>ROSENTHAL, Leon</au><au>GUIDO, Peter</au><au>ROTH, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scoring reliability of the multiple sleep latency test in a clinical population</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><addtitle>Sleep</addtitle><date>2000-11-01</date><risdate>2000</risdate><volume>23</volume><issue>7</issue><spage>911</spage><epage>913</epage><pages>911-913</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><coden>SLEED6</coden><abstract>To determine intrarater and interrater scoring reliability of the multiple sleep latency test (MSLT) in a population of sleep clinic patients. N/A. Urban sleep center. 200 consecutive sleep center patients (diagnoses included: obstructive sleep apnea, narcolepsy, periodic-limb-movement, and individuals with no diagnosis). N/A. MSLTs were recorded and scored according to standard clinical procedures. One of four clinical polysomnographers and one of seven polysomnographic technologists scored each MSLT. All MSLTs were then rescored by the same polysomnographer. The intrarater reliability coefficient for mean MSLT score was .87 and interrater reliability was .90. Coefficients for the mean number of REM onsets during the MSLT were .81 for intrarater and .88 for interrater reliability. Intrarater and interrater agreement (kappa coefficients) for the presence of at least one REM onset during the MSLT was .78 and .86, respectively. For the presence of greater than one REM onset, a kappa of .78 was obtained for intrarater agreement and .91 for interrater agreement. 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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Biological and medical sciences
Disorders of Excessive Somnolence - epidemiology
Female
Fundamental and applied biological sciences. Psychology
General aspects. Models. Methods
Humans
Male
Middle Aged
Narcolepsy - diagnosis
Nocturnal Myoclonus Syndrome - diagnosis
Observer Variation
Polysomnography - methods
Reaction Time
Reproducibility of Results
Sleep Apnea, Obstructive - diagnosis
Sleep Stages - physiology
Sleep, REM - physiology
Vertebrates: nervous system and sense organs
title Scoring reliability of the multiple sleep latency test in a clinical population
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