The development of temporal organization of sleep-wake states during the preterm period was examined. Seventy-one high-risk preterms from two cohorts were observed from 7 to 11 p.m. weekly from the time they were no longer critical until discharge. Mixed general linear model analyses found that with
Methodological issues in coding sleep states in immature infants
β Scribed by Rakesh Sahni; Karl F. Schulze; Mark Stefanski; Michael M. Myers; William P. Fifer
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 879 KB
- Volume
- 28
- Category
- Article
- ISSN
- 0012-1630
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β¦ Synopsis
Abstract
Thirtyβfive healthy, premature infants, ranging from 30β39 weeks postconceptional age, were observed continuously for 6 to 24 hr. Behavioral state and electroencephalographic patterns were coded for each minute. Using these data, three questions regarding coding of states of sleep were addressed: What is the concordance between behavioral codes and specific EEG patterns? Does the concordance between behavioral codes and EEG patterns change with postconceptional age? What range of error can be expected when observation periods shorter than 24βhr are used to estimate the daily distribution of quiet sleep (QS) and active sleep (AS)?
With behavioral codes as the standard, concordances of EEG patterns for QS and AS were 72.5 and 92.1% respectively. With EEG patterns as the standard, behavioral codes for QS and AS agreed 83.0 and 88.9%. Agreement between behavioral codes and EEG patterns for QS increased with age. Finally, variation in estimates of the daily distribution of QS and AS decreased dramatically as the length of observation increased from 3 to 24 hr. Β© 1995 John Wiley & Sons, Inc.
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