tailieunhanh - Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults

Electronic Medical Records now act as main repositories for patient data. As we con- tinue to explore the intricate relationship between phenotype and genotype, these records become a vital source for monitoring patients’ progression of disease. The pre- sence of a given variation, as it relates to the appearance or absence of disease over time, can be mapped as encounters are recorded by clinicians. Every result, encounter, event, or diagnosis is recorded as a data item and includes a date. This rich longitudi- nal data provide trends that show improvement or decline in state and occurrence or absence of diagnostic criteria and can be used to guide. | ICSM Journal of Clinical Sleep Medicine SPECIAL ARTICLE Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults Sharon Schutte-Rodin Lauren Broch Daniel Buysse Cynthia Dorsey Michael Sateia Penn Sleep Centers Philadelphia PA Good Samaritan Hospital Suffern NY 3UPMC Sleep Medicine Center Pittsburgh PA 4SleepHealth Centers Bedford MA 5Dartmouth-HitchcockMedical Center Lebanon NH Insomnia is the most prevalent sleep disorder in the general population and is commonly encountered in medical practices. Insomnia is defined as the subjective perception of difficulty with sleep initiation duration consolidation or quality that occurs despite adequate opportunity for sleep and that results in some form of daytime Insomnia may present with a variety of specific complaints and etiologies making the evaluation and management of chronic insomnia demanding on a clinician s time. The purpose of this clinical guideline is to provide clinicians with a practical framework for the assessment and disease management of chronic adult insomnia using existing evidence-based insomnia practice parameters where available and consensus-based recommendations to bridge areas where such parameters do not exist. Unless otherwise stated insomnia refers to chronic insomnia which is present for at least a month as opposed to acute or transient insomnia which may last days to weeks. Citation Schutte-Rodin S Broch L Buysse D Dorsey C Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med 2008 4 5 487-504. SUMMARY RECOMMENDATIONS General Insomnia is an important public health problem that requires accurate diagnosis and effective treatment. Standard An insomnia diagnosis requires associated daytime dysfunction in addition to appropriate insomnia symptomatology. ICSD-2 definition Evaluation Insomnia is primarily diagnosed by clinical evaluation through a thorough sleep history .

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