On Feb. 15, 2023, the American Academy of Sleep Medicine released the AASM Manual for the Scoring of Sleep and Associated Events, Version 3. Based on the recommendations of the AASM Scoring Manual Committee, the AASM Board of Directors approved several changes in this update to the AASM Scoring Manual. All AASM-accredited sleep facilities are required to implement the new rules in Version 3 by Dec. 31, 2023.
The AASM Manual for the Scoring of Sleep and Associated Events is the definitive reference for the evaluation of polysomnography (PSG) and home sleep apnea tests (HSATs). This comprehensive resource provides rules for scoring sleep stages, arousals, respiratory events during sleep, movements during sleep, and cardiac events. The AASM Scoring Manual 3 also provides guidance on standard montages, electrode placements, and technical and digital specifications.
Changes in AASM Scoring Manual Version 3
Both new and updated rules and notes are included in AASM Scoring Manual, Version 3. The most notable changes include changing the scoring of hypopneas using ≥4% oxygen desaturation from pre-event baseline from ACCEPTABLE to OPTIONAL, adding new RECOMMENDED rules for scoring the presence of 2nd or 3rd degree atrioventricular heart block and cardiac pacemaker rhythm, and adding a new section with reporting rules for the multiple sleep latency test and maintenance of wakefulness test. Read the Summary of Updates in Version 3 for a summary of key changes in the new AASM Scoring Manual.
About the AASM Scoring Manual
The AASM Scoring Manual is an online resource offering you multi-platform digital access from your desktop, tablet, and mobile device. Online access to the manual is FREE for active AASM members ensuring that you always have immediate access to the current version of the AASM Scoring Manual, enabling you to remain compliant with AASM accreditation standards. Users also have access to an online list of frequently asked questions with responses about the AASM Scoring Manual.
Purchase the AASM Scoring Manual
AASM Scoring Manual 3, including access to the online frequently asked questions with responses, is available to nonmembers for purchase in the AASM online store. Print copies and an online/print bundle will be available for purchase in June 2023. AASM Scoring Manual 3 can be accessed by clicking on the “AASM Manual for the Scoring of Sleep and Associated Events” button on the My Benefits page when you log in on the AASM website or by using the AASM Resource Library app, which is a free download through the App Store and Google play.
If you have questions about the AASM Scoring Manual, you can contact the AASM at firstname.lastname@example.org or (630) 737-9700.