ORANGE COAST COLLEGE

POLYSOMNOGRAPHY 250
Record Review
Definition of Sleep Staging Terms
epoch -

A discrete time period used for scoring PSG records.

Usually 30 seconds (assumed for the rest of these
definitions).

Lights Out -

Time when polysomnogram recording begins.

Lights On

Time when polysomnogram recording ends.

Final Wake -

Final time when patient awakens before Lights On. May be

same time as Lights On if patient is wakened by PSG
technologist.

Final Wake Time - Time between Final Wake and end of test (Lights
On).
Sleep Onset -

Time when sleep is first scored after Lights Out.

Definition varies by facility. (Assumed as first scorable
sleep epoch for these definitions.)

Sleep Latency -

Time taken to fall asleep.

[Sleep Latency = Lights Out - Sleep Onset]

REM Latency -

Time from Sleep Onset until beginning of first scorable

REM epoch.

TWT -

(Total Wake Time) Minutes awake during recording.

[TWT = wake epochs/2]

WASO -

(Wake After Sleep Onset) Total minutes of wakefulness

recorded after Sleep Onset, as scored by epochs.
[WASO = Wake epochs/2 - (Sleep Latency {+ Final Wake
Time})]

TIB (TRT) -

(Time in Bed/Total Recording Time)

recording as scored by epochs.
[TIB = total epochs/2]

TST -

(Total Sleep Time) Minutes spent asleep on PSG recording,

as scored by epochs. [TST = TIB - TWT] or [TST = TIB (WASO + Sleep Latency + Final Wake Time)]

SPT -

(Sleep Period Time) Amount of time available for sleep

after Sleep Onset. [SPT = TIB - Sleep Latency]

Total minutes of

min Stage N1 - Minutes spent in Stage 1 sleep {or N2,N3,R}.

{or N2,N3,R}
[min Stage 1 = epochs Stage 1/2]
%Stage 1 {or N2,N3,R}

Percent of Stage 1 {or N2,N3,R} sleep recorded on PSG.

[%Stage 1 = minutes Stage 1/TST X 100]

Sleep Efficiency -Index of sleep percentage recorded on PSG.

[Sleep Efficiency = TST/TIB X 100]
Sleep Maintenance-Index of sleep efficiency after Sleep Onset.
[Sleep Maintenance = TST/SPT X 100]