Palombini Luciana de Oliveira, Assis Márcia, Drager Luciano Ferreira, Mello Luciane Impelliziere Luna de, Pires Gabriel Natan, Zancanella Edilson, Santos-Silva Rogério
Instituto do Sono, Associação Fundo de Incentivo à Pesquisa (AFIP), São Paulo, SP, Brazil.
Associação Brasileira do Sono, São Paulo, SP, Brazil.
Sleep Sci. 2024 Dec 17;17(4):e476-e492. doi: 10.1055/s-0044-1800887. eCollection 2024 Dec.
The current document represents the official position of Associação Brasileira do Sono (ABS; Brazilian Sleep Association) on the application of different sleep studies and provides specific recommendations for the use of different types of polysomnography (PSG) and respiratory polygraphy. The present document was based on existing guidelines. The steering committee discussed its findings and developed recommendations and contraindications, which were refined in discussions with the advisory committee. Adaptations were made based on professional experience, pathophysiological knowledge, and theoretical reasoning, especially to cover topics not discussed in previous guidelines or to adapt recommendations to the context and current practices in Brazil. A total of 55 recommendations were made, covering the following domains: professional requirements for the requisition and interpretation of sleep studies ( = 7); eligibility for different sleep studies ( = 9); diagnosis of sleep-disordered breathing (SDB; = 5); diagnosis of SDB in special conditions ( = 3); diagnosis of SDB in association with other sleep disorders and comorbidities ( = 3); sleep studies on the follow-up of patients with SDB ( = 9); sleep studies for positive air pressure titration ( = 3); diagnosis of other sleep disorders ( = 10); and sleep studies on other conditions ( = 6). The selection of the type of sleep study should be made carefully, considering resource constraints, clinical suspicion of moderate or severe obstructive sleep apnea (OSA), and individual patient needs, among other factors. It is crucial that health professionals receive appropriate training and board certification in sleep science, thus being able to determine the most suitable diagnostic method, understand their indications and limitations, and assure an accurate diagnosis for each patient.
本文件代表巴西睡眠协会（ABS）对不同睡眠研究应用的官方立场，并为不同类型的多导睡眠图（PSG）和呼吸多导描记术的使用提供了具体建议。
本文件基于现有指南。指导委员会讨论了其研究结果并制定了建议和禁忌症，这些在与咨询委员会的讨论中得到了完善。根据专业经验、病理生理知识和理论推理进行了调整，特别是为了涵盖以前指南中未讨论的主题，或使建议适用于巴西的背景和当前实践。
总共提出了55条建议，涵盖以下领域：睡眠研究申请和解读的专业要求（ = 7）；不同睡眠研究的适用资格（ = 9）；睡眠呼吸障碍（SDB）的诊断（ = 5）；特殊情况下SDB的诊断（ = 3）；与其他睡眠障碍和合并症相关的SDB诊断（ = 3）；SDB患者随访的睡眠研究（ = 9）；正压滴定的睡眠研究（ = 3）；其他睡眠障碍的诊断（ = 10）；以及其他情况的睡眠研究（ = 6）。
睡眠研究类型的选择应谨慎进行，要考虑资源限制、对中度或重度阻塞性睡眠呼吸暂停（OSA）的临床怀疑以及个体患者需求等因素。卫生专业人员接受睡眠科学方面的适当培训和委员会认证至关重要，这样他们才能确定最合适的诊断方法，了解其适应症和局限性，并确保为每位患者做出准确诊断。
