Palombini Luciana de Oliveira, Mello Luciane Impellizieri Luna de, Santos-Silva Rogério, Assis Márcia, Cunha Thays Crosara Abrahão, Drager Luciano Ferreira, Zancanella Edilson, Alves Rosana Cardoso, Bacelar Andrea, Bagnato Mauricio da Cunha, Balsalobre Rafael de Andrade, Bianchini Esther Mandelbaum Gonçalves, Brasil Evelyn Lucien, Coelho Fernando Morgadinho Santos, Duarte Bruno Bernardo, Eckeli Alan Luiz, Fabbro Cibele Dal, Franco Aline Marques, Genta Pedro Rodrigues, Giannasi Lilian Chrystiane, Miguel Mário André Leocadio, Moreira Gustavo Antonio, Naufel Maria Fernanda, Pereira Luciana Moraes Studart, Poyares Dalva, Pradella-Hallinan Marcia, Soares Carolina Ferraz de Paula, Soster Leticia Azevedo, Zanini Marcio Andrei, Pires Gabriel Natan
Instituto do Sono, Associação Fundo de Incentivo à Pesquisa (AFIP), São Paulo, SP, Brazil.
Centro de Pesquisa e Desenvolvimento da Samsung, Campinas, SP, Brazil.
Sleep Sci. 2024 Dec 17;17(4):e429-e450. doi: 10.1055/s-0044-1800886. eCollection 2024 Dec.
The absence of standardized reporting for sleep medicine exams across different laboratories can lead to misinterpretation, diagnostic inconsistencies, and suboptimal treatment strategies. This document seeks to establish guidelines for the development of sleep study reports, covering recordings from studies of types 1 to 4, and represents the official position of Associação Brasileira do Sono (ABS; Brazilian Sleep Association) on the standardization of polysomnography (PSG) and cardiorespiratory polygraphies. The recommendations for the items to be reported in PSG records were developed by means of a Delphi study, comprised of two voting rounds. In each round, participants had to vote regarding the appropriateness of items to be reported in type-1 to -4 sleep studies, rating them as , , or . The consensus threshold was set at 66% in each voting round, or 75% for the combined responses of and . The panel was comprised of 29 experts. After 2 voting rounds and subsequent deliberations by the steering committee, 352 items were included in the final set of recommendations. Consensus was achieved for 339 items (96.3%), of which 145 (41.2%) were classified as , 154 as (43.8%), 35 as (9.9%), and 5 as (1.4%). No consensus was reached for 13 items (3.7%). The items recommended in this consensus are detailed in the main text. These guidelines provide comprehensive recommendations for reporting diagnostic tests in sleep medicine.
不同实验室之间睡眠医学检查缺乏标准化报告，可能会导致误解、诊断不一致以及治疗策略欠佳。本文旨在制定睡眠研究报告的编制指南，涵盖1至4型研究的记录，代表巴西睡眠协会（ABS）在多导睡眠图（PSG）和心肺多导睡眠图标准化方面的官方立场。PSG记录中报告项目的建议是通过德尔菲研究制定的，该研究包括两轮投票。在每一轮中，参与者必须对1至4型睡眠研究中报告项目的适当性进行投票，将其评为“必要”、“推荐”或“可选”。每轮投票的共识阈值设定为66%，或“必要”和“推荐”的综合回复为75%。该小组由29名专家组成。经过两轮投票以及指导委员会随后的审议，最终的建议集中包含352个项目。339个项目（96.3%）达成了共识，其中145个（41.2%）被归类为“必要”，154个为“推荐”（43.8%），35个为“可选”（9.9%），5个为“不建议”（1.4%）。13个项目（3.7%）未达成共识。本共识中推荐的项目在正文部分详细列出。这些指南为睡眠医学诊断测试的报告提供了全面的建议。
