George C F
University of Western Ontario, London.
CMAJ. 1996 Dec 15;155(12):1673-8.
To develop standards for polysomnography in Canada in order to assist in the uniform provision of diagnostic and therapeutic services related to sleep disorders.
Uniform testing versus no current Canadian standards.
Uniform delivery of health care; reduction in number of repeat studies and their attendant costs.
Availability of diagnostic laboratories and services, and survey responses (written and oral) from directors of sleep laboratories; the American Thoracic Society statement on indications and standards for cardiopulmonary sleep studies was used as a template.
Acceptable standards of practice were based on consensus opinion of the standards committees of the Canadian Sleep Society and the Canadian Thoracic Society. The committees comprised specialists in neurology, psychiatry, psychology, respirology and polysomnographic technology; family practitioners and otolaryngologists were also consulted.
BENEFITS, HARMS, COSTS: Improved level of care and reduction in duplicate or unnecessary testing; establishment, with available resources, of diagnostic sleep laboratories by appropriately qualified physicians in areas where polysomnography is unavailable.
Health care practitioners involved in the diagnosis and treatment of sleep disorders should possess a minimum amount of training (both clinical and research) in sleep disorders medicine. The variables recorded and findings entered in a patient's report must be relevant to the sleep disorder under investigation. The recording equipment must provide reliable, accurate and reproducible data and lend itself to appropriate calibration and quality-control procedures. Facilities for sleep studies must meet patient care safety standards, with provisions for emergency or resuscitative measures when necessary; all personnel must be trained in basic cardiopulmonary resuscitation.
No previous standards concerning polysomnography in Canada exist. The recommended standards were reviewed by all members of the Canadian Sleep Society and a revised document was approved by the Standards Committee of the Canadian Sleep Society and by the Standards and Executive committees of the Canadian Thoracic Society.
These standards are endorsed by the Canadian Sleep Society and the Canadian Thoracic Society. The cost of preparing this statement was borne by the individual members of the standards committees; no external funding was provided.
制定加拿大多导睡眠图标准，以协助统一提供与睡眠障碍相关的诊断和治疗服务。
统一测试与加拿大目前无标准。
统一提供医疗服务；减少重复检查次数及其相关费用。
诊断实验室和服务的可获得性，以及睡眠实验室主任的调查回复（书面和口头）；美国胸科学会关于心肺睡眠研究的指征和标准声明用作模板。
可接受的实践标准基于加拿大睡眠协会和加拿大胸科学会标准委员会的共识意见。委员会成员包括神经学、精神病学、心理学、呼吸病学和多导睡眠图技术方面的专家；还咨询了家庭医生和耳鼻喉科医生。
益处、危害、成本：提高护理水平，减少重复或不必要的检查；在多导睡眠图无法提供的地区，由具备适当资质的医生利用现有资源建立诊断性睡眠实验室。
参与睡眠障碍诊断和治疗的医疗从业者应在睡眠障碍医学方面接受最低限度的培训（包括临床和研究）。患者报告中记录的变量和输入的结果必须与所研究的睡眠障碍相关。记录设备必须提供可靠、准确和可重复的数据，并便于进行适当的校准和质量控制程序。睡眠研究设施必须符合患者护理安全标准，必要时提供紧急或复苏措施；所有人员必须接受基本心肺复苏培训。
加拿大以前没有关于多导睡眠图的标准。推荐标准由加拿大睡眠协会所有成员进行了审查，修订后的文件得到了加拿大睡眠协会标准委员会以及加拿大胸科学会标准和执行委员会的批准。
这些标准得到了加拿大睡眠协会和加拿大胸科学会的认可。编写本声明的费用由标准委员会的个别成员承担；未提供外部资金。
