Disponibilidad de recursos técnicos para el diagnóstico y tratamiento del síndrome de apnea obstructiva del sueño en los hospitales de la red pública del Estado

Cantolla, Joaquín Durán; Alonso, Jordi; Illa, Ferrán Barbé; Gil, F. Capote; González-Mangado, Nicolás; Gómez, Aixa San Emeterio; Trigo, José María Marín; Jiménez, J.F. Masa; Canal, José María Montserrat; Santos, Joaquín Terán

doi:10.1016/s0300-2896(15)30867-x

Cited by 26 publications

(2 citation statements)

References 25 publications

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“…Polysomnography is the current gold standard for the diagnosis of sleep-disordered breathing [1][2][3] but the use of polysomnographical sleep studies as the only diagnostic method in all suspected cases of SAS may not be justified [13][14][15][16] and in this respect, various scientific societies have accepted the complementary role of cardiorespiratory polygraphy in the initial diagnostic approach of SAS [2,3]. The lower diagnostic yield of cardiorespiration compared with polysomnography infers that the diagnosis of SAS, based on any simplified method, should be assessed in terms of probability and subsequently validation studies of the method to be used in clinical practice are crucial.…”

Section: Discussionmentioning

confidence: 99%

Comparison of a cardiorespiratory deviceversuspolysomnography for diagnosis of sleep apnoea

Calleja¹,

Esnaola²,

Rubio³

et al. 2002

Eur Respir J

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Comparison of a cardiorespiratory device versus polysomnography for diagnosis of sleep apnoea. J.M. Calleja, S. Esnaola, R. Rubio, J. Durán. #ERS Journals Ltd 2002. ABSTRACT: This study assessed the accuracy of a cardiorespiratory monitoring device versus polysomnography for the diagnosis of suspected sleep apnoea/hypoponea syndrome (SAS).A total of 86 patients (89% male, mean age 52 yrs) that had been referred to a sleep laboratory with a clinical diagnosis of SAS underwent cardiorespiratory polygraphy in an unattended mode using an ambulatory device (MERLIN). Analysis was carried out both automatically and manually. Conventional overnight full-channel polysomnography was performed simultaneously.Valid polygraphical recordings were obtained from 79 patients. The mean ¡ SD apnoea/hypopnoea index (AHI) was 34.4 ¡ 29.2. The results obtained with manual scoring were superior to automatic scoring for all AHI thresholds. For an AHI of o5, which is diagnostic SAS, the optimum cut-off value for the manual respiratory event index was 6.7 and the cardiorespiratory monitoring device had 97.1% sensitivity and 90.9% specificity. Correct classification according to the different cut-off points obtained via polysomnography and the corresponding cut-off points in the MERLIN manual index were confirmed in 90-96% of patients.The MERLIN device is a useful diagnostic approach for the initial assessment of adult patients with clinical suspicion of sleep apnoea/hypopnoea syndrome. Manual scoring is clearly better than automatic scoring in terms of agreement with the apnoea/ hypopnoea index and to discern patients with sleep apnoea/hypopnoea syndrome.

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Section: Discussionmentioning

confidence: 99%

Comparison of a cardiorespiratory deviceversuspolysomnography for diagnosis of sleep apnoea

Calleja¹,

Esnaola²,

Rubio³

et al. 2002

Eur Respir J

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“…En el presente estudio, el segundo que evalúa las demoras en el diagnóstico del SAHS en los hospitales españoles y el quinto que valora los recursos desde 1994, se observa, al igual que en los estudios previos, una gran disparidad entre centros y CC AA [28][29][30][31] . Aunque los recursos diagnósticos han mejorado con respecto a estudios anteriores (fig.…”

Section: Discussionunclassified

Recursos y demoras en el diagnóstico del síndrome de apneas-hipopneas durante el sueño (SAHS)

Jiménez

Barbé

Gil

et al. 2007

Archivos de Bronconeumología

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Prevalencia del síndrome de apnea-hipopnea del sueño en conductores profesionales de largo recorrido

Dı́az¹,

Guallar²,

Arnedo

et al. 2001

Archivos de Bronconeumología

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Disponibilidad de recursos técnicos para el diagnóstico y tratamiento del síndrome de apnea obstructiva del sueño en los hospitales de la red pública del Estado

Cited by 26 publications

References 25 publications

Comparison of a cardiorespiratory deviceversuspolysomnography for diagnosis of sleep apnoea

Comparison of a cardiorespiratory deviceversuspolysomnography for diagnosis of sleep apnoea

Recursos y demoras en el diagnóstico del síndrome de apneas-hipopneas durante el sueño (SAHS)

Prevalencia del síndrome de apnea-hipopnea del sueño en conductores profesionales de largo recorrido

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