Poligrafía respiratoria en el diagnóstico del síndrome de apneas obstructivas durante el sueño

Díaz, E. Martín; Gil, F. Capote; Gómez, Sílvia; Armengol, Angeles Sánchez; Bernal, C. Carmona; Campos, Gregorio Soto

doi:10.1016/s0300-2896(15)30656-6

Cited by 13 publications

(3 citation statements)

References 25 publications

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“…La AASM, antes llamada ASDA, ha sido hasta el año 2006 una acérrima defensora de la polisonmografía convencional y particularmente escéptica en relación al rendimiento diagnóstico de estudios simplificados o de screening (4,18,34,45). En el otro lado de la orilla, el grupo europeo con Neil Douglas de Edimburgo y la escuela de sueño española propugnaron el uso de equipos simplificados de diagnóstico ante la presión de largas listas de espera para la polisomnografía convencional en sus laboratorios de sueño (1,8,11,16,17,(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60). La controversia está aún vigente, aunque en el año 2006 después de quince años en que fuera publicado el artículo original de Neil Douglas, la AASM está reclutando investigadores a lo largo de EEUU que deseen participar en un proyecto a gran escala para evaluar la utilidad diagnóstica de estos dispositivos.…”

Section: Discussionunclassified

Método simplificado para el diagnóstico del síndrome de apnea-hipopnea del sueño (SAHS). A propósito de una serie de casos empleando el polígrafo respiratorio BREAS SC-20.

Mujica¹,

Pereyra²,

Mayor³

2012

Rev Med Hered

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Método simplificado para el diagnóstico del síndrome de apnea-hipopnea del sueño , apnea central con patrón periódico Cheyne Stokes 3 (6%), ronquido primario benigno 2 (4%) y prueba normal 2 (4%). El procedimiento fue bien tolerado y no hubo efectos secundarios relacionados. Conclusiones: Con los resultados obtenidos, consideramos que el sistema BREAS SC-20 bajo supervisión de médicos entrenados en los trastornos respiratorios del sueño; es una herramienta útil, práctica y económica para el diagnóstico del SAHS. (Rev Med Hered 2007;18:59-67). Método simplificado para el diagnóstico del síndrome de apnea-hipopnea del sueño (SAHSPALABRAS CLAVE: Síndrome de apnea-hipopnea del sueño, SAHS, apnea del sueño, poligrafía respiratoria, métodos diagnósticos, estudios simplificados.

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Section: Discussionunclassified

Método simplificado para el diagnóstico del síndrome de apnea-hipopnea del sueño (SAHS). A propósito de una serie de casos empleando el polígrafo respiratorio BREAS SC-20.

Mujica¹,

Pereyra²,

Mayor³

2012

Rev Med Hered

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“…The independent variables of the study were age, sex, body mass index (BMI = weight in kg/height in square meters), and neck circumference (in centimeters). The dependent variables were the apnea-hypopnea index (AHI), defined as the number of apneas plus hypopneas per 1 h of polygraphy or polysomnographic study ( 3 ), and questions from the BQ ( 9 ). BQ is a widely used non-invasive screening tool for identifying subjects with a high probability of having OSA.…”

Section: Methodsmentioning

confidence: 99%

“…In adult women, the prevalence of OSA is 2%–4%, with the ratio between men and women being 2-3/1, with a tendency to equalize after menopause. The prevalence of OSA increases with age, tripling in the elderly compared to the middle-aged population ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Berlin questionnaire for the detection of moderate or severe obstructive sleep apnea in patients aged 40 years or older detected from primary care

Navarrete-Martínez,

Muñoz-Gómez,

Serrano-Merino

et al. 2023

Front. Med.

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BackgroundThe obstructive sleep apnea syndrome (OSA) is a highly prevalent condition. In Spain and other countries, only 5%–9% of patients with OSA have been diagnosed and treated. The lack of accessibility to diagnosis is considered the main cause of this situation through easy-to-use screening instruments, it is necessary to check their validity and reliability in the context where they are to be used.ObjectiveTo validate the Spanish translation of the Berlin questionnaire for screening for moderate or severe OSA in patients aged 40 years or more detected in primary care.MethodsA descriptive observational study, with a first qualitative phase of transcultural adaptation to Spanish using the translation-back-translation method. Setting: primary care level of the Spanish National Health System. A total of 255 patients recruited from 7 healthcare centers completed the study. The Berlin questionnaire was administered to the recruited patients, and subsequently, a respiratory polygraphy was performed to confirm the diagnosis of OSA. The concurrent criterion validity of the questionnaire and its reliability in terms of internal consistency and reproducibility (intra-observer agreement) were analyzed.ResultsThe patients’ mean age was 54.76 years (SD: 6.57; 95% CI: 53.53–54.99), and 54.12% were men (95% CI: 47.96–60.27). We found that 61.57% (95% CI: 55.57–67.57) presented OSA (apnea-hypopnea index-AHI >5), and 45.5% (95% CI: 17.05–57.92) presented moderate or severe (AHI >15) OSA. The Berlin questionnaire, with a cut-off point of 4.5, showed a sensitivity of 76.77% (95% CI: 67.94–85.59), a specificity of 74.49% (95% CI: 65.35–83.63), a positive predictive value of 75.25% (95% CI: 66.34–84.16), a negative predictive value of 76.04% (95% CI: 66.98–85.10), and an area under the curve of 0.786 (95% CI: 0.721–0.851). Cronbach’s alpha coefficient was 0.730 (95% CI: 0.668–0.784), and the Kappa index was 0.739 (95% CI, 0.384–1.000).ConclusionThe Spanish adaptation of the Berlin questionnaire has good validity and reliability as a test for the diagnostic screening of moderate or severe OSA in patients aged 40 years or older. The findings of our study confirm that primary care physicians should use such screening tools to predict OSA.

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Diagnostic value of respiratory polygraphy in patients with low probability of obstructive sleep apnea syndrome

Voth

Ortega

Zabaleta

et al. 2016

Medicina Clínica (English Edition)

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Poligrafía respiratoria en el diagnóstico del síndrome de apneas obstructivas durante el sueño

Cited by 13 publications

References 25 publications

Método simplificado para el diagnóstico del síndrome de apnea-hipopnea del sueño (SAHS). A propósito de una serie de casos empleando el polígrafo respiratorio BREAS SC-20.

Método simplificado para el diagnóstico del síndrome de apnea-hipopnea del sueño (SAHS). A propósito de una serie de casos empleando el polígrafo respiratorio BREAS SC-20.

Validity and reliability of the Berlin questionnaire for the detection of moderate or severe obstructive sleep apnea in patients aged 40 years or older detected from primary care

Diagnostic value of respiratory polygraphy in patients with low probability of obstructive sleep apnea syndrome

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