Validación de un sistema portátil de registro de tres canales (Oxyflow, Edentec) para el diagnóstico del síndrome de apnea del sueño

Gómez, Aixa San Emeterio; Gómez, R. Golpe; Alfayate, Rocı́o; Fernández, Cristina Gómez; Rozas, S. Fernández; Pérez, M.M. García

doi:10.1016/s0300-2896(15)30226-x

Cited by 11 publications

(2 citation statements)

References 20 publications

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“…However, there is a paucity of data comparing the available PM devices with one other. Some of the PMs that have been validated against PSG include ApneaLink,[ 23 ] Edentec,[ 24 25 26 ] PolyG,[ 27 ] AutoSet,[ 28 29 30 31 32 ] Embletta,[ 33 ] Sibel home,[ 34 ] Bedbugg,[ 35 ] NovaSom,[ 36 ] WatchPAT,[ 37 38 39 40 ] SNAP,[ 41 ] SOMNOcheck,[ 42 ] Stardust II,[ 43 ] Apnomonitor,[ 44 ] and Apnea Risk Evaluation System (ARES)[ 45 ] [ Table 3 ]. The results of the studies conducted with some of these devices are discussed in detail below.…”

Section: Portable Monitors: Review Of Literaturementioning

confidence: 99%

Utility of portable monitoring in the diagnosis of obstructive sleep apnea

Krishnaswamy

Aneja²,

Kumar

et al. 2015

Journal of Postgraduate Medicine

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Obstructive sleep apnea (OSA) is a common but underdiagnosed sleep disorder, which is associated with systemic consequences such as hypertension, stroke, metabolic syndrome, and ischemic heart disease. Nocturnal laboratory-based polysomnography (PSG) is the gold standard test for diagnosis of OSA. PSG consists of a simultaneous recording of multiple physiologic parameters related to sleep and wakefulness including electroencephalography (EEG), electrooculography (EOG), surface electromyography (EMG), airflow measurement using thermistor and nasal pressure transducer, pulse oximetry and respiratory effort (thoracic and abdominal). Multiple alternative and simpler methods that record respiratory parameters alone for diagnosing OSA have been developed in the past two decades. These devices are called portable monitors (PMs) and enable performing sleep studies at a lower cost with shorter waiting times. It has been observed and reported that comprehensive sleep evaluation coupled with the use of PMs can fulfill the unmet need for diagnostic testing in various out-of-hospital settings in patients with suspected OSA. This article reviews the available medical literature on PMs in order to justify the utility of PMs in the diagnosis of OSA, especially in resource-poor, high-disease burden settings. The published practice parameters for the use of these devices have also been reviewed with respect to their relevance in the Indian setting.

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Section: Portable Monitors: Review Of Literaturementioning

confidence: 99%

Utility of portable monitoring in the diagnosis of obstructive sleep apnea

Krishnaswamy

Aneja²,

Kumar

et al. 2015

Journal of Postgraduate Medicine

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“…Para ello, analizaron 62 sujetos y obtuvieron un AUC de 0.90 para un IAH ≥ 10 e/h, 0.94 para un IAH ≥ 15 e/h y 0.96 para un IAH ≥ 30 e/h. La lectura manual no fue mejor que el análisis automático[146].Posteriormente, Heneghan et al en el año 2008 realizaron un estudio prospectivo enel que combinaron el ECG y la oximetría (Holter-oximeter) comparado con la PSG, realizadas ambas pruebas en el hospital, en una población compuesta por 59 adultos. Se realizó un análisis automático, alcanzando una sensibilidad del 95.8% y una especificidad del 100%, con un LR+ > 20 y una razón de verosimilitud negativa (LR-) de 0.04.…”

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Utilidad de las señales de oximetría y flujo aéreo en el diagnóstico simplificado de la apnea obstructiva del sueño. Diseño de un test automático domiciliario

Cerezo Hernández

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Obstructive Sleep Apnea (OSA) is a respiratory disorder characterized by recurrent episodes of total (apnea) or partial (hypopnea) absence of airflow during sleep. Recent epidemiological studies estimate the prevalence of OSA at 10% in men and 3% in middleaged women. Untreated OSA produces a significant decrease in quality of life and is associated with the main causes of mortality in industrialized countries, such as arterial hypertension, coronary heart disease, cerebrovascular accidents, diabetes and cancer. However, OSA is considered an underdiagnosed chronic disease. Continuous positive airway pressure (CPAP) is the most common therapeutic option, being non-invasive, efficient and cost-effective, so favoring the diagnostic process is essential.Nocturnal polysomnography (PSG) in a specialized sleep unit is the reference diagnostic method. The apnea-hypopnea index (AHI) derived from PSG makes it possible to rule out or confirm the pathology and determine its severity. However, PSG has low availability and accessibility, being costly and time consuming for the healthcare system and intrusive for the patients. These major limitations contributed to overload the available resources leading to long waiting lists, which reduces its effectiveness as the only diagnostic technique for OSA. There is a significant problem of accessibility of patients to sleep laboratories, which leads to a significant delayed access to the diagnosis and treatment resources of the disease. Consequently, in recent years there has been a significant demand xxii aéreo (FA) y enfoque de doble canal SpO2+FA.

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Home Sleep Testing in the Diagnosis and Treatment of Sleep Disordered Breathing

Patel

Davidson

2007

Otolaryngologic Clinics of North America

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Validación de un sistema portátil de registro de tres canales (Oxyflow, Edentec) para el diagnóstico del síndrome de apnea del sueño

Cited by 11 publications

References 20 publications

Utility of portable monitoring in the diagnosis of obstructive sleep apnea

Utility of portable monitoring in the diagnosis of obstructive sleep apnea

Utilidad de las señales de oximetría y flujo aéreo en el diagnóstico simplificado de la apnea obstructiva del sueño. Diseño de un test automático domiciliario

Home Sleep Testing in the Diagnosis and Treatment of Sleep Disordered Breathing

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