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Vol. 47. Issue 3.
Pages 143-156 (January 2011)
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Vol. 47. Issue 3.
Pages 143-156 (January 2011)
SEPAR Guidelines
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Diagnosis and treatment of sleep apnea-hypopnea syndrome
Diagnóstico y tratamiento del síndrome de apneas-hipopneas del sueño
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11855
Patricia Lloberesa,
Corresponding author
plloberes@vhebron.net

Corresponding author.
, Joaquín Durán-Cantollab, Miguel Ángel Martínez-Garcíac, José María Marínd, Antoni Ferrere, Jaime Corralf, Juan Fernando Masaf, Olga Parrag, Mari Luz Alonso-Álvarezh, Joaquín Terán-Santosi
a Unidad del Sueño, Servicio de Neumología, Hospital Vall d’Hebron, Barcelona, Spain, (Ciberes)
b Unidad Multidisciplinar de Trastornos del Sueño, Hospital Txagorritxu, Vitoria, Spain, (Ciberes)
c Unidad de Neumología, Hospital de Requena, Valencia, Spain, (Ciberes)
d Servicio de Neumología, Hospital Universitario Miguel Servet, IACS, Zaragoza, Spain, (Ciberes)
e Servei de Pneumologia, Hospital del Mar-IMIM, Hospital de Sabadell, UPF, UAB, Barcelona, Spain, (Ciberes)
f Servicio de Neumología, Hospital San Pedro de Alcántara, Cáceres, Spain, (Ciberes)
g Servei de Pneumologia, Hospital Universitari Sagrat Cor, UB, Barcelona, Spain, (Ciberes)
h Unidad de Sueño, Hospital Universitario Complejo Asistencial de Burgos, Spain, (Ciberes)
i Servicio de Neumología, Hospital Universitario Complejo Asistencial de Burgos, Spain, (Ciberes)
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References
[1.]
H.J. Schünemann, R. Jaeschke, D.J. Cook, W.F. Bria, A.A. El-Solh, A. Ernst, ATS Documents Development and Implementation Committee, et al.
An official ATS statement: grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations.
Am J Respir Crit Care Med, 174 (2006), pp. 605-614
[2.]
J. Durán-Cantolla, F.J. Puertas-Cuesta, G. Pin-Arboledas, J. Santa María-Cano, Grupo Español de Sueño (GES).
Documento de consenso nacional sobre el síndrome de apneas-hipopneas del sueño.
Arch Bronconeumol, 41 (2005), pp. 1-110
[3.]
American Academy of Sleep Medicine Task Force.
Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research.
Sleep, 22 (1999), pp. 667-689
[4.]
J. Durán, S. Esnaola, R. Ramón, A. Iztueta.
Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 years.
Am J Respir Crit Care Med, 163 (2001), pp. 685-689
[5.]
L.J. Epstein, D. Kristo, P.J. Strollo, N. Friedman, A. Malhotra, S.P. Patil, et al.
Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults.
J Clin Sleep Med, 5 (2009), pp. 263-276
[6.]
T. Young, M. Palta, J. Dempsey, J. Skatrud, S. Weber, S. Badr.
The occurrence of sleep-disordered breathing among middle-aged adults.
N Engl J Med, 328 (1993), pp. 1230-1235
[7.]
N.S. Marshall, K.K.H. Wong, P.Y. Liu, S.R.J. Cullen, M.W. Knuiman, R.R. Grunstein.
Sleep apnea as an independient risk factor for all-cause mortality, The Busselton Health Study.
Sleep, 31 (2008), pp. 1079-1085
[8.]
V.K. Somers, D.P. White, R. Amin, W.T. Abraham, F. Costa, A. Culebras, American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology;American Heart Association Stroke Council; American Heart Association Council on Cardiovascular Nursing; American College of Cardiology Foundation, et al.
Sleep apnea and cardiovascular disease: an American Heart Association/American College Of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council On Cardiovascular Nursing. In collaboration with the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health).
Circulation, 118 (2008), pp. 1080-1111
[9.]
T. Young, L. Finn, P. Peppard, M. Szklo-Coxe, D. Austin, J. Nieto, et al.
Sleep-disordered-breathing and mortality;Eighteen-year follow-up of Wisconsin Sleep Cohort.
Sleep, 31 (2008), pp. 1071-1078
[10.]
Y. Peker, J. Hedner, A. Johanson, M. Bende.
Reduced hospitalization with cardiovascular and pulmonary disease in obstructive sleep apnea patients on nasal CPAP treatment.
Sleep, 20 (1997), pp. 645-653
[11.]
J. Ronald, K. Delaive, L. Roos, J. Manfreda, A. Bahammam, M.H. Kryger.
Health care utilization in the 10years prior to diagnosis in obstructive sleep apnea patients.
Sleep, 2 (1999), pp. 225-229
[12.]
W.T. McNicholas.
Diagnosis of obstructive sleep apnea in adults.
Proc Am Thorac Soc, 5 (2008), pp. 154-160
[13.]
F. Capote, J.F. Masa, A. Jiménez, G. Peces-Barba, J. Amilibia, R. Rubio.
Manifestaciones clínicas del SAHS. Métodos diagnósticos. Síndrome de resistencia aumentada de la vía aérea superior.
Arch Bronconeumol, 38 (2002), pp. 21-27
[14.]
M.W. Johns.
Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth Sleepiness Scale.
Chest, 103 (1993), pp. 30-36
[15.]
J. Durán, S. Esnaola, R. Rubio, G. De la Torre.
Obstructive sleep apnoea-hypopnoea in the elderly. A population-based study in the general population aged 71–100. Annual Meeting of ERS. Florencia.
Eur Respiratory J, 16 (2000), pp. 167S
[16.]
S.H. Launois, J.L. Pépin, P. Lévy.
Sleep apnea in the elderly: a specific entity?.
Sleep Med Rev, 11 (2007), pp. 87-97
[17.]
T.E. Weaver, E.R. Chasens.
Continuous positive airway pressure treatment for sleep apnea in older adults.
Sleep Med Rev, 11 (2007), pp. 99-111
[18.]
M.R. Shepertycky, K. Banno, M.H. Kriger.
Differences between men and women in the clinical presentation of patients diagnosed with obstructive sleep apnea syndrome.
Sleep, 28 (2005), pp. 309-314
[19.]
V.K. Somers, M.E. Dyken, M.P. Clary, F.M. Abboud.
Sympathetic neural mechanisms in obstructive sleep apnea.
J Clin Invest, 96 (1995), pp. 1897-1904
[20.]
D.R. Mansfield, N.C. Gollogly, D.M. Kaye, M. Richardson, P. Bergin, M.T. Naughton.
Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure.
Am J Respir Crit Care Med, 169 (2004), pp. 361-366
[21.]
S. Ryan, C.T. Taylor, W.T. McNicholas.
Selective activation of inflammatory pathways by intermittent hypoxia in obstructive sleep apnea syndrome.
Circulation, 112 (2005), pp. 2660-2667
[22.]
S.D. West, D.J. Nicoll, T.M. Wallace, D.R. Matthews, J.R. Stradling.
Effect of CPAP on insulin resistance and HbA1c in men with obstructive sleep apnoea and type 2 diabetes.
Thorax, 62 (2007), pp. 969-974
[23.]
P. Haentjens, A. Van Meerhaeghe, A. Moscariello, S. De Weerdt, K. Poppe, A. Dupont, et al.
The impact of continuous positive airway pressure on blood pressure in patients with obstructive sleep apnea syndrome: evidence from a meta-analysis of placebocontrolled randomized trials.
Arch Intern Med, 167 (2007), pp. 757-764
[24.]
R. Kanagala, N.S. Murali, P.A. Friedman, N.M. Ammash, B.J. Gersh, K.V. Ballman, et al.
Obstructive sleep apnea and the recurrence of auricular fibrillation.
Circulation, 107 (2003), pp. 2589-2594
[25.]
E. Shahar, C.W. Whitney, S. Redline, E.T. Lee, A.B. Newman, F. Javier Nieto, et al.
Sleepdisordered breathing and cardiovascular disease: crosssectional results of the Sleep Heart Health Study.
Am J Respir Crit Care Med, 163 (2001), pp. 19-25
[26.]
M. Arzt, T. Yount, L. Finn, J.B. Skatrud, T.D. Bradley.
Association of sleep-disordered breathing and the occurrence of stroke.
Am J Respir Crit Care Med, 172 (2005), pp. 1447-1451
[27.]
J.M. Marin, S.J. Carrizo, E. Vicente, A.G. Agusti.
Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: An observational study.
Lancet, 365 (2005), pp. 1046-1053
[28.]
H.K. Yaggi, J. Concato, W.N. Kernan, J.H. Lichtman, L.M. Brass, V. Mohsenin.
Obstructive sleep apnea as a risk factor for stroke and death.
N Engl J Med, 353 (2005), pp. 2034-2041
[29.]
M.A. Martínez-García, J.J. Soler-Cataluña, L. Ejarque-Martínez, Y. Soriano, P. Román-Sánchez, F.B. Illa, et al.
Continuous positive airway pressure treatment reduces mortality in patients with ischemic stroke and obstructive sleep apnea: A 5-year follow-up study.
Am J Respir Crit Care Med, 180 (2009), pp. 36-41
[30.]
C.A. Kushida, M.R. Littner, T. Morgenthaler, C.A. Alessi, D. Bailey, J. Coleman, et al.
Practice parameters for the indications for polysomnography and related procedures: an update for 2005.
Sleep, 28 (2005), pp. 499-521
[31.]
R. Ferber, R. Millman, M. Coppola, J. Fleetham, C.F. Murray, C. Iber, et al.
Portable recording in the assessment of obstructive sleep apnea.
Sleep, 17 (1994), pp. 378-392
[32.]
W.W. Flemons, M.R. Littner, J.A. Rowley, P. Gay, W.M. Anderson, D.W. Hudgel, et al.
Home diagnosis of sleep apnea: a systematic review of the literature. An evidence review cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society.
Chest, 124 (2003), pp. 1543-1579
[33.]
D. Hudgel, W.M. Anderson, Boehlecke, D. Claman, R. Goldberg, D.J. Gottlieb, Portable Monitoring Task Force of the American Academy of Sleep Medicine, et al.
Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Portable Monitoring Task Force of the American Academy of Sleep Medicine.
J Clin Sleep Med, 3 (2007), pp. 737-747
[34.]
Centers for Medicare & Medicaid Services. Decision Memo for Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) (CAG-00093R2). March 13, 2008 (from2=viewdecisionmemo.asp&id=204&).
[35.]
J. Terán Santos.
Acreditaciones en Neumología. Unidades de sueño.
Arch Bronconeumol, 45 (2009), pp. 263-265
[36.]
M.K. Erman, D. Stewart, D. Einhorn, N. Gordon, E. Casal.
Validation of the ApneaLink for the screening of sleep apnea: a novel and simple single-channel recording device.
J Clin Sleep Med, 3 (2007), pp. 387-392
[37.]
J. Durán-Cantolla, F. Aizpuru, C. Egea, N. Pedraza, R. Rubio, C. González, et al.
Validez de un sistema supersimplificado (ApneaLinkTM) para el diagnóstico de pacientes con sospecha clínica de síndrome de apneas-hipopneas del sueño (SAHS). Resultados preliminares. (Abstract).
Arch Bronconeumol, 45 (2009), pp. 248
[38.]
S.S. Ng, T.O. Chan, K.W. To, J. Ngai, A. Tung, F.W. Ko, et al.
Validation of a portable recording device (ApneaLink) for identifying patients with suspected obstructive sleep apnea syndrome (OSAS).
Intern Med J, 39 (2009), pp. 757-762
[39.]
D.J. Eckert, A.S. Jordan, P. Merchia, A. Malhotra.
Central sleep apnea: pathophysiology and treatment.
Chest, 131 (2007), pp. 595-607
[40.]
T.D. Bradley, A.G. Logan, R.J. Kimoff, F. Sériès, D. Morrison, K. Ferguson, CANPAP Investigators, et al.
Continuous positive airway pressure for central sleep apnea and heart failure.
N Engl J Med, 353 (2005), pp. 2025-2033
[41.]
S. Jahaveri, J. Smith, E. Chung.
The prevalence and natural history of complex sleep apnea.
J Clin Sleep Med, 5 (2009), pp. 205-211
[42.]
D.D. Sin, A.G. Logan, F.S. Fitgerald, P.P. Liu, T.D. Bradley.
Effects of continuous positive airway pressure on cardiovascular outcomes in heart failure patients with and without Cheyne-Stokes respiration.
Circulation, 102 (2000), pp. 61-66
[43.]
M.H. Sanders, A.B. Newman, C.L. Haggerty, S. Redline, M. Lebowitz, J. Samet, Sleep Heart Health Study, et al.
Sleep and sleep-disordered breathing in adults with predominantly mild obstructive airway disease.
Am J Respir Crit Care Med, 167 (2003), pp. 7-14
[44.]
P. Lavie, P. Herer, L. Lavie.
Mortality risk factors in sleepapnoea: a matched case-control study.
J Sleep Res, 16 (2007), pp. 128-134
[45.]
M.-C.L. Machado, V.M. Vollmer, S.M. Togeiro, A.L. Bilderback, M.-V.C. Oliveira, F.S. Leitao, et al.
CPAP and survival in moderate to severe obstructive sleep apnoea syndrome and hypoxaemic COPD.
Eur Respir J, 35 (2010), pp. 132-137
[46.]
E.C. Fletcher, R.A. Luckett, S. Goodnight-White, C.C. Miller, W. Qian, C. Costarangos-Galarza.
A double-blind trial of nocturnal supplemental oxygen for sleep desaturation in patients with chronic obstructive pulmonary disease and a daytime PaO2 above 60mm Hg.
Am Rev Respir Dis, 145 (1992), pp. 1070-1076
[47.]
J.P. Janssens, S. Derivaz, E. Breitenstein, B. De Muralt, J.W. Fitting, J.C. Chevrolet, et al.
Changing patterns in long-term non-invasive ventilation: a 7-years prospective study in the Geneva lake area.
Chest, 123 (2003), pp. 67-79
[48.]
I. Ayappa, K.I. Berger, R.G. Norman, B.W. Oppenheimer, D.M. Rapoport, R.M. Goldring.
Hypercapnia and ventilatory periodicity in obstructive sleep apnea syndrome.
Am J Respir Crit Care Med, 166 (2002), pp. 1112-1115
[49.]
A.J. Piper, D. Wang, B.J. Yee, D.J. Barnes, R.R. Grunstein.
Randomised trial of CPAP us bilevel support in the treatment of obesity hypoventilation syndrome without severe nocturnal desaturation.
Thorax, 63 (2008), pp. 395-401
[50.]
Giles TL, Lasserson TJ, Smith BJ, White J, Wright J, Cates CJ. Presión positiva continua de las vías respiratorias para la apnea obstructiva del sueño en adultos (Revisión Cochrane traducida). In: La Biblioteca Cochrane Plus, número 3, 2008. Oxford, Update Software Ltd. Available from: http://www.update-software.com (Translated from The Cochrane Library, Issue. Chichester, United Kindgdom: John Wiley & Sons, Ltd.).
[51.]
N.M. Punjabi, B.S. Caffo, J.L. Goodwin, D.J. Gottlieb, A.B. Newman, J.T. O’Connor, et al.
Sleep-disordered breathing and mortality: A Prospective Cohort Study.
PLoS Med, 6 (2009), pp. e1000132
[52.]
J.F. Masa, A. Jiménez, J. Durán, F. Capote, C. Monasterio, M. Mayos, et al.
Alternative methods of titrating continuous positive airway pressure. A large multicenter study.
Am J Respir Crit Care Med, 170 (2004), pp. 1218-1224
[53.]
Lim J, Lasserson TJ, Fleetham J, Wright J. Aparatos bucales para la apnea obstructiva del sueño. (Revisión Cochrane traducida). In: La Biblioteca Cochrane Plus, número 3, 2008. Oxford, Update Software Ltd. Available from: http://www.update-software.com (Translated from The Cochrane Library, Issue. Chichester, United Kingdom: John Wiley & Sons, Ltd.).
[54.]
Sundaram S, Bridgman SA, Lim J, Lasserson TJ. Cirugía para la apnea obstructiva del sueño (Revisión Cochrane traducida). In: La Biblioteca Cochrane Plus, número 3, 2008. Oxford, Update Software Ltd. Available from: http://www.update-software.com (Translated from The Cochrane Library, Issue. Chichester, United Kingdom: John Wiley & Sons, Ltd.).
[55.]
D.L. Steward, T.C. Huntley, B.T. Woodson, V. Surdulescu.
Palate implants for obstructive sleep apnea: multi-institution, randomized, placebo-controlled study.
Otolaryngol Head Neck Surg, 139 (2008), pp. 506-510
[56.]
R. Riley, N.B. Powell, C. Guilleminault.
Obstructive sleep apnea syndrome: a surgical protocol for dynamic upper airway reconstruction.
J Oral Maxillofac Surg, 51 (1993), pp. 742-747
[57.]
American Academy of Pediatrics.
Clinical Practice Guideline: Diagnosis and management of childhood obstructive sleep apnea syndrome.
Pediatrics, 109 (2002), pp. 704-712
[58.]
J.C. Lumeng, R.D. Chervin.
Epidemiology of pediatric obstructive sleep apnea.
Proc Am Thorac Soc, 5 (2008), pp. 242-252
[59.]
M.H. Silber, S. Ancoli-Israel, M.H. Bonnet, S. Chokroverty, M.M. Grigg-Damberger, M. Hirshkowitz, et al.
The visual scoring of sleep in adults.
J Clin Sleep Med, 3 (2007), pp. 121-131
[60.]
E.S. Katz, C. Marcus.
Diagnosis of obstructive sleep apnea syndrome in infants and children.
Principles and practice of Pediatric sleep medicine, pp. 197-210
[61.]
M.L. Alonso Álvarez, J. Terán Santos, J.A. Cordero Guevara, A.I. Navazo Egüia, E. Ordax Carbajo, J.F. Masa Jiménez, et al.
Fiabilidad de la poligrafía respiratoria para el diagnóstico del síndrome de apneas-hipopneas durante el sueño en niños.
Arch Bronconeumol, 44 (2008), pp. 318-323
[62.]
Lim J, McKean MC. Adenotonsillectomy for obstructive sleep apnoea in children (Review). The Cochrane Database Syst Rev 2009, Issue 1, Apr 15(2): CD003136. Available from: http://www.thecochranelibrary.com.
[63.]
S. Kuhle, M.S. Urschitz, S. Eitner, C.F. Poets.
Interventions for obstructive sleep apnea in children: A systematic review.
Sleep Medicine Reviews, 13 (2009), pp. 123-131
[64.]
R.D. Chervin, K. Hedger, J.E. Dillon, K.J. Pituch.
Pediatric Sleep Questionnaire (PSQ): validity and reliability of scales for sleep – disordered breathing, snoring, sleepiness and behavioural problems.
Sleep Medicine, 1 (2000), pp. 21-32
[65.]
F. Barbé, J. Pericas, A. Muñoz, L. Findley, J.M. Antó, A.G. Agustí.
Automobile accidents in patients with sleep apnea syndrome.
Am J Respir Crit Care Med, 158 (1998), pp. 18-22
[66.]
J. Terán Santos, A. Jiménez Gómez, J.A. Cordero Guevara.
The association between sleep apnea and the risk of traffic accidents.
N Engl J Med, 340 (1999), pp. 847-851
[67.]
J.F. Masa, M. Rubio, L.J. Findley.
Habitually sleepy drivers have a high frequency of automobile crashes associated with respiratory disorders during sleep.
Am J Respir Crit Care Med, 162 (2000), pp. 1407-1412
[68.]
R.L. Ellen, S.C. Marshall, M. Palayew, F.J. Molnar, K.G. Wilson, M. Man-Son-Hing.
Systematic review of motor vehicle crash risk in persons with sleep apnea.
J Clin Sleep Med, 2 (2006), pp. 193-200
[69.]
M.E. Howard, A.V. Desai, R.R. Grunstein, C. Hukins, J.G. Armstrong, D. Joffe, et al.
Sleepiness, sleep disordered breathing and accident risk factors in commercial vehicle drivers.
Am J Respir Crit Care Med, 170 (2004), pp. 1014-1021
[70.]
A. Sassani, L.J. Findley, M. Kryger, E. Goldlust, C. George, T.M. Davidson.
Reducing motor-vehicle collisions, costs and fatalties by treating obstructive sleep apnea syndrome.
Sleep, 27 (2004), pp. 369-380
[71.]
Real Decreto 772/1997 del 30 de mayo por el que se aprueba el Reglamento General de Conductores.
[72.]
D. Rodenstein.
Driving in Europe: in need of a common policy for drivers with obstructive sleep apnoea syndrome.
J Sleep Res, 17 (2008), pp. 281-284
[73.]
A. Alonderis, F. Barbé, M. Bonsignore, P. Calverley, W. De Backer, K. Diefenbach, et al.
COST Action B-26. Medico legal implications of sleep apnea syndrome: Driving license regulations in Europe.
Sleep Med, 9 (2008), pp. 362-375
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