Uso secuencial de la pulsioximetría nocturna y la poligrafía respiratoria (AutoSet®) para el diagnóstico del síndrome de apneas-hipopneas durante el sueño en pacientes con alta sospecha clínica
Sequential use of nocturnal pulse oximetry and respiratory polygraphy (AutoSet®) for diagnosing sleep apnea/hypopnea syndrome in high risk patients
M.A. Martínez Garcíaa,
, J.J. Soler Cataluñab, P. Román Sánchezb
Corresponding author
med013413@nacom.es
Correspondencia: Unidad de Neumología. Servicio de Medicina Interna. Hospital General de Requena.Paraje Casa Blanca, s/n. 46340 Requena. Valencia. España
Correspondencia: Unidad de Neumología. Servicio de Medicina Interna. Hospital General de Requena.Paraje Casa Blanca, s/n. 46340 Requena. Valencia. España
Read
12224
Timeswas read the article
3259
Total PDF
8965
Total HTML
Share statistics
array:23 [ "pii" => "S0300289603753265" "issn" => "03002896" "doi" => "10.1016/S0300-2896(03)75326-5" "estado" => "S300" "fechaPublicacion" => "2003-02-01" "aid" => "75326" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "2003" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2003;39:74-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 8369 "formatos" => array:3 [ "EPUB" => 85 "HTML" => 7250 "PDF" => 1034 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289603753277" "issn" => "03002896" "doi" => "10.1016/S0300-2896(03)75327-7" "estado" => "S300" "fechaPublicacion" => "2003-02-01" "aid" => "75327" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2003;39:81-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 14181 "formatos" => array:3 [ "EPUB" => 80 "HTML" => 13512 "PDF" => 589 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Carcinoma no microcítico de pulmón. Supervivencia y factores pronósticos del tratamiento radioterápico" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "81" "paginaFinal" => "86" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Non-small cell lung cancer. Survival after radiotherapy and prognostic factors" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Jaén Olasolo, E. Alonso Redondo, A. León Jiménez, A. Rueda Ramos" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Jaén Olasolo" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Alonso Redondo" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "León Jiménez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Rueda Ramos" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753277?idApp=UINPBA00003Z" "url" => "/03002896/0000003900000002/v1_201307081521/S0300289603753277/v1_201307081521/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289603753253" "issn" => "03002896" "doi" => "10.1016/S0300-2896(03)75325-3" "estado" => "S300" "fechaPublicacion" => "2003-02-01" "aid" => "75325" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2003;39:67-73" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 9860 "formatos" => array:3 [ "EPUB" => 70 "HTML" => 8929 "PDF" => 861 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Percepción de la disnea durante la broncoconstricción aguda en los pacientes con asma" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "67" "paginaFinal" => "73" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Asthma patients' perception of dyspnea during acute bronchoconstriction" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Martínez-Moragón, M. Perpiñá, A. Belloch, A. De Diego, M.E. Martínez-Francés" "autores" => array:5 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Martínez-Moragón" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Perpiñá" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Belloch" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "De Diego" ] 4 => array:2 [ "nombre" => "M.E." "apellidos" => "Martínez-Francés" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753253?idApp=UINPBA00003Z" "url" => "/03002896/0000003900000002/v1_201307081521/S0300289603753253/v1_201307081521/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Uso secuencial de la pulsioximetría nocturna y la poligrafía respiratoria (AutoSet®) para el diagnóstico del síndrome de apneas-hipopneas durante el sueño en pacientes con alta sospecha clínica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "74" "paginaFinal" => "80" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.A. Martínez García, J.J. Soler Cataluña, P. Román Sánchez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M.A." "apellidos" => "Martínez García" "email" => array:1 [ 0 => "med013413@nacom.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.J." "apellidos" => "Soler Cataluña" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "P." "apellidos" => "Román Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Neumología. Hospital General de Requena. Valencia" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna. Hospital General de Requena. Valencia. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Unidad de Neumología. Servicio de Medicina Interna. Hospital General de Requena.Paraje Casa Blanca, s/n. 46340 Requena. Valencia. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sequential use of nocturnal pulse oximetry and respiratory polygraphy (AutoSet®) for diagnosing sleep apnea/hypopnea syndrome in high risk patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-12-28" "fechaAceptado" => "2002-10-22" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190522" "palabras" => array:4 [ 0 => "Síndrome de apneas-hipopneas durante el sue-ño" 1 => "AutoSet®" 2 => "Pulsioximetría nocturna" 3 => "Algoritmo diagnóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190521" "palabras" => array:4 [ 0 => "Sleep apnea-hypopnea syndrome" 1 => "AutoSet®" 2 => "Nocturnal pulse oximetry" 3 => "Diagnostic algorithm" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Construcción de un algoritmo para el diagnós-tico del síndrome de apneas-hipopneas durante el sueño (SAHS) mediante el uso optimizado y secuencial de la pul-sioximetría nocturna (PN) y la poligrafía respiratoria AutoSet® (AS) en pacientes con alta sospecha clínica de SAHS</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realización simultánea de una PN y AS en 145 pacientes con alta sospecha clínica de SAHS (al menos dos de: roncopatía crónica, apneas presenciadas y repetidas, y somnolencia diurna patológica). El diagnóstico de SAHS se realizó con un índice de apneas-hipopneas (IAH) (obtenido mediante AS)<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10. Para la construcción del algoritmo diag-nóstico se siguieron los siguientes pasos: cálculo de la preva-lencia de SAHS; cálculo del mejor punto de corte diagnósti-co en el índice de desaturaciones mayores o iguales al 4% (ID 4%) respecto al IAH; análisis del valor predictivo positi-vo (VPP) y negativo (VPN) para dicho valor y correlación y concordancia entre ID 4% e IAH según la existencia y gra-vedad de SAHS</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La prevalencia global de SAHS fue del 83,4%. El mejor punto de corte se obtuvo para un ID 4%<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10 (sensibilidad [S]: 82%; especificidad [E]: 83%). Los VPP y VPN para la prevalencia calculada fueron de 0,95 y 0,29, respectivamente. La correlación y concordancia global entre el ID 4% e IAH fue de 0,84 y 0,93, respectivamente. En pa-cientes sin SAHS fueron de 0,49 y 0,35, y ambas aumenta-ron progresivamente en SAHS leves, moderados y graves (0,90 y 0,95, respectivamente, en SAHS graves). Con todos estos datos se construyó el algoritmo diagnóstico según el cual la obtención de un ID 4% <span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>30 en la PN (S: 72%; E: 100%) evitaría la realización de una AS posterior, mientras que un ID 4% < 30 haría necesaria la realización de estudios posteriores (AS o PSG en caso de negatividad de la AS), dada la alta prevalencia de SAHS en nuestra serie</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La utilización secuencial de la PN y la AS permite ahorrar un número importante de estudios polisom-nográficos en poblaciones con alta sospecha clínica de SAHS</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To construct an algorithm for the diagnosis of sleep apnea/hypopnea syndrome (SAHS) based on the opti-mized sequential use of nocturnal pulse oximetry and respi-ratory polygraphy (AutoSet®, AS) in patients suspected of SAHS</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Simultaneous performance of pulse oximetry and AS in 145 patients highly suspected of SAHS (at least two of the following signs or symptoms: chronic snoring, ob-servations of repeated apneic events, and abnormal daytime drowsiness). SAHS was diagnosed when the apnea/hypopnea index (AHI) was greater than or equal to 10, based on AS findings. The diagnostic algorithm was obtained by calcula-ting the prevalence of SAHS, calculating the best diagnostic cutoff point for a desaturation index greater than or equal to 4% (ID4%) based on the AHI; analyzing the positive predic-tive value (PPV) and negative predictive value (NPV) for the cutoff and the correlation and agreement between ID4% and the AHI depending on the presence and severity of SAHS</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The overall prevalence of SAHS was 83.4%. The best cutoff point was obtained using ID4% greater than or equal to 10 (sensitivity 82%; specificity 83%). The PPV and NPV for the prevalence calculated were 0.95 and 0.29, respectively. The correlation between ID4% and AHI was 0.84; overall agreement was 0.93. For patients who did not have SAHS, the PPV was 0.49, and the NPV was 0.35; both gradually increased in cases of mild, moderate and severe SAHS (to 0.90 and 0.95, respectively, for severe SAHS). Using these data we created a diagnostic algorithm accor-ding to which an ID4% greater than or equal to 30 for noc-turnal pulse oximetry (sensitivity 72%, specificity 100%) would indicate that AS testing would be unnecessary. An ID4% less than 30, on the other hand, would lead to further testing (AS, or polysomnography in the event of a negative AS), based on the high prevalence of SAHS in our series</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The sequential use of nocturnal pulse oxi-metry and AS allows substantial savings of polysomnograp-hic testing in groups at high risk of SAHS</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep apnea. A major public health problem" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.E. Phillipson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199304293281712" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1993" "volumen" => "328" "paginaInicial" => "1271" "paginaFinal" => "1273" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8464440" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The occurrence of sleep disorders breathing among middle aged adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "T. Young" 1 => "M. Palta" 2 => "J. Dempsey" 3 => "J. Skatrud" 4 => "S. Weber" 5 => "S. Bard" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199304293281704" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1993" "volumen" => "328" "paginaInicial" => "1230" "paginaFinal" => "1236" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8464434" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of obstructive sleep apnea in the general male population of Vitoria-Gasteiz (Spain)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Durán" 1 => "S. Esnaola" 2 => "R. Rubio" 3 => "I. Toña" 4 => "C. Egea" 5 => "G. De La Torre" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Am J Resp Crit Care Med" "fecha" => "1997" "volumen" => "155" "paginaInicial" => "844" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of sleep apnoea syndrome in the Spanish adult population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.M. Marín" 1 => "J.M. Gascón" 2 => "S. Carrizo" 3 => "J. Gispert" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "International J Epidemiol" "fecha" => "1997" "volumen" => "26" "paginaInicial" => "381" "paginaFinal" => "386" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Automobile accident in patients with sleep apnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Barbé" 1 => "J. Pericás" 2 => "A. Muñoz" 3 => "L. Findley" 4 => "J.M. Antó" 5 => "A.G.N. Agustí" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.158.1.9709135" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "1998" "volumen" => "158" "paginaInicial" => "18" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9655701" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The association between sleep apnea and the risk of traffic accidents" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Terán-Santos" 1 => "A. Jiménez-Gómez" 2 => "J. Cordero-Guevara" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199903183401104" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1999" "volumen" => "340" "paginaInicial" => "847" "paginaFinal" => "851" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10080847" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Association of sleep apnoea with myocardial infarction in man" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Hung" 1 => "E.G. Whitford" 2 => "R.W. Parsons" 3 => "D.R. Hilman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "1990" "volumen" => "336" "paginaInicial" => "261" "paginaFinal" => "264" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1973968" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep apnea and hypertension. The role of peripheral chemoreceptors and the sympathetic system" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. García-Río" 1 => "M.A. Racionero" 2 => "J.M. Pino" 3 => "I. Martínez" 4 => "F. Ortuño" 5 => "C. Villasante" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2000" "volumen" => "117" "paginaInicial" => "1417" "paginaFinal" => "1425" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10807831" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortality and apnea index in obstructive sleep apnea: experience in 358 male patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. He" 1 => "M.H. Kryger" 2 => "F.J. Zorich" 3 => "W. Conway" 4 => "T. Roth" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1988" "volumen" => "94" "paginaInicial" => "9" "paginaFinal" => "14" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3289839" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortality of patients with obstructive sleep apnea syndrome: a follow up study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Partinen" 1 => "C. Guilleminault" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1988" "volumen" => "94" "paginaInicial" => "1200" "paginaFinal" => "1204" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3191760" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep-disordered breathing and cardiovascular disease. Cross-sectional results of the Sleep Heart Health Study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Sharar" 1 => "C.W. Whitney" 2 => "S. Redline" 3 => "E.T. Lee" 4 => "A.B. Newman" 5 => "F.J. Nieto" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.163.1.2001008" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2001" "volumen" => "163" "paginaInicial" => "19" "paginaFinal" => "25" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11208620" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation of British Thoracic Society guidelines for the diagnosis of the sleep apnea/hypopnea syndrome: can polysomnography be avoided?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.J. Ryan" 1 => "M.F. Hilton" 2 => "D.A.R. Boldy" 3 => "A. Evans" 4 => "S. Bradbury" 5 => "S. Sapiano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1995" "volumen" => "50" "paginaInicial" => "972" "paginaFinal" => "975" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8539678" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Poligrafía respiratoria en el diagnóstico del síndrome de apneas obstructivas durante el sueño" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E.M. García Días" 1 => "F. Capote Gil" 2 => "A. Cano Gómez" 3 => "A. Sánchez Armengol" 4 => "C. Carmona Bernal" 5 => "J.G. Soto Campos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1997" "volumen" => "33" "paginaInicial" => "69" "paginaFinal" => "73" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9091116" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento del síndrome de las apneas-hipopneas durante el sueño" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.M. Monserrat" 1 => "J. Amilibia" 2 => "F. Barbé" 3 => "F. Capote" 4 => "J. Durán" 5 => "N.G. Mangado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1998" "volumen" => "34" "paginaInicial" => "204" "paginaFinal" => "206" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9611656" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Randomized placebo-controlled crossover trial of continuous positive airway pressure for mild sleep apnea/hipopnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H.M. Engleman" 1 => "R.N. Kingshott" 2 => "P.K. Wraith" 3 => "T.W. Mackay" 4 => "J.J. Deary" 5 => "N.J. Douglas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.159.2.9803121" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "1999" "volumen" => "159" "paginaInicial" => "461" "paginaFinal" => "467" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9927358" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence of the effectiveness of continuous positive airway pressure in the treatment of sleep apnea/hypopnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Ballester" 1 => "J.R. Badía" 2 => "L. Hernández" 3 => "E. Carrasco" 4 => "J. De Pablo" 5 => "C. Fornas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.159.2.9804061" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "1999" "volumen" => "159" "paginaInicial" => "495" "paginaFinal" => "501" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9927363" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Utility of nocturnal home oximetry for case finding in patients with suspected sleep apnea hypopnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F. Sériès" 1 => "I. Marc" 2 => "Y. Cormier" 3 => "J. La Forge" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1993" "volumen" => "119" "paginaInicial" => "449" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8357109" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "ASDA Standards of Practice Commitee. Practice parameters for the indications for polysomnography and related procedures" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.L. Chesson" 1 => "R.A. Ferber" 2 => "J.H. Fry" 3 => "M. Grigg-Damberger" 4 => "K.M. Hartse" 5 => "T.D. Hurwitz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "1997" "volumen" => "20" "paginaInicial" => "406" "paginaFinal" => "422" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9302725" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Accuracy of oximetry for detection of respiratory disturbances in sleep apnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Lévy" 1 => "J.L. Pépin" 2 => "C. Deschaux-Blanc" 3 => "S. Paramelle" 4 => "C. Brambilla" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1996" "volumen" => "109" "paginaInicial" => "395" "paginaFinal" => "399" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8620711" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nocturnal oximetry for the diagnosis of the sleep apnea hypopnea syndrome: a method to reduce the number of polysomnographies?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E. Chiner" 1 => "J. Signes-Costa" 2 => "J.M. Arriero" 3 => "J. Marco" 4 => "I. Fuentes" 5 => "A. Sergado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1999" "volumen" => "54" "paginaInicial" => "968" "paginaFinal" => "971" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10525553" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation of the POLY-MESAM seven-channel ambulatory recording unit" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. Verse" 1 => "W. Pirsig" 2 => "B. Junge-Hülsing" 3 => "B. Kroker" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2000" "volumen" => "117" "paginaInicial" => "1613" "paginaFinal" => "1618" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10858392" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "ASDA standards of practice: practice parameters for the use of portable recording in the assessment of obstructive sleep apnea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R. Ferber" 1 => "R. Millman" 2 => "M. Coppola" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "1994" "volumen" => "17" "paginaInicial" => "378" "paginaFinal" => "392" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7973323" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Simultaneous laboratory-based comparison of ResMed Autoset with polysomnography in the diagnosis of sleep apnea/hypopnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Mayer" 1 => "J.C. Meurice" 2 => "F. Philip-Joet" 3 => "A. Cornette" 4 => "D. Rakotonanahary" 5 => "N. Meslier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1998" "volumen" => "12" "paginaInicial" => "770" "paginaFinal" => "775" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9817143" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of polysomnography with ResCare Autoset in the diagnosis of the sleep apnea/ hypopnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.A. Bradley" 1 => "I.L. Mortimore" 2 => "N.J. Douglas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1995" "volumen" => "50" "paginaInicial" => "1201" "paginaFinal" => "1203" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8553279" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of a limited computerized diagnostic system (ResCare Autoset) with polysomnography in the diagnosis of obstructive sleep apnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.L. Kiely" 1 => "C. Delahunty" 2 => "S. Matthews" 3 => "W.T. McNicholas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1998" "volumen" => "9" "paginaInicial" => "2360" "paginaFinal" => "2364" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8947086" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of ResMed AutoSet (version 3.03) with polysomnography in the diagnosis of the sleep apnea/hypopnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M. Gugger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1997" "volumen" => "10" "paginaInicial" => "587" "paginaFinal" => "591" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9072989" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Accuracy of an intelligent CPAP machine with in-built diagnostic abilities in detecting apneas: a comparison with polysomnography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Gugger" 1 => "J. Mathis" 2 => "C. Bassetti" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1995" "volumen" => "50" "paginaInicial" => "1199" "paginaFinal" => "1201" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8553278" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0140" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A laboratory validation study of the diagnostic mode of the Autoset system for sleep-related respiratory disorders" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B. Fleury" 1 => "D. Rakotonanahary" 2 => "C. Hausser Hauw" 3 => "B. Lebeau" 4 => "C. Guilleminault" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "1996" "volumen" => "19" "paginaInicial" => "502" "paginaFinal" => "505" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8865509" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0145" "etiqueta" => "29." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Detection of apneas, hipopneas and arousals by the AutoSet in the sleep apnea/ hypopnea syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K. Rees" 1 => "P.K. Wraith" 2 => "M. Berthon-Jones" 3 => "N.J. Douglas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1998" "volumen" => "12" "paginaInicial" => "764" "paginaFinal" => "769" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9817142" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0150" "etiqueta" => "30." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validación de la version española del test de somnolencia Epworth en pacientes con síndrome de apnea de sueño" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. Chiner" 1 => "J. Arriero" 2 => "J. Signes-Costa" 3 => "J. Marco" 4 => "I. Fuentes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1999" "volumen" => "35" "paginaInicial" => "422" "paginaFinal" => "427" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10596338" "web" => "Medline" ] ] ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib0155" "etiqueta" => "31." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for chronic obstructive lung disease (GOLD) Workshop Summary" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.A. Pauwels" 1 => "A.S. Buist" 2 => "P.M. Carveley" 3 => "C.R. Jenkins" 4 => "S.S. Hurd" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.163.5.2101039" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2001" "volumen" => "163" "paginaInicial" => "1256" "paginaFinal" => "1276" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11316667" "web" => "Medline" ] ] ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib0160" "etiqueta" => "32." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The obesity-hypoventilation syndrome revisited" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Kessler" 1 => "A. Chaouat" 2 => "P. Schinkevich" 3 => "M. Faller" 4 => "S. Casel" 5 => "J. Krieger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2001" "volumen" => "120" "paginaInicial" => "369" "paginaFinal" => "376" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11502631" "web" => "Medline" ] ] ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib0165" "etiqueta" => "33." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of sleep disordered breathing among healthy elderly in the seventh, eighth, and ninth decades of life" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Hoch" 1 => "C.F. Reynolds" 2 => "T.H. Monk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "1990" "volumen" => "13" "paginaInicial" => "502" "paginaFinal" => "508" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2126391" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003900000002/v1_201307081521/S0300289603753265/v1_201307081521/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003900000002/v1_201307081521/S0300289603753265/v1_201307081521/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753265?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 2 | 4 |
| 2024 October | 46 | 50 | 96 |
| 2024 September | 40 | 61 | 101 |
| 2024 August | 53 | 67 | 120 |
| 2024 July | 40 | 41 | 81 |
| 2024 June | 72 | 42 | 114 |
| 2024 May | 50 | 69 | 119 |
| 2024 April | 41 | 50 | 91 |
| 2024 March | 54 | 53 | 107 |
| 2024 February | 43 | 61 | 104 |
| 2024 January | 0 | 14 | 14 |
| 2023 December | 0 | 9 | 9 |
| 2023 November | 0 | 12 | 12 |
| 2023 October | 0 | 42 | 42 |
| 2023 September | 0 | 14 | 14 |
| 2023 August | 0 | 5 | 5 |
| 2023 July | 0 | 4 | 4 |
| 2023 June | 0 | 3 | 3 |
| 2023 May | 0 | 1 | 1 |
| 2023 April | 0 | 3 | 3 |
| 2023 March | 5 | 12 | 17 |
| 2023 February | 44 | 38 | 82 |
| 2023 January | 36 | 46 | 82 |
| 2022 December | 38 | 52 | 90 |
| 2022 November | 51 | 58 | 109 |
| 2022 October | 39 | 46 | 85 |
| 2022 September | 35 | 44 | 79 |
| 2022 August | 43 | 68 | 111 |
| 2022 July | 28 | 52 | 80 |
| 2022 June | 26 | 49 | 75 |
| 2022 May | 46 | 52 | 98 |
| 2022 April | 42 | 44 | 86 |
| 2022 March | 42 | 42 | 84 |
| 2022 February | 31 | 30 | 61 |
| 2022 January | 24 | 45 | 69 |
| 2021 December | 27 | 54 | 81 |
| 2021 November | 34 | 62 | 96 |
| 2021 October | 32 | 69 | 101 |
| 2021 September | 37 | 75 | 112 |
| 2021 August | 31 | 55 | 86 |
| 2021 July | 22 | 53 | 75 |
| 2021 June | 27 | 72 | 99 |
| 2021 May | 28 | 66 | 94 |
| 2021 April | 57 | 138 | 195 |
| 2021 March | 59 | 48 | 107 |
| 2021 February | 56 | 26 | 82 |
| 2021 January | 22 | 24 | 46 |
| 2020 December | 43 | 32 | 75 |
| 2020 November | 22 | 21 | 43 |
| 2020 October | 23 | 18 | 41 |
| 2020 September | 20 | 24 | 44 |
| 2020 August | 26 | 21 | 47 |
| 2020 July | 21 | 20 | 41 |
| 2020 June | 34 | 10 | 44 |
| 2020 May | 28 | 18 | 46 |
| 2020 April | 47 | 10 | 57 |
| 2020 March | 36 | 17 | 53 |
| 2020 February | 43 | 28 | 71 |
| 2020 January | 53 | 29 | 82 |
| 2019 December | 38 | 41 | 79 |
| 2019 November | 10 | 17 | 27 |
| 2019 October | 11 | 20 | 31 |
| 2019 September | 27 | 30 | 57 |
| 2019 August | 18 | 17 | 35 |
| 2019 July | 24 | 34 | 58 |
| 2019 June | 24 | 23 | 47 |
| 2019 May | 35 | 40 | 75 |
| 2019 April | 59 | 52 | 111 |
| 2019 March | 18 | 21 | 39 |
| 2019 February | 18 | 15 | 33 |
| 2019 January | 19 | 10 | 29 |
| 2018 December | 50 | 26 | 76 |
| 2018 November | 26 | 22 | 48 |
| 2018 October | 46 | 26 | 72 |
| 2018 September | 36 | 14 | 50 |
| 2018 May | 8 | 2 | 10 |
| 2018 April | 7 | 7 | 14 |
| 2018 March | 8 | 9 | 17 |
| 2018 February | 7 | 11 | 18 |
| 2018 January | 8 | 7 | 15 |
| 2017 December | 12 | 21 | 33 |
| 2017 November | 7 | 38 | 45 |
| 2017 October | 6 | 28 | 34 |
| 2017 September | 23 | 24 | 47 |
| 2017 August | 16 | 30 | 46 |
| 2017 July | 14 | 27 | 41 |
| 2017 June | 17 | 51 | 68 |
| 2017 May | 13 | 26 | 39 |
| 2017 April | 6 | 28 | 34 |
| 2017 March | 13 | 28 | 41 |
| 2017 February | 4 | 29 | 33 |
| 2017 January | 10 | 20 | 30 |
| 2016 December | 31 | 26 | 57 |
| 2016 November | 40 | 24 | 64 |
| 2016 October | 53 | 37 | 90 |
| 2016 September | 35 | 18 | 53 |
| 2016 August | 27 | 8 | 35 |
| 2016 July | 33 | 10 | 43 |
| 2016 June | 41 | 20 | 61 |
| 2016 May | 29 | 5 | 34 |
| 2016 April | 16 | 0 | 16 |
| 2016 March | 11 | 1 | 12 |
| 2016 February | 18 | 2 | 20 |
| 2016 January | 40 | 16 | 56 |
| 2015 December | 43 | 17 | 60 |
| 2015 November | 40 | 8 | 48 |
| 2015 October | 149 | 2 | 151 |
| 2015 September | 168 | 0 | 168 |
| 2015 August | 106 | 0 | 106 |
| 2015 July | 152 | 0 | 152 |
| 2015 June | 143 | 0 | 143 |
| 2015 May | 172 | 0 | 172 |
| 2015 April | 149 | 0 | 149 |
| 2015 March | 118 | 0 | 118 |
| 2015 February | 105 | 0 | 105 |
| 2015 January | 101 | 0 | 101 |
| 2014 December | 96 | 0 | 96 |
| 2014 November | 121 | 0 | 121 |
| 2014 October | 123 | 0 | 123 |
| 2014 September | 123 | 0 | 123 |
| 2014 August | 91 | 0 | 91 |
| 2014 July | 113 | 0 | 113 |
| 2014 June | 100 | 0 | 100 |
| 2014 May | 110 | 0 | 110 |
| 2014 April | 116 | 0 | 116 |
| 2014 March | 151 | 0 | 151 |
| 2014 February | 114 | 0 | 114 |
| 2014 January | 100 | 0 | 100 |
| 2013 December | 74 | 0 | 74 |
| 2013 November | 112 | 0 | 112 |
| 2013 October | 112 | 0 | 112 |
| 2013 September | 67 | 0 | 67 |
| 2013 August | 117 | 0 | 117 |
| 2013 July | 111 | 0 | 111 |
| 2013 June | 62 | 0 | 62 |
| 2013 May | 54 | 0 | 54 |
| 2013 April | 43 | 0 | 43 |
| 2013 March | 29 | 0 | 29 |
| 2000 January | 2569 | 0 | 2569 |
Show all
