Los conductores somnolientos tienen alta frecuencia de accidentes de tráfico asociados a exceso de RERA
Sleepy drivers have a high frequency of traffic accidents related to respiratory effort-related arousals
Read
9390
Timeswas read the article
2283
Total PDF
7107
Total HTML
Share statistics
array:23 [ "pii" => "S0300289603753496" "issn" => "03002896" "doi" => "10.1016/S0300-2896(03)75349-6" "estado" => "S300" "fechaPublicacion" => "2003-04-01" "aid" => "75349" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "2003" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2003;39:153-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 6468 "formatos" => array:3 [ "EPUB" => 68 "HTML" => 5689 "PDF" => 711 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289603753502" "issn" => "03002896" "doi" => "10.1016/S0300-2896(03)75350-2" "estado" => "S300" "fechaPublicacion" => "2003-04-01" "aid" => "75350" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2003;39:159-66" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 20915 "formatos" => array:3 [ "EPUB" => 71 "HTML" => 19994 "PDF" => 850 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Estudio de fiabilidad de una encuesta utilizada para valorar la prevalencia, los conocimientos y las actitudes sobre el tabaquismo en estudiantes de medicina" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "159" "paginaFinal" => "166" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Reliability of a questionnaire on smoking to evaluate prevalence, knowledge and attitudes of medical students" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Guillén, I. Nerín, A. Mas, A. Crucelaegui" "autores" => array:4 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Guillén" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Nerín" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Mas" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Crucelaegui" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753502?idApp=UINPBA00003Z" "url" => "/03002896/0000003900000004/v1_201307081453/S0300289603753502/v1_201307081453/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289603753484" "issn" => "03002896" "doi" => "10.1016/S0300-2896(03)75348-4" "estado" => "S300" "fechaPublicacion" => "2003-04-01" "aid" => "75348" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2003;39:146-52" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 11361 "formatos" => array:3 [ "EPUB" => 79 "HTML" => 9955 "PDF" => 1327 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Estudio del retraso diagnóstico de la tuberculosis pulmonar sintomática" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "146" "paginaFinal" => "152" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary symptomatic tuberculosis' diagnostic delay study" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.N. Altet Gómez, J. Alcaide Megías, J. Canela Soler, C. Milá Augé, M.A. Jiménez Fuentes, M.L. de Souza Galvao, J. Solsona Peiró" "autores" => array:7 [ 0 => array:2 [ "nombre" => "M.N." "apellidos" => "Altet Gómez" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Alcaide Megías" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Canela Soler" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Milá Augé" ] 4 => array:2 [ "nombre" => "M.A." "apellidos" => "Jiménez Fuentes" ] 5 => array:2 [ "nombre" => "M.L." "apellidos" => "de Souza Galvao" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Solsona Peiró" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753484?idApp=UINPBA00003Z" "url" => "/03002896/0000003900000004/v1_201307081453/S0300289603753484/v1_201307081453/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Los conductores somnolientos tienen alta frecuencia de accidentes de tráfico asociados a exceso de RERA" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "153" "paginaFinal" => "158" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.F. Masa Jiménez, M. Rubio González, L.J. Findley, J.A. Riesco Miranda, A. Sojo González, C. Disdier Vicente" "autores" => array:6 [ 0 => array:4 [ "nombre" => "J.F." "apellidos" => "Masa Jiménez" "email" => array:1 [ 0 => "fmasa@separ.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" => "M." "apellidos" => "Rubio González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "L.J." "apellidos" => "Findley" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "J.A." "apellidos" => "Riesco Miranda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Sojo González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "C." "apellidos" => "Disdier Vicente" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Sección de Neumología. Hospital San Pedro de Alcántara. Cáceres" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Salud San Jorge. Cáceres. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Sleep Disorders Center. Loveland (Colorado). EE.UU" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Rafael Alberti, 12. 10005 Cáceres. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sleepy drivers have a high frequency of traffic accidents related to respiratory effort-related arousals" ] ] "miscelanea" => "Los autores han contado con ayudas de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR), la Dirección General de Tráfico (DGT) y la Asociación de Neumólogos de Cáceres (ANCA)" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-06-19" "fechaAceptado" => "2002-10-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190361" "palabras" => array:4 [ 0 => "Rera (respiratory effort related arousal)" 1 => "Apneas de sueño" 2 => "Síndrome de resistencia aumentada de la vía aérea superior" 3 => "Accidentes de tráfico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190362" "palabras" => array:4 [ 0 => "Respiratory effort-related arousal (RERA)" 1 => "Sleep apnea" 2 => "Increased upper airway resistance syndrome" 3 => "Automobile accidents" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los RERA (<span class="elsevierStyleItalic">respiratory effort-related arousal</span>) son secundarios a sutiles obstrucciones de la vía aérea superior durante el sueño, pueden aparecer sin predominio de apneas e hipopneas y causan somnolencia diurna excesiva. El análisis de las potenciales consecuencias de estos nuevos acontecimientos respiratorios tiene hoy un interés creciente. Los conductores habitualmente somnolientos tienen un riesgo alto de sufrir accidentes de tráfico asociados a trastornos respiratorios durante el sueño (apneas más hipopneas más RERA)</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este trabajo es determinar si exclusivamente el exceso de RERA es un factor independiente de riesgo de accidentes en los conductores somnolientos</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudiamos a 40 conductores habitualmente somnolientos y 23 controles (conductores no somnolientos) pareados por edad y sexo, y ambos extraídos de una muestra de 4.002 conductores de vehículos. Se estudiaron datos sobre hábitos de sueño, somnolencia diurna, accidentes de tráfico y se realizaron estudios de sueño con medida de presión esofágica</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los conductores somnolientos con apneas de sueño tienen una tasa de accidentes en 5 años mayor que los controles (índice de apneas-hipoapneas [IAH] > 10; 0,33<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0,50 frente a 0,004<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0,21 en los controles; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05), pero sólo el exceso de RERA y no el de apneas de sueño fue un factor independiente de riesgo de accidentes en conductores somnolientos. La odds ratio(OR) ajustada para un índice de RERA<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10 fue de 7,6 (intervalo de confianza [IC] del 95%, 1,2–48) y para un índice de RERA<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>15 fue de 17 (IC, 1,5–91)</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El alto riesgo de accidentes de tráfico de los conductores somnolientos viene principalmente determinado por la presencia de RERA más que por la presencia de apneas e hipopneas de sueño. Estos datos ratifican la importancia y la necesidad de identificar RERA en la práctica habitual de los laboratorios de sueño</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Respiratory effortrelated arousals (RERA) are secondary to subtle obstructions of the upper airway during sleep and can appear in the absence of a predominance of apneas and hypopneas, causing excessive daytime sleepiness. Analyzing the possible consequences of these new respiratory events is of increasing interest. Habitually sleepy drivers are at high risk of having traffic accidents related to sleep disorders (apneas, hypopneas and RERA)</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine whether excess RERA alone is an independent risk factor among sleepy drivers</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We studied 40 habitually sleepy drivers and 23 age- and sex-matched controls selected from a sample of 4,002 automobile drivers. We surveyed sleep habits, daytime sleepiness and traffic accidents. Sleep studies of esophageal pressure were performed</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The sleepy drivers with apneas (apnea/hypopnea index > 10) had a higher 5-year accident rate (0.33<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.50) than did control drivers (0.004<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.21; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05). However, a high RERA index, but not sleep apnea, was an independent risk factor among the habitually sleepy drivers. The adjusted odds ratio (OR) for a RERA index<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>10 was 7.6 (confidence interval [CI], 1.2 to 48); for a RERA index<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>15, the OR was 17 (CI 1.5 to 91)</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The high risk of traffic accidents among sleepy drivers is mainly determined by the presence of RERA rather than the presence of apneas and hypopneas. These findings verify the importance of identifying RERA in routine sleep laboratory studies</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Habitually sleepy drivers have a high frequency of automobile crashes associated with respiratory disorders during sleep" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.F. Masa" 1 => "M. Rubio" 2 => "L.J. Findley" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.162.4.9907019" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2000" "volumen" => "162" "paginaInicial" => "1407" "paginaFinal" => "1412" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11029353" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cause of excessive daytime sleepiness. The Upper Airway Resistance Syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C. Guilleminault" 1 => "R. Stoohs" 2 => "A. Clerk" 3 => "M. Cetel" 4 => "P.A. Maistros" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1993" "volumen" => "104" "paginaInicial" => "781" "paginaFinal" => "787" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8365289" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep-disordered breathing and motor vehicle accidents in a population-based sample of employed adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. Young" 1 => "J. Blustein" 2 => "L. Finn" 3 => "M. Palta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "1997" "volumen" => "20" "paginaInicial" => "608" "paginaFinal" => "613" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9351127" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth Sleepiness Scale" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.W. Johns" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1993" "volumen" => "103" "paginaInicial" => "30" "paginaFinal" => "36" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8417909" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A simple method for assessing the validity of the esophageal balloon technique" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Baydur" 1 => "P.K. Behraks" 2 => "W.A. Zin" 3 => "M. Jaeger" 4 => "J. Milic-Emili" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1982" "volumen" => "129" "paginaInicial" => "788" "paginaFinal" => "791" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "EEG arousals: scoring rules and examples" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Sleep Disorders Atlas Task Force of the American Sleep Disorders Association" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Sleep" "fecha" => "1992" "volumen" => "15" "paginaInicial" => "174" "paginaFinal" => "184" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A. Rechtschaffen" 1 => "A. Kales" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:2 [ "titulo" => "A manual of standardized terminology, techniques and scoring system for sleep stages for human subjects" "serieFecha" => "1968" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Grupo de trabajo del Área de Insuficiencia Respiratoria y Trastornos del Sueño. Normativas SEPAR: diagnóstico del síndrome de apneas obstructivas durante el sueño: informe de consenso del Área de Insuficiencia Respiratoria y Trastornos del Sueño" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Barbé" 1 => "J. Amilibia" 2 => "F. Capote" 3 => "J. Durán" 4 => "N.G. Mangado" 5 => "A. Jiménez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1995" "volumen" => "31" "paginaInicial" => "460" "paginaFinal" => "462" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8520818" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.J. Norusis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:2 [ "titulo" => "SPSS advanced statistics 6.1" "serieFecha" => "1994" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnóstico diferencial. Síndrome de resistencia aumentada de la vía aérea superior" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.F. Masa Jiménez" 1 => "M. Rubio González" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Apneas e hipopneas durante el sueño. Visión actual" "paginaInicial" => "157" "paginaFinal" => "185" "serieFecha" => "2001" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Automobile accidents involving patients with obstructive sleep apnea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.J. Findley" 1 => "M.E. Unverzagt" 2 => "M. Suratt" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm/138.2.337" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1988" "volumen" => "138" "paginaInicial" => "337" "paginaFinal" => "340" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3195832" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Racineux and The Working Group ANTADIR, Paris and CRESGE, Lille, France. Accidents in obstructive sleep apnea patients treated with nasal continuous positive airway pressure" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.N. Krieger" 1 => "T. Meslier" 2 => "P. Lebrun" 3 => "F. Levy" 4 => "J.C. Phillip-Joel" 5 => "J.L. Sailly" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Chest" "fecha" => "1997" "volumen" => "112" "paginaInicial" => "1561" "paginaFinal" => "1566" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9404754" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0140673602082661" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Automobile accidents 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" => "1988" "volumen" => "158" "paginaInicial" => "18" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9655701" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "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" 1 => "A. Jiménez" 2 => "J. Cordero" ] ] ] ] ] "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" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep and sleep-disordered breathing in comercial long-haul truck drivers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.A. Stoohs" 1 => "L. Bingham" 2 => "A. Itoi" 3 => "C. Guilleminault" 4 => "W.C. Dement" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1995" "volumen" => "107" "paginaInicial" => "1275" "paginaFinal" => "1282" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7750318" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effect of nonvisible sleep fragmentation on daytime function" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.E. Martin" 1 => "P.K. Wraith" 2 => "I.J. Deary" 3 => "N.J. Douglas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.155.5.9154863" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "1997" "volumen" => "155" "paginaInicial" => "1596" "paginaFinal" => "1601" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9154863" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of esophageal pressure with pulse transit time as a measure of respiratory effort for scoring obstructive nonapneic respiratory events" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Argod" 1 => "J.L. Pépin" 2 => "R.P. Smith" 3 => "P. Lévy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.162.1.9907086" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2000" "volumen" => "162" "paginaInicial" => "87" "paginaFinal" => "93" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10903225" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cause of excessive daytime sleepiness. The upper airway resistance syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C. Guilleminault" 1 => "R. Stoohs" 2 => "A. Clerk" 3 => "M. Cetel" 4 => "P.A. Maistros" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1993" "volumen" => "104" "paginaInicial" => "781" "paginaFinal" => "787" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8365289" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Upper airway resistance syndrome, nocturnal blood pressure monitoring and bordeline hypertension" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Guilleminault" 1 => "R. Stoohs" 2 => "T. Shiomi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1996" "volumen" => "109" "paginaInicial" => "901" "paginaFinal" => "908" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8635368" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traffic accidents in commercial long-haul truck drivers: the influence of sleep- disordered breathing and obesity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.A. Stoohs" 1 => "C. Guilleminault" 2 => "A. Itoi" 3 => "W.C. Dement" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "1994" "volumen" => "17" "paginaInicial" => "619" "paginaFinal" => "623" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7846460" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Non-invasive detection of respiratory effort-related arousals (RERAs) by a nasal cannula/pressure transducer system" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I. Ayappa" 1 => "R.G. Norman" 2 => "A.C. Krieger" 3 => "A. Rosen" 4 => "R.L. O'Malley" 5 => "D.M. Rapoport" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "2000" "volumen" => "23" "paginaInicial" => "763" "paginaFinal" => "771" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11007443" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Frequency and significance of increased upper airway resistance during sleep" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K. Rees" 1 => "R.N. Kingshott" 2 => "P.K. Wraith" 3 => "N.J. Douglas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.162.4.9908052" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2000" "volumen" => "162" "paginaInicial" => "1210" "paginaFinal" => "1214" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11029319" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Accuracy of respiratory inductive plethysmography for the diagnosis of upper airway resistance syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.I. Loube" 1 => "T. Andrada" 2 => "R.S. Howard" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1999" "volumen" => "115" "paginaInicial" => "1333" "paginaFinal" => "1337" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10334149" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Detection of inspiratory flow limitation during sleep by computer assisted respiratory inductive plethysmography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V. Kaplan" 1 => "J.N. Zhang" 2 => "E.W. Russi" 3 => "K.E. Bloch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2000" "volumen" => "15" "paginaInicial" => "570" "paginaFinal" => "578" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10759455" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnóstico del síndrome de resistencia aumentada de la vía aérea superior sin sonda esofágica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Corral" 1 => "J.F. Masa" 2 => "M.J. Martín" 3 => "A. Fernández" 4 => "A. Sojo" 5 => "A.M. Sánchez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2001" "volumen" => "37" "numero" => "Suppl 1" "paginaInicial" => "28" ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Time-course of stepwise CPAP titration" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.M. Montserrat" 1 => "E. Ballester" 2 => "H. Olivi" 3 => "A. Reolid" 4 => "P. Lloberes" 5 => "A. Morelló" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.152.6.8520746" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "1995" "volumen" => "152" "paginaInicial" => "1854" "paginaFinal" => "1859" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8520746" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of esophageal pressure with pulse transit time as a measure of respiratory effort for scoring obstructive nonapneic respiratory events" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Argod" 1 => "J.L. Pépin" 2 => "R.P. Smith" 3 => "P. Lévy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.162.1.9907086" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2000" "volumen" => "162" "paginaInicial" => "87" "paginaFinal" => "93" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10903225" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003900000004/v1_201307081453/S0300289603753496/v1_201307081453/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/03002896/0000003900000004/v1_201307081453/S0300289603753496/v1_201307081453/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753496?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 7 | 14 |
| 2024 October | 46 | 36 | 82 |
| 2024 September | 45 | 65 | 110 |
| 2024 August | 58 | 73 | 131 |
| 2024 July | 44 | 85 | 129 |
| 2024 June | 56 | 42 | 98 |
| 2024 May | 46 | 49 | 95 |
| 2024 April | 37 | 41 | 78 |
| 2024 March | 40 | 52 | 92 |
| 2024 February | 31 | 54 | 85 |
| 2024 January | 0 | 21 | 21 |
| 2023 December | 0 | 21 | 21 |
| 2023 November | 0 | 15 | 15 |
| 2023 October | 0 | 39 | 39 |
| 2023 August | 0 | 6 | 6 |
| 2023 July | 0 | 13 | 13 |
| 2023 June | 0 | 4 | 4 |
| 2023 May | 0 | 1 | 1 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 5 | 4 | 9 |
| 2023 February | 34 | 22 | 56 |
| 2023 January | 37 | 28 | 65 |
| 2022 December | 37 | 19 | 56 |
| 2022 November | 47 | 25 | 72 |
| 2022 October | 30 | 30 | 60 |
| 2022 September | 31 | 16 | 47 |
| 2022 August | 46 | 33 | 79 |
| 2022 July | 36 | 44 | 80 |
| 2022 June | 28 | 27 | 55 |
| 2022 May | 33 | 32 | 65 |
| 2022 April | 48 | 33 | 81 |
| 2022 March | 42 | 27 | 69 |
| 2022 February | 32 | 26 | 58 |
| 2022 January | 30 | 27 | 57 |
| 2021 December | 27 | 41 | 68 |
| 2021 November | 18 | 35 | 53 |
| 2021 October | 24 | 52 | 76 |
| 2021 September | 25 | 43 | 68 |
| 2021 August | 37 | 42 | 79 |
| 2021 July | 33 | 25 | 58 |
| 2021 June | 30 | 24 | 54 |
| 2021 May | 22 | 36 | 58 |
| 2021 April | 26 | 38 | 64 |
| 2021 March | 22 | 27 | 49 |
| 2021 February | 15 | 11 | 26 |
| 2021 January | 37 | 18 | 55 |
| 2020 December | 22 | 16 | 38 |
| 2020 November | 15 | 8 | 23 |
| 2020 October | 18 | 6 | 24 |
| 2020 September | 13 | 8 | 21 |
| 2020 August | 23 | 18 | 41 |
| 2020 July | 18 | 24 | 42 |
| 2020 June | 3 | 17 | 20 |
| 2020 May | 24 | 24 | 48 |
| 2020 April | 16 | 10 | 26 |
| 2020 March | 16 | 16 | 32 |
| 2020 February | 19 | 26 | 45 |
| 2020 January | 39 | 20 | 59 |
| 2019 December | 24 | 35 | 59 |
| 2019 November | 14 | 10 | 24 |
| 2019 October | 15 | 28 | 43 |
| 2019 September | 23 | 34 | 57 |
| 2019 August | 24 | 14 | 38 |
| 2019 July | 21 | 17 | 38 |
| 2019 June | 15 | 21 | 36 |
| 2019 May | 16 | 50 | 66 |
| 2019 April | 19 | 44 | 63 |
| 2019 March | 11 | 26 | 37 |
| 2019 February | 6 | 18 | 24 |
| 2019 January | 10 | 20 | 30 |
| 2018 December | 19 | 18 | 37 |
| 2018 November | 20 | 15 | 35 |
| 2018 October | 33 | 9 | 42 |
| 2018 September | 20 | 8 | 28 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 5 | 2 | 7 |
| 2018 April | 5 | 1 | 6 |
| 2018 March | 9 | 10 | 19 |
| 2018 February | 5 | 5 | 10 |
| 2018 January | 13 | 11 | 24 |
| 2017 December | 10 | 11 | 21 |
| 2017 November | 6 | 13 | 19 |
| 2017 October | 9 | 6 | 15 |
| 2017 September | 15 | 11 | 26 |
| 2017 August | 12 | 16 | 28 |
| 2017 July | 9 | 10 | 19 |
| 2017 June | 27 | 22 | 49 |
| 2017 May | 12 | 10 | 22 |
| 2017 April | 6 | 8 | 14 |
| 2017 March | 10 | 7 | 17 |
| 2017 February | 8 | 11 | 19 |
| 2017 January | 12 | 11 | 23 |
| 2016 December | 28 | 7 | 35 |
| 2016 November | 41 | 19 | 60 |
| 2016 October | 47 | 31 | 78 |
| 2016 September | 32 | 10 | 42 |
| 2016 August | 24 | 7 | 31 |
| 2016 July | 20 | 4 | 24 |
| 2016 June | 28 | 14 | 42 |
| 2016 May | 22 | 7 | 29 |
| 2016 April | 24 | 2 | 26 |
| 2016 March | 22 | 3 | 25 |
| 2016 February | 17 | 3 | 20 |
| 2016 January | 42 | 16 | 58 |
| 2015 December | 40 | 18 | 58 |
| 2015 November | 29 | 6 | 35 |
| 2015 October | 78 | 1 | 79 |
| 2015 September | 76 | 0 | 76 |
| 2015 August | 99 | 0 | 99 |
| 2015 July | 114 | 0 | 114 |
| 2015 June | 65 | 0 | 65 |
| 2015 May | 74 | 0 | 74 |
| 2015 April | 41 | 0 | 41 |
| 2015 March | 66 | 0 | 66 |
| 2015 February | 47 | 0 | 47 |
| 2015 January | 45 | 0 | 45 |
| 2014 December | 40 | 0 | 40 |
| 2014 November | 47 | 0 | 47 |
| 2014 October | 64 | 0 | 64 |
| 2014 September | 37 | 0 | 37 |
| 2014 August | 39 | 0 | 39 |
| 2014 July | 48 | 0 | 48 |
| 2014 June | 49 | 0 | 49 |
| 2014 May | 68 | 0 | 68 |
| 2014 April | 52 | 0 | 52 |
| 2014 March | 70 | 0 | 70 |
| 2014 February | 55 | 0 | 55 |
| 2014 January | 52 | 0 | 52 |
| 2013 December | 55 | 0 | 55 |
| 2013 November | 66 | 0 | 66 |
| 2013 October | 59 | 0 | 59 |
| 2013 September | 59 | 0 | 59 |
| 2013 August | 57 | 0 | 57 |
| 2013 July | 72 | 0 | 72 |
| 2013 June | 41 | 0 | 41 |
| 2013 May | 49 | 0 | 49 |
| 2013 April | 36 | 0 | 36 |
| 2013 March | 18 | 0 | 18 |
| 2000 January | 2921 | 0 | 2921 |
Show all
