Poligrafía respiratoria en el diagnóstico del síndrome de apneas obstructivas durante el sueño
Respiratory polygraphy for diagnosing obstructive sieep apnea syndrome
E.M. García Díaz*, F. Capote Gil, S. Cano Gómez, A. Sánchez Armengol, C. Carmona Bernal, J.G. Soto Campos
Servicio de Neumología. Hospital Universitario Virgen del Rocío. Sevilla
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García Díaz, F. Capote Gil, S. Cano Gómez, A. Sánchez Armengol, C. Carmona Bernal, J.G. Soto Campos" "autores" => array:6 [ 0 => array:3 [ "nombre" => "E.M." "apellidos" => "García Díaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Capote Gil" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Cano Gómez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Sánchez Armengol" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Carmona Bernal" ] 5 => array:2 [ "nombre" => "J.G." "apellidos" => "Soto Campos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital Universitario Virgen del Rocío. Sevilla" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Estrella Mira, 1,2.° A. 41008 Sevilla." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Respiratory polygraphy for diagnosing obstructive sieep apnea syndrome" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-02-06" "fechaAceptado" => "1996-06-04" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec545630" "palabras" => array:3 [ 0 => "Síndrome de apnea del sueño" 1 => "Diagnóstico" 2 => "Poligrafía respiratoria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec545631" "palabras" => array:3 [ 0 => "Obstructive sleep apnea syndrome" 1 => "Diagnosis" 2 => "Respiratory polygraphy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El método diagnóstico clásico para el síndrome de apnea obstructiva del sueño (SAOS) es el registro polisomnográfico de una noche entera. Uno de los métodos alternativos de diagnóstico propuestos es la poligrafía respiratoria, procedimiento simplificado que consiste en la monitorización nocturna de la saturación de oxígeno, flujo oronasal y movimientos respiratorios. El objetivo de nuestro estudio ha sido evaluar la eficacia de la poligrafía respiratoria en el diagnóstico de SAOS, comparándola con la polisomnografía convencional. Para ello hemos estudiado a 101 pacientes, 92 varones y 9 mujeres, a los que se les ha realizado un registro del sueño. Consideramos criterio diagnóstico de SAOS un índice de apnea-hipopnea por hora de sueño (IAH) ≥ 10. Para evaluar la validez diagnóstica de la poligrafía respiratoria consideramos compatible con SAOS, por un lado, un IAH por hora de registro (IAHTC) ≥ 10 y, por otro, un índice de desaturaciones (IDTC) ≥ 10. Se obtuvo el diagnóstico de SAOS en 60 pacientes. El IAHTC fue ≥ 10 en 56 casos, lo que supone 4 falsos negativos con una sensibilidad del 93,3% y una especificidad del 100%. El IDTC fue ≥ de 10 en 65 pacientes, encontrándose 7 falsos positivos y 2 falsos negativos (sensibilidad del 96,6% y especificidad del 82,9%). Por lo tanto, se puede concluir que la poligrafía respiratoria es un método específico y altamente sensible para el diagnóstico de SAOS.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The traditional way of diagnosing obstructive sleep apnea syndrome (OSAS) is all-night polysomnographic recording. A proposed alternative is respiratory polygraphy, a simplified procedure that consists in nighttime monitoring of oxygen saturation, oronasal flow and respiratory movements. Our aim was to evaluate the efficacy of respiratory polygraphy in diagnosing OSAS in comparison with conventional polysomnography. We studied 101 patients (92 men and 9 women) who had undergone polysomnography. An apneahypopnea index (AHI) ≥ 10 was considered to be the diagnostic criterion for OSAS. To assess the diagnostic validity of respiratory polygraphy we considered that an AHI per hour of recording ≥ 10 and a desaturation index per hour of recording ≥ 10 were consistent with a diagnosis of OSAS. Sixty patients were diagnosed of OSAS. The AHI per hour of recording was ≥ 10 in 56 patients, with 4 false negatives (sensitivity 93.3% and specificity 100%). The desaturation index per hour of recording was ≥ 10 in 65 patients, with 7 false positives and 2 false negatives (sensitivity 96.6% and specificity 82.9%). We conclude that respiratory polysomnography is a specific, highly sensitive method for diagnosing OSAS.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Medical Section of the American Lung Association. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 13 | 17 | 30 |
| 2024 October | 59 | 58 | 117 |
| 2024 September | 42 | 23 | 65 |
| 2024 August | 61 | 54 | 115 |
| 2024 July | 47 | 42 | 89 |
| 2024 June | 87 | 37 | 124 |
| 2024 May | 66 | 42 | 108 |
| 2024 April | 33 | 48 | 81 |
| 2024 March | 51 | 51 | 102 |
| 2024 February | 39 | 48 | 87 |
| 2024 January | 0 | 5 | 5 |
| 2023 December | 2 | 6 | 8 |
| 2023 November | 0 | 10 | 10 |
| 2023 October | 0 | 11 | 11 |
| 2023 September | 0 | 10 | 10 |
| 2023 August | 0 | 10 | 10 |
| 2023 July | 0 | 7 | 7 |
| 2023 June | 0 | 16 | 16 |
| 2023 April | 0 | 2 | 2 |
| 2023 March | 3 | 6 | 9 |
| 2023 February | 41 | 22 | 63 |
| 2023 January | 31 | 33 | 64 |
| 2022 December | 37 | 30 | 67 |
| 2022 November | 53 | 23 | 76 |
| 2022 October | 23 | 40 | 63 |
| 2022 September | 61 | 26 | 87 |
| 2022 August | 58 | 44 | 102 |
| 2022 July | 35 | 45 | 80 |
| 2022 June | 36 | 47 | 83 |
| 2022 May | 45 | 46 | 91 |
| 2022 April | 33 | 41 | 74 |
| 2022 March | 40 | 44 | 84 |
| 2022 February | 46 | 39 | 85 |
| 2022 January | 31 | 47 | 78 |
| 2021 December | 25 | 55 | 80 |
| 2021 November | 38 | 39 | 77 |
| 2021 October | 22 | 35 | 57 |
| 2021 September | 28 | 49 | 77 |
| 2021 August | 25 | 51 | 76 |
| 2021 July | 17 | 48 | 65 |
| 2021 June | 28 | 45 | 73 |
| 2021 May | 18 | 35 | 53 |
| 2021 April | 39 | 99 | 138 |
| 2021 March | 43 | 64 | 107 |
| 2021 February | 72 | 32 | 104 |
| 2021 January | 36 | 59 | 95 |
| 2020 December | 42 | 50 | 92 |
| 2020 November | 25 | 67 | 92 |
| 2020 October | 50 | 49 | 99 |
| 2020 September | 26 | 34 | 60 |
| 2020 August | 49 | 65 | 114 |
| 2020 July | 35 | 48 | 83 |
| 2020 June | 37 | 28 | 65 |
| 2020 May | 13 | 45 | 58 |
| 2020 April | 33 | 24 | 57 |
| 2020 March | 29 | 23 | 52 |
| 2020 February | 26 | 46 | 72 |
| 2020 January | 61 | 42 | 103 |
| 2019 December | 44 | 35 | 79 |
| 2019 November | 19 | 14 | 33 |
| 2019 October | 35 | 36 | 71 |
| 2019 September | 20 | 48 | 68 |
| 2019 August | 31 | 20 | 51 |
| 2019 July | 25 | 65 | 90 |
| 2019 June | 38 | 44 | 82 |
| 2019 May | 53 | 57 | 110 |
| 2019 April | 63 | 61 | 124 |
| 2019 March | 30 | 43 | 73 |
| 2019 February | 13 | 30 | 43 |
| 2019 January | 19 | 30 | 49 |
| 2018 December | 18 | 52 | 70 |
| 2018 November | 29 | 93 | 122 |
| 2018 October | 32 | 42 | 74 |
| 2018 September | 11 | 55 | 66 |
| 2018 May | 17 | 1 | 18 |
| 2018 April | 9 | 8 | 17 |
| 2018 March | 17 | 8 | 25 |
| 2018 February | 9 | 13 | 22 |
| 2018 January | 8 | 11 | 19 |
| 2017 December | 9 | 29 | 38 |
| 2017 November | 6 | 39 | 45 |
| 2017 October | 15 | 35 | 50 |
| 2017 September | 14 | 28 | 42 |
| 2017 August | 9 | 20 | 29 |
| 2017 July | 8 | 10 | 18 |
| 2017 June | 18 | 32 | 50 |
| 2017 May | 16 | 25 | 41 |
| 2017 April | 8 | 24 | 32 |
| 2017 March | 6 | 19 | 25 |
| 2017 February | 2 | 13 | 15 |
| 2017 January | 12 | 20 | 32 |
| 2016 December | 17 | 15 | 32 |
| 2016 November | 35 | 23 | 58 |
| 2016 October | 40 | 29 | 69 |
| 2016 September | 37 | 26 | 63 |
| 2016 August | 29 | 10 | 39 |
| 2016 July | 38 | 18 | 56 |
| 2016 June | 25 | 5 | 30 |
| 2016 May | 22 | 4 | 26 |
| 2016 April | 15 | 0 | 15 |
| 2016 March | 16 | 0 | 16 |
| 2016 February | 14 | 1 | 15 |
| 2016 January | 30 | 14 | 44 |
| 2015 December | 32 | 20 | 52 |
| 2015 November | 43 | 19 | 62 |
| 2015 October | 9 | 1 | 10 |
| 2015 September | 3 | 0 | 3 |
| 2015 August | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
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