Estudios polisomnográficos cortos en el diagnóstico del síndrome de apnea obstructiva del sueño
Shorter polysomnographs for diagnosis of obstructive sleep apnea syndrome
C. Carmona Bernal*, F. Capote Gil, S. Cano Gómez, A. Sánchez Armengol, J.F. Medina Gallardo, J. Castillo Gómez
Servicio de Neumología. Hospital Universitario Virgen del Rocío. Sevilla
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"apellidos" => "Martín" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310322?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000008/v1_201509151239/S0300289615310322/v1_201509151239/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615310309" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)31030-9" "estado" => "S300" "fechaPublicacion" => "1994-10-01" "aid" => "71100" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1994;30:385-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2220 "formatos" => array:3 [ "EPUB" => 84 "HTML" => 704 "PDF" => 1432 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Disminución del requerimiento del nivel de CPAP tras un tratamiento prolongado en pacientes con síndrome de apneas obstructivas durante el sueño" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "385" "paginaFinal" => "389" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Decrease in CPAP level required after long-term treatment in patients with obstructive sleep apnea syndrome" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "C. Montón, J.M. Montserrat, O. Parra" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Montón" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Montserrat" ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Parra" ] ] ] 1 => array:2 [ "autoresLista" => "J. Kimoff, M. Cosío" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Kimoff" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Cosío" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310309?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000008/v1_201509151239/S0300289615310309/v1_201509151239/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Estudios polisomnográficos cortos en el diagnóstico del síndrome de apnea obstructiva del sueño" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "390" "paginaFinal" => "393" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Carmona Bernal, F. Capote Gil, S. Cano Gómez, A. Sánchez Armengol, J.F. Medina Gallardo, J. Castillo Gómez" "autores" => array:6 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Carmona Bernal" "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" => "J.F." "apellidos" => "Medina Gallardo" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] ] "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: San Jacinto. 18, 2.° 41010 Sevilla." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Shorter polysomnographs for diagnosis of obstructive sleep apnea syndrome" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1993-12-10" "fechaAceptado" => "1994-03-13" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El diagnóstico de certeza del síndrome de apnea obstructiva del sueño (SAOS) se realiza clásicamente con el registro polisomnográfíco de una noche entera, con el coste de tiempo que ello supone. Como alternativa se han propuesto estudios cortos de sueño. Se ha evaluado la eficacia del registro poligráfico de las tres primeras horas de sueño nocturno (EC) para el diagnóstico del SAOS y se han comparado los resultados con el registro de toda la noche (EN). Para ello se han estudiado 25 pacientes varones con sospecha clínica de SAOS, obteniéndose el diagnóstico en 19 con los EN y en 16 con los EC, lo que supone 3 falsos negativos, con una sensibilidad del 84% para los EC. No se obtuvo ningún falso positivo al analizar sólo las tres primeras horas de la noche, lo cual indica una especificidad del 100%. Se han encontrado diferencias significativas en la saturación de oxígeno (Sat0<span class="elsevierStyleInf">2</span>) mínima y en el porcentaje de tiempo total de sueño transcurrido en intervalos de SatO<span class="elsevierStyleInf">2</span>, inferiores al 80%. Por lo tanto se puede concluir que el registro poligráfico de la primera parte del sueño nocturno es un método específico para el diagnóstico del SAOS y que, aunque su sensibilidad es alta, ante un registro negativo está indicado continuar el estudio durante toda la noche. Finalmente, la magnitud de las desaturaciones puede subestimarse en el registro de la primera mitad de la noche.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Firm diagnosis of obstructive sleep apnea syndrome (OSAS) is normally based on all-night-long polysomnograms, at considerable expenditure of time and money. Shorter studies have been proposed as an alternative. We have assessed the efficacy of polysomnograms recorded over the first three hours of nocturnal sleep (SN) for diagnosing OSAS and the results have been compared with those of polysomnograms recorded throughout the entire night (EN). Twenty-five male patients suspected of having OSAS were enrolled; 19 were diagnosed for OSAS by EN and 16 were diagnosed by SN, indicating 3 false negatives and a sensitivity of 84% for SS. No false positives were obtained by studying only the first three hours of sleep, indicating a specificity of 100%.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Significant differences were found in mínimum oxygen saturacion (SatO<span class="elsevierStyleInf">2</span>) and percent of total sleep time with intervals of SatO, below 80%. We conclude that polysomnography during the first part of nocturnal sleep is a specific method for screening for OSAS and that, although this method's sensitivity is high, study should be continued throughout an entire night when results are negative. Desaturation levels may be underestimated in recordings lating only the first half of the night.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Síndrome de apnea obstructiva del sueño y su tratamiento mediante presión positiva aérea nasal continua" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.M. Marin" 1 => "J.R. Kimoff" 2 => "M.G. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 2 | 6 |
| 2024 October | 44 | 20 | 64 |
| 2024 September | 45 | 13 | 58 |
| 2024 August | 54 | 31 | 85 |
| 2024 July | 39 | 20 | 59 |
| 2024 June | 51 | 31 | 82 |
| 2024 May | 57 | 31 | 88 |
| 2024 April | 37 | 25 | 62 |
| 2024 March | 37 | 34 | 71 |
| 2024 February | 47 | 38 | 85 |
| 2024 January | 0 | 3 | 3 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 3 | 3 |
| 2023 July | 0 | 20 | 20 |
| 2023 June | 0 | 3 | 3 |
| 2023 March | 2 | 4 | 6 |
| 2023 February | 33 | 20 | 53 |
| 2023 January | 34 | 24 | 58 |
| 2022 December | 43 | 21 | 64 |
| 2022 November | 42 | 26 | 68 |
| 2022 October | 34 | 32 | 66 |
| 2022 September | 32 | 11 | 43 |
| 2022 August | 32 | 35 | 67 |
| 2022 July | 42 | 39 | 81 |
| 2022 June | 24 | 32 | 56 |
| 2022 May | 35 | 47 | 82 |
| 2022 April | 47 | 26 | 73 |
| 2022 March | 33 | 42 | 75 |
| 2022 February | 40 | 27 | 67 |
| 2022 January | 26 | 26 | 52 |
| 2021 December | 27 | 30 | 57 |
| 2021 November | 29 | 32 | 61 |
| 2021 October | 25 | 33 | 58 |
| 2021 September | 16 | 39 | 55 |
| 2021 August | 39 | 23 | 62 |
| 2021 July | 20 | 24 | 44 |
| 2021 June | 31 | 32 | 63 |
| 2021 May | 25 | 22 | 47 |
| 2021 April | 37 | 61 | 98 |
| 2021 March | 47 | 30 | 77 |
| 2021 February | 39 | 19 | 58 |
| 2021 January | 37 | 14 | 51 |
| 2020 December | 29 | 13 | 42 |
| 2020 November | 23 | 18 | 41 |
| 2020 October | 29 | 15 | 44 |
| 2020 September | 28 | 6 | 34 |
| 2020 August | 38 | 9 | 47 |
| 2020 July | 22 | 11 | 33 |
| 2020 June | 22 | 7 | 29 |
| 2020 May | 21 | 11 | 32 |
| 2020 April | 20 | 4 | 24 |
| 2020 March | 28 | 16 | 44 |
| 2020 February | 35 | 26 | 61 |
| 2020 January | 38 | 31 | 69 |
| 2019 December | 44 | 29 | 73 |
| 2019 November | 25 | 18 | 43 |
| 2019 October | 36 | 12 | 48 |
| 2019 September | 38 | 21 | 59 |
| 2019 August | 24 | 10 | 34 |
| 2019 July | 25 | 24 | 49 |
| 2019 June | 19 | 27 | 46 |
| 2019 May | 34 | 25 | 59 |
| 2019 April | 42 | 37 | 79 |
| 2019 March | 20 | 27 | 47 |
| 2019 February | 11 | 13 | 24 |
| 2019 January | 10 | 12 | 22 |
| 2018 December | 8 | 15 | 23 |
| 2018 November | 25 | 23 | 48 |
| 2018 October | 35 | 13 | 48 |
| 2018 September | 26 | 8 | 34 |
| 2018 May | 4 | 1 | 5 |
| 2018 April | 5 | 9 | 14 |
| 2018 March | 9 | 7 | 16 |
| 2018 February | 5 | 11 | 16 |
| 2018 January | 10 | 9 | 19 |
| 2017 December | 9 | 12 | 21 |
| 2017 November | 7 | 11 | 18 |
| 2017 October | 10 | 26 | 36 |
| 2017 September | 11 | 10 | 21 |
| 2017 August | 10 | 10 | 20 |
| 2017 July | 4 | 10 | 14 |
| 2017 June | 11 | 12 | 23 |
| 2017 May | 9 | 9 | 18 |
| 2017 April | 7 | 8 | 15 |
| 2017 March | 5 | 11 | 16 |
| 2017 February | 4 | 6 | 10 |
| 2017 January | 2 | 6 | 8 |
| 2016 December | 10 | 9 | 19 |
| 2016 November | 23 | 14 | 37 |
| 2016 October | 25 | 15 | 40 |
| 2016 September | 21 | 18 | 39 |
| 2016 August | 18 | 5 | 23 |
| 2016 July | 15 | 7 | 22 |
| 2016 June | 23 | 9 | 32 |
| 2016 May | 19 | 4 | 23 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 9 | 0 | 9 |
| 2016 February | 18 | 1 | 19 |
| 2016 January | 14 | 6 | 20 |
| 2015 December | 21 | 11 | 32 |
| 2015 November | 25 | 7 | 32 |
| 2015 October | 5 | 1 | 6 |
| 2015 September | 1 | 0 | 1 |
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