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Validation of a Respiratory Polygraphy System in the Diagnosis of Sleep Apnea Syndrome
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"apellidos" => "de Lucas Ramos" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906603996?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000002/v1_201305150204/S1579212906603996/v1_201305150204/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Validation of a Respiratory Polygraphy System in the Diagnosis of Sleep Apnea Syndrome" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "71" "paginaFinal" => "77" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Candela, L. Hernández, S. Asensio, J. Sánchez-Payá, J. Vila, N. Benito, S. Romero" "autores" => array:7 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "A." "apellidos" => "Candela" "email" => array:1 [ 0 => "candela_alf@gva.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "Hernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "S." "apellidos" => "Asensio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Sánchez-Payá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Vila" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "N." "apellidos" => "Benito" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "S." "apellidos" => "Romero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital General Universitario de Alicante, Alicante, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Preventiva, Hospital General Universitario de Alicante, Alicante, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. A. Candela. Servicio de Neumología. Hospital General Universitario de Alicante. PintorBaeza, s/n. 03010 Alicante. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-02-23" "fechaAceptado" => "2004-09-20" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153917" "palabras" => array:6 [ 0 => "Sleep apnea" 1 => "Polysomnography" 2 => "Polygraphy" 3 => "Validation study" 4 => "Sensitivity" 5 => "Specificity" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153918" "palabras" => array:6 [ 0 => "Apneas durante el sueño" 1 => "Polisomnografía" 2 => "Poligrafía" 3 => "Estudio de validación" 4 => "Sensibilidad" 5 => "Especificidad" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To validate a cardiorespiratory polygraphy system (BITMED NGP 140) by comparing it to conventional polysomnography in the diagnosis of sleep apnea-hypopnea syndrome.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Polysomnography and cardiorespiratory polygraphy were performed simultaneously on 103 consecutive patients referred because of suspected sleep apnea-hypopnea syndrome. The Bland and Altman method and intraclass correlation coefficients were used to assess agreement between the 2 methods of measurement. Receiver operating characteristic (ROC) curves were used to calculate the yield of cardiorespiratory polygraphy compared to that of conventional polysomnography.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Ninety-two valid studies were obtained for 72 men and 20 women (mean [SD] age: 52.4 [12] years). By the Bland and Altman method, the difference between the respiratory event index obtained with the BITMED NGP140 and the apnea-hypopnea index (AHI) obtained by conventional polysomnography was 7.6 (13.2) in the manual analysis (95% confidence interval [CI], 4.9-10.4) and 12 (15.3) (95% CI, 8.8-15.3) in the automatic analysis. For a corrected AHI (AH/total time in bed) mean differences were -2.2 (5.9) and 2.4 (8.2) for manual and automatic analyses. The intraclass correlation coefficients were greater than 0.94.</p><p class="elsevierStyleSimplePara elsevierViewall">The areas under the ROC curves of the respiratory event index were greater than 0.97 for all cut points. For an AHI of 30 or higher, the best cut-off point determined by manual cardiorespiratory polygraphy analysis was 27 (sensitivity, 98% and specificity, 98%). For the different cut-off points cardiorespiratory polygraphy correctly classified between 92% and 98% of patients in both the manual and automatic analyses.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The BITMED NGP140 had good agreement with conventional polysomnography for the measurement of respiratory events and provided high diagnostic yield.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Validar un dispositivo de poligrafía (PGR) cardiorrespiratoria, BITMED NGP140, frente a la polisomno-grafía convencional (PSG) en el síndrome de apneas e hipopneas durante el sueño.</p> <span class="elsevierStyleSectionTitle">Pacientes Y Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se realizó PSG y, simultáneamente, PGR a 103 pacientes consecutivos enviados por sospecha de síndrome de apneas e hipopneas durante el sueño. Se aplicaron el método de Bland y Altman, y el coeficiente de correlación intraclase para analizar la concordancia de los 2 dispositivos. La rentabilidad diagnóstica de la PGR frente a la PSG se calculó mediante las curvas de eficacia diagnóstica.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se obtuvieron 92 estudios válidos, en 72 varones y 20 mujeres con una media de edad (± desviación estándar) de 52,4 ± 12 años. Con el método de Bland y Altman la diferencia del índice de eventos respiratorios del BITMED NGP140 con el índice de apneashipopneas (IAH) de la PSG era, en el análisis manual, de 7,6 ± 13,2 (intervalo de confianza del 95%, 4,9-10,4), y en el análisis automático, de 12 ± 15,3 (intervalo de confianza del 95%, 8,8-15,3), mientras que para el IAH corregido (IAH/tiempo total de registro) la media de la diferencia fue de -2,2 ± 5,9 en el análisis manual y de 2,4 ± 8,2 en el automático. Las correlaciones intraclase eran superiores a 0,94.</p><p class="elsevierStyleSimplePara elsevierViewall">Las áreas bajo la curva de eficacia diagnóstica del índice de eventos respiratorios eran superiores a 0,97 en todos los puntos de corte. Para un IAH de 30 o superior, el mejor punto de corte del análisis manual de la PGR era de 27 (sensibilidad del 98% y especificidad del 98%). Para los diferentes puntos de corte, la PGR clasificaba correctamente entre el 92 y el 98% de los pacientes tanto con el análisis manual como con el automático.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El BITMED NGP140 tiene una buena concordancia con la PSG en la medición de los eventos respiratorios y ofrece un alto rendimiento diagnóstico.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">This study was funded by the Office of Health Technology Assessment, Department of Health, Government of the Autonomous Community of Valencia (Generalitat) (Project No. 006/2001).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:40 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The occurrence of sleep-disordered 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 Badr" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199304293281704" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 5 | 7 |
| 2024 October | 30 | 14 | 44 |
| 2024 September | 23 | 15 | 38 |
| 2024 August | 40 | 26 | 66 |
| 2024 July | 23 | 21 | 44 |
| 2024 June | 29 | 23 | 52 |
| 2024 May | 34 | 32 | 66 |
| 2024 April | 15 | 28 | 43 |
| 2024 March | 19 | 16 | 35 |
| 2024 February | 20 | 18 | 38 |
| 2023 March | 4 | 2 | 6 |
| 2023 February | 13 | 20 | 33 |
| 2023 January | 19 | 36 | 55 |
| 2022 December | 29 | 22 | 51 |
| 2022 November | 14 | 36 | 50 |
| 2022 October | 24 | 23 | 47 |
| 2022 September | 17 | 36 | 53 |
| 2022 August | 23 | 36 | 59 |
| 2022 July | 22 | 35 | 57 |
| 2022 June | 18 | 34 | 52 |
| 2022 May | 29 | 28 | 57 |
| 2022 April | 17 | 27 | 44 |
| 2022 March | 17 | 39 | 56 |
| 2022 February | 23 | 38 | 61 |
| 2022 January | 27 | 28 | 55 |
| 2021 December | 12 | 36 | 48 |
| 2021 November | 21 | 31 | 52 |
| 2021 October | 18 | 34 | 52 |
| 2021 September | 21 | 36 | 57 |
| 2021 August | 19 | 29 | 48 |
| 2021 July | 16 | 24 | 40 |
| 2021 June | 24 | 38 | 62 |
| 2021 May | 16 | 35 | 51 |
| 2021 April | 45 | 37 | 82 |
| 2021 March | 23 | 13 | 36 |
| 2021 February | 22 | 22 | 44 |
| 2021 January | 14 | 11 | 25 |
| 2020 December | 11 | 17 | 28 |
| 2020 November | 12 | 14 | 26 |
| 2020 October | 12 | 3 | 15 |
| 2020 September | 9 | 9 | 18 |
| 2020 August | 9 | 13 | 22 |
| 2020 July | 12 | 19 | 31 |
| 2020 June | 14 | 13 | 27 |
| 2020 May | 17 | 17 | 34 |
| 2020 April | 19 | 15 | 34 |
| 2020 March | 10 | 19 | 29 |
| 2020 February | 13 | 24 | 37 |
| 2020 January | 20 | 21 | 41 |
| 2019 December | 13 | 21 | 34 |
| 2019 November | 10 | 20 | 30 |
| 2019 October | 12 | 5 | 17 |
| 2019 September | 11 | 14 | 25 |
| 2019 August | 21 | 10 | 31 |
| 2019 July | 15 | 21 | 36 |
| 2019 June | 15 | 16 | 31 |
| 2019 May | 13 | 25 | 38 |
| 2019 April | 10 | 19 | 29 |
| 2019 March | 13 | 19 | 32 |
| 2019 February | 12 | 9 | 21 |
| 2019 January | 13 | 19 | 32 |
| 2018 December | 10 | 25 | 35 |
| 2018 November | 14 | 18 | 32 |
| 2018 October | 15 | 17 | 32 |
| 2018 September | 17 | 10 | 27 |
| 2018 May | 3 | 0 | 3 |
| 2018 April | 7 | 7 | 14 |
| 2018 March | 6 | 2 | 8 |
| 2018 February | 5 | 6 | 11 |
| 2018 January | 7 | 12 | 19 |
| 2017 December | 8 | 15 | 23 |
| 2017 November | 2 | 11 | 13 |
| 2017 October | 4 | 11 | 15 |
| 2017 September | 4 | 9 | 13 |
| 2017 August | 5 | 17 | 22 |
| 2017 July | 3 | 5 | 8 |
| 2017 June | 7 | 20 | 27 |
| 2017 May | 6 | 24 | 30 |
| 2017 April | 2 | 11 | 13 |
| 2017 March | 4 | 32 | 36 |
| 2017 February | 0 | 9 | 9 |
| 2017 January | 2 | 6 | 8 |
| 2016 December | 10 | 11 | 21 |
| 2016 November | 17 | 15 | 32 |
| 2016 October | 21 | 23 | 44 |
| 2016 September | 20 | 11 | 31 |
| 2016 August | 13 | 3 | 16 |
| 2016 July | 5 | 0 | 5 |
| 2016 March | 3 | 0 | 3 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 46 | 1 | 47 |
| 2015 September | 50 | 14 | 64 |
| 2015 August | 43 | 11 | 54 |
| 2015 July | 46 | 12 | 58 |
| 2015 June | 35 | 8 | 43 |
| 2015 May | 43 | 10 | 53 |
| 2015 April | 33 | 4 | 37 |
| 2015 March | 29 | 8 | 37 |
| 2015 February | 40 | 2 | 42 |
| 2015 January | 41 | 4 | 45 |
| 2014 December | 28 | 6 | 34 |
| 2014 November | 37 | 6 | 43 |
| 2014 October | 50 | 6 | 56 |
| 2014 September | 45 | 12 | 57 |
| 2014 August | 30 | 7 | 37 |
| 2014 July | 28 | 9 | 37 |
| 2014 June | 41 | 4 | 45 |
| 2014 May | 47 | 10 | 57 |
| 2014 April | 46 | 9 | 55 |
| 2014 March | 40 | 10 | 50 |
| 2014 February | 43 | 9 | 52 |
| 2014 January | 31 | 9 | 40 |
| 2013 December | 38 | 8 | 46 |
| 2013 November | 24 | 9 | 33 |
| 2013 October | 36 | 9 | 45 |
| 2013 September | 39 | 12 | 51 |
| 2013 August | 46 | 16 | 62 |
| 2013 July | 51 | 12 | 63 |
| 2013 June | 32 | 7 | 39 |
| 2013 May | 35 | 5 | 40 |
| 2013 April | 18 | 9 | 27 |
| 2013 March | 12 | 3 | 15 |
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