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The Availability in Spanish Public Hospitals of Resources for Diagnosing and Treating Sleep Apnea-Hypopnea Syndrome
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"apellidos" => "Durán-Cantolla" "email" => array:1 [ 0 => "joaquin.duran@wanadoo.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" => "J." "apellidos" => "Mar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "G." "apellidos" => "de la Torre Muñecas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "R." "apellidos" => "Rubio Aramendi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "L." "apellidos" => "Guerra" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad Respiratoria de Trastornos del Sueño, Hospital Txagorritxu, Vitoria, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Unidad de Gestión Sanitaria, Hospital Alto Deba, Mondragón, Guipúzcoa, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. J. Durán-Cantolla. Unidad Respiratoria de Trastornos del Sueño. Hospital Txagorritxu. José Achotegui, s/n. 01009 Vitoria. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-08-26" "fechaAceptado" => "2003-12-23" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec153434" "palabras" => array:8 [ 0 => "Sleep apnea-hypopnea syndrome (SAHS)" 1 => "Continuous positive airway pressure (CPAP)" 2 => "Diagnosis" 3 => "Treatment" 4 => "Conventional nocturnal polysomnography (PSG)" 5 => "Respiratory polygraphy (RP)" 6 => "General population" 7 => "Patients" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153433" "palabras" => array:5 [ 0 => "Síndrome de apneas-hipopneas durante el sueño (SAHS)" 1 => "Presión positiva continua de la vía aérea (CPAP)" 2 => "Diagnóstico" 3 => "Tratamiento" 4 => "Polisomnografía convencional nocturna" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Sleep apnea-hypopnea syndrome is associated with an overall deterioration in the patient's health and affects between 1 and 2 million people in Spain. The objective of the present study was to evaluate the diagnostic and therapeutic resources available in Spain for dealing with this problem in terms of both infrastructure and human resources.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We selected 461 general hospitals, 457 (99.1%) of which answered a questionnaire in the course of a telephone interview.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">At the time of response, 219 hospitals (47.5%) reported performing sleep studies. Conventional polysomnography was available in 53% of those hospitals, respiratory polygraphy was used in 42%, and oximetry in 5%. In 47% of the hospitals, continuous positive airway pressure was titrated empirically in most cases; the number of patients being treated with CPAP was 109 752, that is, 269 per 100 000 population in Spain.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The level of resources available for diagnosing and treating sleep apnea-hypopnea syndrome, although improving, is clearly still inadequate. Currently, only 0.49 polysomnograph and 0.72 polygraph machines are available per 100 000 population, whereas 1 and 3 machines, respectively, are deemed necessary. Only 5% to 10% of the affected population has been diagnosed, and in 47% of the hospitals interviewed continuous positive airway pressure is not properly titrated. These results should be a clarion call to the health authorities to take the appropriate steps to address this health problem.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">El síndrome de apneas-hipopneas durante el sueño está asociado a un deterioro del estado de salud y constituye un problema sanitario que en España sufren entre 1 y 2 millones de personas. El objetivo del estudio fue evaluar cuáles son los medios diagnósticos y terapéuticos disponibles en España, tanto en infraestructu-ras como en recursos humanos, para abordar este problema.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se seleccionaron 461 hospitales generales y me-diante contacto telefónico se administró un cuestionario a 457 (99,1%).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Realizan estudios de sueño 219 centros (47,5%). El 53% dispone de polisomnografía convencional, un 42% emplea la poligrafía respiratoria y un 5% la oximetría. Un 47% de los centros realiza titulaciones de presión positiva continua de la vía aérea de forma mayoritariamente empírica y existen en activo 109.752 aparatos, lo que representa 269 equipos por 100.000 habitantes.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">El nivel de recursos para el diagnóstico y el tratamiento del síndrome de apneas-hipopneas durante el sueño, a pesar de haber mejorado, es claramente insuficiente. Son necesarios un polisomnógrafo convencional y 3 polí-grafos, mientras que actualmente se cuenta con 0,49 y 0,72 por 100.000 habitantes, respectivamente. Sólo se ha diagnos-ticado el 5-10% de la población afectada y en el 47% de los centros la presión positiva continua de la vía aérea se titula de forma inadecuada. Estos resultados deberían suponer una importante llamada de atención a las autoridades sanitarias para abordar apropiadamente este problema sanitario.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:39 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "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 => "JM Montserrat" 1 => "J Amilibia" 2 => "F Barbé" 3 => "F Capote" 4 => "J Durán" 5 => "NG 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" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "American Academy of Sleep Medicine Task Force" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Sleep" "fecha" => "1999" "volumen" => "22" "paginaInicial" => "667" "paginaFinal" => "689" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10450601" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The occurrence of sleep disorded breathing among middle-aged adults" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T Young" 1 => "M Palta" 2 => "J Dempsey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "N Engl J Med" "fecha" => "1993" "volumen" => "328" "paginaInicial" => "1230" "paginaFinal" => "1236" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J Durán" 1 => "S Esnaola" 2 => "R Ramón" 3 => "A Iztueta" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.163.3.2005065" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2001" "volumen" => "163" "paginaInicial" => "685" "paginaFinal" => "689" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11254524" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of sleep apnoea in the Spanish adult population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "JM Marin" 1 => "JM Gascón" 2 => "S Carrizo" 3 => "JA Gispert" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Intern J Epidemiol" "fecha" => "1977" "volumen" => "26" "paginaInicial" => "381" "paginaFinal" => "386" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of sleep disordered breathing and sleep apnea in 50 to 70 year old individuals. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 2 | 6 |
| 2024 October | 30 | 13 | 43 |
| 2024 September | 22 | 10 | 32 |
| 2024 August | 38 | 25 | 63 |
| 2024 July | 24 | 27 | 51 |
| 2024 June | 24 | 23 | 47 |
| 2024 May | 28 | 28 | 56 |
| 2024 April | 17 | 17 | 34 |
| 2024 March | 15 | 11 | 26 |
| 2024 February | 16 | 18 | 34 |
| 2023 March | 2 | 2 | 4 |
| 2023 February | 11 | 16 | 27 |
| 2023 January | 17 | 28 | 45 |
| 2022 December | 17 | 17 | 34 |
| 2022 November | 15 | 14 | 29 |
| 2022 October | 21 | 32 | 53 |
| 2022 September | 19 | 24 | 43 |
| 2022 August | 11 | 27 | 38 |
| 2022 July | 20 | 40 | 60 |
| 2022 June | 11 | 24 | 35 |
| 2022 May | 22 | 22 | 44 |
| 2022 April | 16 | 29 | 45 |
| 2022 March | 13 | 30 | 43 |
| 2022 February | 8 | 28 | 36 |
| 2022 January | 18 | 29 | 47 |
| 2021 December | 20 | 40 | 60 |
| 2021 November | 42 | 36 | 78 |
| 2021 October | 27 | 41 | 68 |
| 2021 September | 24 | 39 | 63 |
| 2021 August | 13 | 31 | 44 |
| 2021 July | 21 | 27 | 48 |
| 2021 June | 16 | 37 | 53 |
| 2021 May | 13 | 15 | 28 |
| 2021 April | 21 | 34 | 55 |
| 2021 March | 23 | 29 | 52 |
| 2021 February | 9 | 7 | 16 |
| 2021 January | 13 | 9 | 22 |
| 2020 December | 7 | 13 | 20 |
| 2020 November | 10 | 11 | 21 |
| 2020 October | 4 | 5 | 9 |
| 2020 September | 6 | 4 | 10 |
| 2020 August | 11 | 8 | 19 |
| 2020 July | 9 | 10 | 19 |
| 2020 June | 7 | 7 | 14 |
| 2020 May | 13 | 16 | 29 |
| 2020 April | 17 | 10 | 27 |
| 2020 March | 5 | 9 | 14 |
| 2020 February | 13 | 18 | 31 |
| 2020 January | 42 | 15 | 57 |
| 2019 December | 18 | 11 | 29 |
| 2019 November | 12 | 14 | 26 |
| 2019 October | 7 | 11 | 18 |
| 2019 September | 3 | 18 | 21 |
| 2019 August | 8 | 11 | 19 |
| 2019 July | 13 | 26 | 39 |
| 2019 June | 2 | 10 | 12 |
| 2019 May | 6 | 15 | 21 |
| 2019 April | 18 | 38 | 56 |
| 2019 March | 6 | 17 | 23 |
| 2019 February | 11 | 14 | 25 |
| 2019 January | 3 | 5 | 8 |
| 2018 December | 9 | 13 | 22 |
| 2018 November | 11 | 14 | 25 |
| 2018 October | 18 | 13 | 31 |
| 2018 September | 9 | 9 | 18 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 11 | 10 | 21 |
| 2018 March | 5 | 4 | 9 |
| 2018 February | 7 | 5 | 12 |
| 2018 January | 6 | 11 | 17 |
| 2017 December | 6 | 8 | 14 |
| 2017 November | 5 | 5 | 10 |
| 2017 October | 10 | 7 | 17 |
| 2017 September | 3 | 5 | 8 |
| 2017 August | 8 | 7 | 15 |
| 2017 July | 9 | 11 | 20 |
| 2017 June | 8 | 9 | 17 |
| 2017 May | 8 | 11 | 19 |
| 2017 April | 2 | 4 | 6 |
| 2017 March | 1 | 17 | 18 |
| 2017 February | 1 | 0 | 1 |
| 2017 January | 2 | 3 | 5 |
| 2016 December | 6 | 7 | 13 |
| 2016 November | 17 | 8 | 25 |
| 2016 October | 16 | 11 | 27 |
| 2016 September | 12 | 6 | 18 |
| 2016 August | 11 | 9 | 20 |
| 2016 July | 2 | 8 | 10 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 27 | 1 | 28 |
| 2015 September | 42 | 9 | 51 |
| 2015 August | 23 | 9 | 32 |
| 2015 July | 40 | 8 | 48 |
| 2015 June | 29 | 4 | 33 |
| 2015 May | 47 | 4 | 51 |
| 2015 April | 22 | 9 | 31 |
| 2015 March | 31 | 5 | 36 |
| 2015 February | 24 | 2 | 26 |
| 2015 January | 21 | 4 | 25 |
| 2014 December | 12 | 7 | 19 |
| 2014 November | 36 | 12 | 48 |
| 2014 October | 32 | 9 | 41 |
| 2014 September | 20 | 5 | 25 |
| 2014 August | 21 | 13 | 34 |
| 2014 July | 24 | 12 | 36 |
| 2014 June | 29 | 8 | 37 |
| 2014 May | 33 | 12 | 45 |
| 2014 April | 47 | 4 | 51 |
| 2014 March | 46 | 9 | 55 |
| 2014 February | 25 | 11 | 36 |
| 2014 January | 25 | 10 | 35 |
| 2013 December | 28 | 11 | 39 |
| 2013 November | 23 | 8 | 31 |
| 2013 October | 19 | 11 | 30 |
| 2013 September | 26 | 10 | 36 |
| 2013 August | 25 | 6 | 31 |
| 2013 July | 49 | 28 | 77 |
| 2013 June | 26 | 5 | 31 |
| 2013 May | 27 | 8 | 35 |
| 2013 April | 9 | 4 | 13 |
| 2013 March | 6 | 1 | 7 |
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