ORIGINAL ARTICLES
Agreement Between Oxygen Desaturation Index and Apnea-Hypopnea Index in Adults With Suspected Obstructive Sleep Apnea at an Altitude of 2240 m
Luis Torre-Bouscoulet
, Armando Castorena-Maldonado, Rocío Baños-Flores, Juan Carlos Vázquez-García, María Sonia Meza-Vargas, Rogelio Pérez-Padilla
Corresponding author
luistorreb2001@yahoo.com.mx
Correspondence: Dr. L. Torre Bouscoulet. Clínica de Trastornos Respiratorios del Dormir. Instituto Nacional de Enfermedades Respiratorias. Tlalpan, 4.502. Colonia Sección XVI. Delegación Tlalpan. 14080 México, DF. México.
Correspondence: Dr. L. Torre Bouscoulet. Clínica de Trastornos Respiratorios del Dormir. Instituto Nacional de Enfermedades Respiratorias. Tlalpan, 4.502. Colonia Sección XVI. Delegación Tlalpan. 14080 México, DF. México.
Clínica de Sueño, Instituto Nacional de Enfermedades Respiratorias, México, DF, Mexico
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"tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "646" "paginaFinal" => "648" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Eduardo González Pérez-Yarza" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Eduardo González" "apellidos" => "Pérez-Yarza" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907601499?idApp=UINPBA00003Z" "url" => "/15792129/0000004300000012/v1_201305150304/S1579212907601499/v1_201305150304/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">ORIGINAL ARTICLES</span>" "titulo" => "Agreement Between Oxygen Desaturation Index and Apnea-Hypopnea Index in Adults With Suspected Obstructive Sleep Apnea at an Altitude of 2240 m" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "649" "paginaFinal" => "654" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis Torre-Bouscoulet, Armando Castorena-Maldonado, Rocío Baños-Flores, Juan Carlos Vázquez-García, María Sonia Meza-Vargas, Rogelio Pérez-Padilla" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Luis" "apellidos" => "Torre-Bouscoulet" "email" => array:1 [ 0 => "luistorreb2001@yahoo.com.mx" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Armando" "apellidos" => "Castorena-Maldonado" ] 2 => array:2 [ "nombre" => "Rocío" "apellidos" => "Baños-Flores" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Carlos Vázquez-García" ] 4 => array:2 [ "nombre" => "María" "apellidos" => "Sonia Meza-Vargas" ] 5 => array:2 [ "nombre" => "Rogelio" "apellidos" => "Pérez-Padilla" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Clínica de Sueño, Instituto Nacional de Enfermedades Respiratorias, México, DF, Mexico" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. L. Torre Bouscoulet. Clínica de Trastornos Respiratorios del Dormir. Instituto Nacional de Enfermedades Respiratorias. Tlalpan, 4.502. Colonia Sección XVI. Delegación Tlalpan. 14080 México, DF. México." ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-08-08" "fechaAceptado" => "2007-04-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154699" "palabras" => array:4 [ 0 => "Sleep apnea" 1 => "Altitude" 2 => "Portable monitor" 3 => "Apnea-hypopnea index" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154698" "palabras" => array:4 [ 0 => "Apnea del sueño" 1 => "Altitud" 2 => "Monitor portátil" 3 => "Índi-ce de apneas-hipopneas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">OBJECTIVE</span><p class="elsevierStyleSimplePara elsevierViewall">Altitude can affect the diagnostic accuracy of portable monitors used to diagnose suspected obstructive sleep apnea syndrome on the basis of oxygen desaturation measurements. The aim of this study was to determine agreement between the desaturation index measured by oximetry and the apnea-hypopnea index measured by polysomnography in Mexico City (2240 m above sea level). We also wished to determine agreement between the desaturation index and the respiratory disturbance index measured by monitoring airflow with a single-channel recording device.</p> <span class="elsevierStyleSectionTitle">PATIENTS AND METHODS</span><p class="elsevierStyleSimplePara elsevierViewall">We used standard polysomnography and nocturnal oximetry (Remmers Sleep Recorder, Sagatech, Calgary, Alberta, Canada) to simultaneously measure the apnea-hypopnea index and the desaturation index, respectively, in a group of 38 patients aged over 18 years with suspected obstructive sleep apnea syndrome. In a second group of 30 patients, we compared the desaturation index to the respiratory disturbance index, which we measured using a single-channel device monitoring nasal airflow (Apnea Link, ResMel Corp., Poway, CA, USA).</p> <span class="elsevierStyleSectionTitle">RESULTS</span><p class="elsevierStyleSimplePara elsevierViewall">The mean (SD) intraclass correlation coefficient between the apnea-hypopnea index and the desaturation index was 0.89 (0.03) (95% confidence interval, 0.83-0.96), and the mean of the differences was -0.9 (14.2). The mean intraclass correlation coefficient for the desaturation index and the respiratory disturbance index was 0.93 (0.02) (95% confidence interval, 0.89-0.97), and the mean of the differences was -6.6 (8.3).</p> <span class="elsevierStyleSectionTitle">CONCLUSIONS</span><p class="elsevierStyleSimplePara elsevierViewall">Agreement was high between the desaturation index and both the apnea-hypopnea index and the respiratory disturbance index in adults with suspected obstructive sleep apnea syndrome in Mexico City.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">OBJETIVO</span><p class="elsevierStyleSimplePara elsevierViewall">La altitud puede afectar la rentabilidad diagnóstica de los monitores portátiles basados en la desaturación de oxígeno en pacientes con sospecha de síndrome de apneas obstructivas durante el sueño (SAOS). Nuestro propósito es comparar, en Ciudad de México (2.240 m de altitud), el índice de desaturaciones, obtenido con un oxímetro, con el índice polisomnográfico de apneas-hipopneas. Se comparó también el índice de desaturaciones con el índice respiratorio obtenido con un monitor monocanal de detección de flujo.</p> <span class="elsevierStyleSectionTitle">PACIENTES Y MÉTODOS</span><p class="elsevierStyleSimplePara elsevierViewall">A 38 pacientes mayores de 18 años con sospecha de SAOS, se les realizaron simultáneamente una polisomnografía estándar y una oximetría nocturna (Rem-mers Sleep Recorder, Sagatech, Calgary, Alberta, Canadá) para identificar el índice de apneas-hipopneas y el índice de desaturaciones, respectivamente. En otro grupo de 30 pacien-tes se comparó el índice de desaturaciones con el índice respi-ratorio basado en flujo obtenido de un sistema monocanal de flujo nasal (ApneaLink, ResMed Corp., Poway, CA, EE. UU.).</p> <span class="elsevierStyleSectionTitle">RESULTADOS</span><p class="elsevierStyleSimplePara elsevierViewall">El coeficiente de correlación intraclase entre el índice de apneas-hipopneas y el de desaturaciones fue de 0,89 ± 0,03 (intervalo de confianza del 95%, 0,83-0,96); la media de las diferencias fue de -0,9 ± 14,2. Al comparar el índice de desaturaciones y el índice respiratorio basado en el flujo nasal, el coeficiente de correlación intraclase fue de 0,93 ± 0,02 (intervalo de confianza del 95%, 0,89-0,97), y la media de las diferencias, de -6,6 ± 8,3.</p> <span class="elsevierStyleSectionTitle">CONCLUSIONES</span><p class="elsevierStyleSimplePara elsevierViewall">En Ciudad de México, en adultos con sos-pecha de SAOS, se observó una alta concordancia entre el índice polisomnográfico de apneas-hipopneas y el índice de desaturaciones, así como entre éste y el índice respiratorio basado en el flujo nasal.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Practice parameters for the indications for polysomnography and related procedures: an update for 2005" 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 9 | 14 |
| 2024 October | 34 | 32 | 66 |
| 2024 September | 42 | 50 | 92 |
| 2024 August | 52 | 66 | 118 |
| 2024 July | 33 | 40 | 73 |
| 2024 June | 34 | 34 | 68 |
| 2024 May | 35 | 48 | 83 |
| 2024 April | 21 | 50 | 71 |
| 2024 March | 24 | 32 | 56 |
| 2024 February | 20 | 20 | 40 |
| 2023 October | 0 | 1 | 1 |
| 2023 March | 4 | 3 | 7 |
| 2023 February | 18 | 38 | 56 |
| 2023 January | 16 | 41 | 57 |
| 2022 December | 21 | 39 | 60 |
| 2022 November | 21 | 36 | 57 |
| 2022 October | 25 | 41 | 66 |
| 2022 September | 22 | 29 | 51 |
| 2022 August | 22 | 41 | 63 |
| 2022 July | 22 | 36 | 58 |
| 2022 June | 13 | 38 | 51 |
| 2022 May | 19 | 34 | 53 |
| 2022 April | 16 | 30 | 46 |
| 2022 March | 16 | 53 | 69 |
| 2022 February | 20 | 45 | 65 |
| 2022 January | 13 | 40 | 53 |
| 2021 December | 19 | 50 | 69 |
| 2021 November | 16 | 60 | 76 |
| 2021 October | 21 | 51 | 72 |
| 2021 September | 17 | 83 | 100 |
| 2021 August | 12 | 47 | 59 |
| 2021 July | 12 | 30 | 42 |
| 2021 June | 14 | 52 | 66 |
| 2021 May | 15 | 24 | 39 |
| 2021 April | 39 | 58 | 97 |
| 2021 March | 26 | 42 | 68 |
| 2021 February | 15 | 20 | 35 |
| 2021 January | 20 | 26 | 46 |
| 2020 December | 12 | 21 | 33 |
| 2020 November | 15 | 20 | 35 |
| 2020 October | 22 | 25 | 47 |
| 2020 September | 16 | 13 | 29 |
| 2020 August | 14 | 19 | 33 |
| 2020 July | 46 | 21 | 67 |
| 2020 June | 19 | 13 | 32 |
| 2020 May | 28 | 22 | 50 |
| 2020 April | 22 | 29 | 51 |
| 2020 March | 18 | 18 | 36 |
| 2020 February | 18 | 30 | 48 |
| 2020 January | 16 | 23 | 39 |
| 2019 December | 16 | 22 | 38 |
| 2019 November | 13 | 30 | 43 |
| 2019 October | 5 | 37 | 42 |
| 2019 September | 20 | 29 | 49 |
| 2019 August | 14 | 23 | 37 |
| 2019 July | 10 | 39 | 49 |
| 2019 June | 14 | 36 | 50 |
| 2019 May | 12 | 29 | 41 |
| 2019 April | 31 | 78 | 109 |
| 2019 March | 19 | 41 | 60 |
| 2019 February | 11 | 36 | 47 |
| 2019 January | 3 | 28 | 31 |
| 2018 December | 13 | 25 | 38 |
| 2018 November | 16 | 49 | 65 |
| 2018 October | 21 | 32 | 53 |
| 2018 September | 8 | 16 | 24 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 5 | 36 | 41 |
| 2018 March | 9 | 46 | 55 |
| 2018 February | 7 | 35 | 42 |
| 2018 January | 3 | 21 | 24 |
| 2017 December | 5 | 26 | 31 |
| 2017 November | 6 | 44 | 50 |
| 2017 October | 6 | 54 | 60 |
| 2017 September | 1 | 45 | 46 |
| 2017 August | 8 | 63 | 71 |
| 2017 July | 3 | 41 | 44 |
| 2017 June | 7 | 58 | 65 |
| 2017 May | 7 | 53 | 60 |
| 2017 April | 7 | 22 | 29 |
| 2017 March | 4 | 26 | 30 |
| 2017 February | 2 | 11 | 13 |
| 2017 January | 1 | 13 | 14 |
| 2016 December | 12 | 13 | 25 |
| 2016 November | 11 | 14 | 25 |
| 2016 October | 10 | 10 | 20 |
| 2016 September | 10 | 18 | 28 |
| 2016 August | 4 | 2 | 6 |
| 2016 July | 5 | 12 | 17 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 119 | 27 | 146 |
| 2015 September | 106 | 42 | 148 |
| 2015 August | 129 | 31 | 160 |
| 2015 July | 113 | 22 | 135 |
| 2015 June | 110 | 34 | 144 |
| 2015 May | 118 | 73 | 191 |
| 2015 April | 101 | 39 | 140 |
| 2015 March | 105 | 41 | 146 |
| 2015 February | 91 | 31 | 122 |
| 2015 January | 86 | 26 | 112 |
| 2014 December | 130 | 22 | 152 |
| 2014 November | 143 | 31 | 174 |
| 2014 October | 198 | 43 | 241 |
| 2014 September | 149 | 37 | 186 |
| 2014 August | 148 | 29 | 177 |
| 2014 July | 144 | 23 | 167 |
| 2014 June | 153 | 31 | 184 |
| 2014 May | 133 | 39 | 172 |
| 2014 April | 121 | 25 | 146 |
| 2014 March | 108 | 31 | 139 |
| 2014 February | 100 | 21 | 121 |
| 2014 January | 72 | 23 | 95 |
| 2013 December | 79 | 18 | 97 |
| 2013 November | 55 | 6 | 61 |
| 2013 October | 74 | 20 | 94 |
| 2013 September | 72 | 15 | 87 |
| 2013 August | 71 | 23 | 94 |
| 2013 July | 92 | 18 | 110 |
| 2013 June | 79 | 21 | 100 |
| 2013 May | 69 | 16 | 85 |
| 2013 April | 48 | 15 | 63 |
| 2013 March | 20 | 3 | 23 |
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