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Clinical and Polysomnographic Features of Rapid Eye Movement–Specific Sleep-Disordered Breathing
Características clínicas y polisomnográficas del síndrome de apneas durante el sueño localizado en la fase REM
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Congregado, Rafael Jiménez-Merchán, Francisco Javier Ayarra Jarné, Jesús Loscertales" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Gregorio" "apellidos" => "Gallardo-Valera" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Triviño-Ramírez" ] 2 => array:2 [ "nombre" => "Miguel" "apellidos" => "Congregado" ] 3 => array:2 [ "nombre" => "Rafael" "apellidos" => "Jiménez-Merchán" ] 4 => array:2 [ "nombre" => "Francisco Javier Ayarra" "apellidos" => "Jarné" ] 5 => array:2 [ "nombre" => "Jesús" "apellidos" => "Loscertales" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212909724322?idApp=UINPBA00003Z" "url" => "/15792129/0000004500000007/v1_201305150425/S1579212909724322/v1_201305150425/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Clinical and Polysomnographic Features of Rapid Eye Movement–Specific Sleep-Disordered Breathing" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "330" "paginaFinal" => "334" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Francisco Campos-Rodríguez, Ana Fernández-Palacín, Nuria Reyes-Núñez, Ángela Reina-González" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Francisco" "apellidos" => "Campos-Rodríguez" "email" => array:1 [ 0 => "fcamposr@telefonica.net" ] "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" => "Ana" "apellidos" => "Fernández-Palacín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Nuria" "apellidos" => "Reyes-Núñez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Ángela" "apellidos" => "Reina-González" "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 Universitario de Valme, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Unidad de Investigación, Hospital Universitario de Valme, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Características clínicas y polisomnográficas del síndrome de apneas durante el sueño localizado en la fase REM" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-08-20" "fechaAceptado" => "2009-01-01" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec155757" "palabras" => array:4 [ 0 => "Sleep apnea syndrome" 1 => "REM sleep" 2 => "Excessive daytime sleepiness" 3 => "Female sex" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155756" "palabras" => array:4 [ 0 => "Síndrome de apneas del sueño" 1 => "Sueño REM" 2 => "Hipersomnia diurna" 3 => "Sexo femenino" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to analyze the clinical and polysomnographic features of rapid eye movement (REM)–specific sleep disordered-breathing (SDB).</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">All cases of sleep apnea-hypopnea syndrome (SAHS) (apnea-hypopnea index [AHI] ≥ 10/h) diagnosed using over night polysomnography during the period 2004 to 2006 were analyzed retrospectively. Those cases in which the ratio of AHI during REM sleep to AHI during non-REM sleep was more than 2 were classified as REM-specific SDB. We recorded the following data: clinical signs and symptoms related to SAHS, PSG results, cardiovascular risk factors, and previous cardiovascular events. Logistic regression analysis was used to identify predictors of REM-specific SDB and to analyze the possible interactions between variables.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 419 patients were analyzed, of whom 138 (32.9%) presented REM-specific SDB. This condition was more common in patients with mild to moderate SAHS than in those with more severe cases (odds ratio, 8.21; 95% confidence interval, 4.83–14.03). The variables independently associated with REM-specific SDB in the logistic regression analysis were female sex, lower AHI, and higher body mass index. No interactions between the main variables studied were found. There were no differences between patients with REM-specific SDB and those with non-REM-specific SDB with regard to signs and symptoms related to SAHS, excessive daytime sleepiness, sleep architecture, cardiovascular risk factors, or history of cardiovascular episodes.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio ha sido analizar las características clínicas y polisomnográficas del síndrome de apneas-hipopneas durante el sueño (SAHS) localizado en la fase REM (SAHS-REM).</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han analizado retrospectivamente todos los casos de SAHS –índice de apneashipopneas (IAH) ≥ 10/h– diagnosticados mediante polisomnografía completa en el período 2004–2006. Se catalogaron como SAHS-REM aquellos en que la razón IAH-REM/IAH-no REM fue mayor de 2. De todos los pacientes se recogieron los siguientes datos: clínica de SAHS, resultados de la polisomnografía, factores de riesgo cardiovascular y eventos cardiovasculares previos. Se realizó un análisis de regresión logística para identificar las variables predictoras de SAHS-REM, así como para analizar posibles interacciones entre variables.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se analizaron en total 419 casos, de los que 138 (32,9%) presentaban SAHS-REM. Esta entidad fue más frecuente en pacientes con SAHS leve-moderado que en los casos graves (<span class="elsevierStyleItalic">odds ratio</span> = 8,21; intervalo de confianza del 95%, 4,83-14,03). En el análisis de regresión logística, las variables que se asociaron de forma independiente al SAHS-REM fueron el sexo femenino, un menor IAH y un mayor índice de masa corporal, y no se detectaron interacciones entre las principales variables estudiadas. No se encontraron diferencias entre los pacientes con SAHS-REM y SAHS-no REM en cuanto a la clínica del SAHS, hipersomnia diurna subjetiva, estructura de sueño, factores de riesgo cardiovascular o antecedentes de episodios cardiovasculares.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El SAHS-REM podría considerarse un estadio inicial del SAHS, que acontece preferentemente en mujeres obesas con trastorno del sueño leve-moderado y que carece de características específicas en cuanto a presentación clínica, estructura de sueño o comorbilidad cardiovascular.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 2 | 7 |
| 2024 October | 26 | 19 | 45 |
| 2024 September | 31 | 16 | 47 |
| 2024 August | 54 | 38 | 92 |
| 2024 July | 22 | 21 | 43 |
| 2024 June | 38 | 24 | 62 |
| 2024 May | 56 | 36 | 92 |
| 2024 April | 20 | 28 | 48 |
| 2024 March | 29 | 13 | 42 |
| 2024 February | 20 | 22 | 42 |
| 2023 March | 2 | 0 | 2 |
| 2023 February | 23 | 23 | 46 |
| 2023 January | 15 | 23 | 38 |
| 2022 December | 23 | 26 | 49 |
| 2022 November | 21 | 23 | 44 |
| 2022 October | 25 | 28 | 53 |
| 2022 September | 14 | 23 | 37 |
| 2022 August | 21 | 31 | 52 |
| 2022 July | 22 | 42 | 64 |
| 2022 June | 21 | 37 | 58 |
| 2022 May | 23 | 23 | 46 |
| 2022 April | 22 | 26 | 48 |
| 2022 March | 18 | 31 | 49 |
| 2022 February | 19 | 23 | 42 |
| 2022 January | 12 | 29 | 41 |
| 2021 December | 23 | 50 | 73 |
| 2021 November | 21 | 58 | 79 |
| 2021 October | 50 | 60 | 110 |
| 2021 September | 21 | 52 | 73 |
| 2021 August | 13 | 34 | 47 |
| 2021 July | 12 | 36 | 48 |
| 2021 June | 19 | 48 | 67 |
| 2021 May | 13 | 34 | 47 |
| 2021 April | 32 | 50 | 82 |
| 2021 March | 27 | 44 | 71 |
| 2021 February | 31 | 18 | 49 |
| 2021 January | 13 | 15 | 28 |
| 2020 December | 20 | 22 | 42 |
| 2020 November | 12 | 16 | 28 |
| 2020 October | 24 | 15 | 39 |
| 2020 September | 12 | 5 | 17 |
| 2020 August | 71 | 17 | 88 |
| 2020 July | 38 | 15 | 53 |
| 2020 June | 35 | 1 | 36 |
| 2020 May | 48 | 11 | 59 |
| 2020 April | 48 | 21 | 69 |
| 2020 March | 27 | 10 | 37 |
| 2020 February | 74 | 22 | 96 |
| 2020 January | 61 | 23 | 84 |
| 2019 December | 13 | 17 | 30 |
| 2019 November | 16 | 19 | 35 |
| 2019 October | 8 | 16 | 24 |
| 2019 September | 9 | 9 | 18 |
| 2019 August | 22 | 16 | 38 |
| 2019 July | 14 | 18 | 32 |
| 2019 June | 15 | 13 | 28 |
| 2019 May | 16 | 10 | 26 |
| 2019 April | 17 | 25 | 42 |
| 2019 March | 14 | 32 | 46 |
| 2019 February | 14 | 15 | 29 |
| 2019 January | 8 | 14 | 22 |
| 2018 December | 12 | 13 | 25 |
| 2018 November | 25 | 14 | 39 |
| 2018 October | 27 | 26 | 53 |
| 2018 September | 16 | 18 | 34 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 16 | 6 | 22 |
| 2018 March | 3 | 3 | 6 |
| 2018 February | 9 | 10 | 19 |
| 2018 January | 9 | 7 | 16 |
| 2017 December | 7 | 9 | 16 |
| 2017 November | 5 | 7 | 12 |
| 2017 October | 9 | 8 | 17 |
| 2017 September | 2 | 4 | 6 |
| 2017 August | 8 | 6 | 14 |
| 2017 July | 16 | 11 | 27 |
| 2017 June | 9 | 7 | 16 |
| 2017 May | 5 | 4 | 9 |
| 2017 April | 5 | 4 | 9 |
| 2017 March | 3 | 7 | 10 |
| 2017 February | 3 | 2 | 5 |
| 2017 January | 2 | 2 | 4 |
| 2016 December | 10 | 10 | 20 |
| 2016 November | 16 | 10 | 26 |
| 2016 October | 19 | 9 | 28 |
| 2016 September | 15 | 17 | 32 |
| 2016 August | 13 | 4 | 17 |
| 2016 July | 8 | 7 | 15 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 61 | 16 | 77 |
| 2015 September | 37 | 13 | 50 |
| 2015 August | 38 | 7 | 45 |
| 2015 July | 39 | 8 | 47 |
| 2015 June | 27 | 12 | 39 |
| 2015 May | 42 | 14 | 56 |
| 2015 April | 33 | 10 | 43 |
| 2015 March | 33 | 13 | 46 |
| 2015 February | 35 | 7 | 42 |
| 2015 January | 27 | 7 | 34 |
| 2014 December | 32 | 9 | 41 |
| 2014 November | 31 | 5 | 36 |
| 2014 October | 41 | 10 | 51 |
| 2014 September | 30 | 12 | 42 |
| 2014 August | 25 | 8 | 33 |
| 2014 July | 31 | 12 | 43 |
| 2014 June | 50 | 16 | 66 |
| 2014 May | 40 | 22 | 62 |
| 2014 April | 58 | 8 | 66 |
| 2014 March | 65 | 12 | 77 |
| 2014 February | 47 | 8 | 55 |
| 2014 January | 38 | 9 | 47 |
| 2013 December | 36 | 11 | 47 |
| 2013 November | 37 | 8 | 45 |
| 2013 October | 43 | 9 | 52 |
| 2013 September | 49 | 8 | 57 |
| 2013 August | 52 | 9 | 61 |
| 2013 July | 56 | 12 | 68 |
| 2013 June | 35 | 8 | 43 |
| 2013 May | 33 | 5 | 38 |
| 2013 April | 15 | 5 | 20 |
| 2013 March | 7 | 3 | 10 |
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