Situación en España de los recursos diagnósticos y de los tratamientos con presión positiva continua sobre la vía aérea, en el síndrome de apneas-hipopneas obstructivas del sueño

Terán Santos, J.; Fernández García, C.; Cordero Guevara, J.

doi:10.1016/S0300-2896(15)30109-5

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

It is a monthly journal in which all manuscripts are sent to peer-review and handled by the editor or an associate editor from the team and the final decision is made on the basis of the comments from the expert reviewers and the editors. The journal is published solely in English. All the published data is composed of novel manuscripts not previously published in any other journal and not being in consideration for publication in any other journal..

The journal is indexed at Science Citation Index Expanded, Medline/Pubmed, Embase and SCOPUS. Access to any published article is possible through the journal's web page as well as from Pubmed, ScienceDirect, and other international databases. Furthermore, the journal is also present in X, Facebook and Linkedin. Manuscripts can be submitted electronically using the following web site: https://www.editorialmanager.com/ARBR/.

Indexed in:

Current Contents/Clinical Medicine, JCR SCI-Expanded, Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, SCOPUS, IBECS

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

8.7

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

3.5

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.464

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.482

View more metrics

Open Access Option

Journal Information

Previous article | Next article

Vol. 36. Issue 9.

Pages 494-499 (October 2000)

More article options

Pages 494-499 (October 2000)

DOI: 10.1016/S0300-2896(15)30109-5

Full text access

Situación en España de los recursos diagnósticos y de los tratamientos con presión positiva continua sobre la vía aérea, en el síndrome de apneas-hipopneas obstructivas del sueño

Continuous positive airway pressure for obstructive sleep apnea syndrome: the current state of diagnostic resources and therapy in Spain

Visits

11021

Download PDF

J. Terán Santos

Corresponding author

jteran@bio.hgy.es

Correspondencia: Unidad de Trastornos Respiratorios del Sueño. Sección de Neumología. Hospital General Yagüe. Avda. del Cid s/n. 09005 Burgos.

, C. Fernández García*, J. Cordero Guevara**

* Sección de Neumología. Hospital General Yagüe. Burgos

** Técnico de Salud. Unidad de Investigación. Hospital General Yagüe. Burgos

This item has received

11021 Visits

Article information

Statistics

El síndrome de apneas-hipopneas del sueño (SAHS) constituye un problema de salud de primera magnitud con una prevalencia estimada del 2-4% de la población.

En 1995, el grupo de trabajo del Área de Insuficiencia Respiratoria y Trastornos del Sueño estimó que en España había más de un millón de personas que sufrían de SAHS, con repercusión clínica, mientras que el número de pacientes en tratamiento entonces ascendía a 8.000, y se constataba una baja disponibilidad de métodos diagnósticos.

El objetivo de este estudio es analizar la situación actual en nuestro país y para ello en el período 1995-1997 y mediante cuestionario, llevado a cabo en todo el territorio español, hemos constatado que a finales de 1997 aproximadamente 28.000 personas realizan tratamiento con soporte ventilatorio nocturno, lo que implica una prevalencia de estos tratamientos de 72/100.000 habitantes y todo ello con un nivel insuficiente en cuanto a recursos diagnósticos, que son establecidos hasta en un 37% de los casos con registro oximétrico nocturno.

Concluimos que es precisa la elaboración de un plan global para el diagnóstico y tratamiento de pacientes con SAHS que incluya: a) incremento de recursos diagnósticos; b) protocolos de coordinación; c) programas de formación continuada en esta disciplina, y d) replanteamiento de las fórmulas de financiación de los sistemas de soporte ventilatorio.

Palabras clave:

Síndrome de apneas-hipopneas del sueño (SAHS)

Presión positiva continua sobre la vía aérea (CPAP)

Soporte ventilatorio de presión binivel (BIPAP)

Tratamiento

Sleep apnea-hypopnea syndrome (SAHS) is a major health problem whose estimated prevalence is 2 to 4% of the population. The Respiratory Insufficiency and Sleep Disorders Task Force estimated in 1995 that over one million people suffer SAHS with clinical repercussions in Spain while the number of patients receiving treatment was 8,000; diagnostic resources were not widely available.

The aim of this study was to analyze the current situation in Spain. A survey carried out nation-wide in the period from 1995 to 1997 revealed that approximately 28,000 individuals were receiving nighttime support ventilation, signifying a prevalence of 72 per 100,000 inhabitants for this type of treatment. This situation has come about in a context of insufficient availability of diagnostic tools, with nocturnal oxygen levels having been established for some 37% of patients.

We conclude that a broad plan to diagnose and treat patients with SAHS is required. The plan should include: a) greater availability of diagnostic tools; b) protocols for coordination; c) programs for continuous training and updating of knowledge of this disease, and d) revision of systems for financing support ventilation.

Key words:

Sleep apnea-hypopnea syndrome (SAHS)

Continuous positive airway pressure (CPAP)

BIPAP

Treatment

Full text is only aviable in PDF

Bibliografía

[1.]

M. Partinen, C.H. Guilleminault.

Daytime sleepiness and vascular morbidity at seven year follow-up in obstructive sleep apnea patients.

Chest, 97 (1990), pp. 27-32

Medline

[2.]

M. Suzuki, K. Otsuka, C. Guilleminault.

Long-term nasal continous positive airway pressure administration can normalise hypertension in obstructive sleep apnea patients.

Sleep, 16 (1993), pp. 545-549

Medline

[3.]

Y. Peker, J. Hedner, A. Johanson, M. Bende.

Reduced hospitalización with cardiovascular and pulmonary disease in obstructive sleep apnea on nasal CPAP treatment.

Sleep, 20 (1997), pp. 645-653

Medline

[4.]

T. Gislason, M. Almquist, G. Erikson, A. Taube, G. Boman.

Prevalence of sleep apnea syndrome among Swedish men An epidemiological study..

J Clin Epidemiol, 41 (1988), pp. 571-576

Medline

[5.]

J. Terán Santos, A. Jiménez Gómez, J. Cordero Guevara.

Cooperative Group Burgos Santander The association between sleep apnea and the risk of traffic accidents..

N Engl J Med, 340 (1999), pp. 847-851

http://dx.doi.org/10.1056/NEJM199903183401104 | Medline

[6.]

J. He, M.H. Kryger, F.J. Zorick, W. Conway, T. Roth.

Mortality and Apnea Index in obstructive Sleep Apnea. Experience in 385 male patients.

Chest, 94 (1988), pp. 9-14

Medline

[7.]

P. Lavie, P. Herer, R. Peled, et al.

Mortality in sleep apnea patients. A multivariate analysis of risk factores.

Sleep, 18 (1995), pp. 149-157

Medline

[8.]

T. Young, M. Palta, J. Dempsey, J. Skatrud, S. Weber, S. Badr.

The ocurrence of sleep disordered breathing among middle aged adults.

N Engl J Med, 328 (1993), pp. 1230-1235

http://dx.doi.org/10.1056/NEJM199304293281704 | Medline

[9.]

J. Durán, S. Esnaola, R. Rubio, et al.

Obstructive sleep apnea in the general population.

Eur Resp J, 12 (1998), pp. 376S

Article

[10.]

J. Wright, R. Johns, I. Watt, A. Melville, T. Sheldon.

Health effects of obstructive sleep apnoea and the effetieness of continuous positive airways presure: a systematic review of the research evidence.

BMJ, 314 (1997), pp. 851-860

Medline

[11.]

H.M. Engleman, N. Asgari-Jirhandeh, A.L. Mcleod, C.F.P. Ramsay, I.J. Deary, N.J. Douglas.

Self-reported use of CPAP and benefits of CPAP therapy.

Chest, 109 (1996), pp. 1470-1476

Medline

[12.]

F. Series.

Evaluation of treatment efficaccy in sleep apnea hypopnea syndrome.

Sleep, 19 (1996), pp. S71-S76

Medline

[13.]

H.M. Engleman, E.M. Sascha, I.J. Deary, N.J. Douglas.

Effect of continuous positive airway pressure treatment on daytime function in sleep apnea- hypopnea syndrome.

Thorax, 52 (1997), pp. 114-119

Medline

[14.]

E. Ballester, J.R. Badía, L. Hernández, et al.

Evidence of the efectiviness of continuous positive airway pressure in the treatment off sleep apnea/hypopnea syndrome.

Am J Respir Crit Care Med, 159 (1999), pp. 495-501

http://dx.doi.org/10.1164/ajrccm.159.2.9804061 | Medline

[15.]

C.E. Sullivan, F.Q. Issa, M. Berthon Jones, L. Eves.

Reversal of obstructive sleep apnea by continuous positive pressure applied through the nares.

Lancet, 1 (1981), pp. 862-865

Medline

[16.]

J. Durán Cantolla, J. Amilibia Alonso, F. Barbe Illá, F. Capote Gil, N. González Mangado, A. Jiménez Gómez, et al.

Disponibilidad de recursos técnicos para el diagnóstico y tratamiento del síndrome de apnea obstructiva del sueño en los hospitales de la red pública del Estado.

Arch Bronconeumol, 31 (1995), pp. 463-469

Article | Medline

[17.]

ASDA.

Standards of practice Portable recording in the assesment of obstructive sleep apnea..

Sleep, 17 (1994), pp. 378-392

Medline

[18.]

J.M. Montserrat, J.F. Amilibia Barbe, F. Capote, J. Durán, N.G. Mangado, A. Jiménez, et al.

Tratamiento del síndrome de las apneas-hipopneas durante el sueño.

Arch Bronconeumol, 34 (1998), pp. 204-206

Medline