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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La escasa disponibilidad&#44; la complejidad y el alto coste de la polisomnograf&#237;a convencional &#40;PSG&#41; hacen que sea problem&#225;tica su utilizaci&#243;n en todos los pacientes con sospecha cl&#237;nica de s&#237;ndrome de apnea obstructiva del sue&#241;o &#40;SAOS&#41;&#46; Este hecho ha provocado la aparici&#243;n de diversos procedimientos de detecci&#243;n en un intento de seleccionar a los enfermos candidatos a realizar PSG&#46; Estudiamos la utilidad del an&#225;lisis visual de la oximetr&#237;a nocturna en 96 sujetos con sospecha cl&#237;nica de SAOS&#46; El diagn&#243;stico de SAOS se confirm&#243; por PSG en 67 de ellos &#40;69&#44;8&#37;&#41;&#46; La oximetr&#237;a fue positiva en 70 casos y negativa en los 26 restantes&#46; Comparando ambas t&#233;cnicas&#44; 61 pacientes ten&#237;an positiva la oximetr&#237;a y la PSG&#44; mientras que nueve presentaron oximetr&#237;a positiva con PSG negativa&#46; El an&#225;lisis de estos resultados muestra que la oximetr&#237;a nocturna tiene una sensibilidad del 91&#37; y una especificidad del 69&#37; para la detecci&#243;n del SAOS&#44; con un valor predictivo positivo del 87&#37; y negativo del 77&#37;&#46; Como conclusi&#243;n&#44; creemos que la oximetr&#237;a nocturna puede constituir un m&#233;todo &#250;til para el cribado del SAOS&#44; en orden a poder disminuir las PSG realizadas a pacientes sin la enfermedad&#46;</p></span>"
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Utilidad del análisis visual de la oximetría nocturna como método de cribado en enfermos con sospecha clínica de SAOS
Visual analysis of nocturnal oximetry for screening patients suspected of obstructive sleep apnea syndrome
J.M. Rodríguez González-Moro1, P. de Lucas Ramos, M.J. Sánchez Juanes, J.M. Cubillo Marcos
Servicios de Neumología, Hospital General Universitario Gregorio Marañón. Madrid
J.L. Izquierdo Alonso*, R. Peraíta Adrados**
* Servicios de Neumología, Hospital Universitario de Guadalajara. Madrid
** Servicios de Neurofisiología (Unidad del Sueño). Hospital General Universitario Gregorio Marañón. Madrid
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La escasa disponibilidad&#44; la complejidad y el alto coste de la polisomnograf&#237;a convencional &#40;PSG&#41; hacen que sea problem&#225;tica su utilizaci&#243;n en todos los pacientes con sospecha cl&#237;nica de s&#237;ndrome de apnea obstructiva del sue&#241;o &#40;SAOS&#41;&#46; Este hecho ha provocado la aparici&#243;n de diversos procedimientos de detecci&#243;n en un intento de seleccionar a los enfermos candidatos a realizar PSG&#46; Estudiamos la utilidad del an&#225;lisis visual de la oximetr&#237;a nocturna en 96 sujetos con sospecha cl&#237;nica de SAOS&#46; El diagn&#243;stico de SAOS se confirm&#243; por PSG en 67 de ellos &#40;69&#44;8&#37;&#41;&#46; La oximetr&#237;a fue positiva en 70 casos y negativa en los 26 restantes&#46; Comparando ambas t&#233;cnicas&#44; 61 pacientes ten&#237;an positiva la oximetr&#237;a y la PSG&#44; mientras que nueve presentaron oximetr&#237;a positiva con PSG negativa&#46; El an&#225;lisis de estos resultados muestra que la oximetr&#237;a nocturna tiene una sensibilidad del 91&#37; y una especificidad del 69&#37; para la detecci&#243;n del SAOS&#44; con un valor predictivo positivo del 87&#37; y negativo del 77&#37;&#46; Como conclusi&#243;n&#44; creemos que la oximetr&#237;a nocturna puede constituir un m&#233;todo &#250;til para el cribado del SAOS&#44; en orden a poder disminuir las PSG realizadas a pacientes sin la enfermedad&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Conventional polysomnography &#40;CPS&#41; is a complex&#44; costly procedure that is not widely available&#44; meaning that it is difficult to apply it in patients suspected of having obstructive sleep apnea syndrome &#40;OSAS&#41;&#46; Various procedures have therefore been proposed for screening candidates for CPS&#46; We studied the usefulness of visual analysis of nocturnal oximetry in 96 patients suspected of having OSAS&#46; The OSAS diagnosis was confirmed by CPS in 67 &#40;69&#46;8&#37;&#41;&#46; Oximetry was positive in 70 cases&#46; Sixty-one patients were positive by both oximetry and CPS&#44; while 9 and positive oximetry results and a negative CPS&#46; We conclude that nocturnal oximetry has a 91&#37; sensitivity and 69&#37; specificity for OSAS&#44; with a positive predictive value of 87&#37; and a negative predictive value of 77&#37;&#46; We believe that nocturnal oximetry may be a useful way of screening for OSAS&#44; in order to decrease the number of CPS performed on patients without the disease&#46;</p></span>"
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ISSN: 03002896
Original language: Spanish
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