Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/111025
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dc.contributor.authorMasa, Juan F.en_US
dc.contributor.authorCorral, Jaimeen_US
dc.contributor.authorPereira, Ricardoen_US
dc.contributor.authorDuran-Cantolla, Joaquinen_US
dc.contributor.authorCabello, Martaen_US
dc.contributor.authorHernandez-Blasco, Luisen_US
dc.contributor.authorMonasterio, Carmenen_US
dc.contributor.authorAlonso-Fernandez, Albertoen_US
dc.contributor.authorChiner, Eusebien_US
dc.contributor.authorVázquez Polo, Francisco Joséen_US
dc.contributor.authorMontserrat, Jose M.en_US
dc.date.accessioned2021-07-22T13:35:08Z-
dc.date.available2021-07-22T13:35:08Z-
dc.date.issued2012en_US
dc.identifier.issn0903-1936en_US
dc.identifier.urihttp://hdl.handle.net/10553/111025-
dc.description.abstractIntroduction: Automatic home respiratory polygraphy (HRP) scoring functions can potentially confirm the diagnosis of sleep apnea-hypopnea syndrome (SAHS) (obviating technician scoring) in a substantial number of patients. The result would have important management and cost implications. Objectives: To determine the diagnostic cost-effectiveness of a sequential HRP scoring protocol (automatic and then manual for residual cases) as compared to manual HRP scoring, both with in-hospital polysomnography. Methods: We included suspected SAHS patients in a multicentric study and assigned to home and hospital protocols at random. We constructed Receiver Operating Characteristic (ROC) curves for manual and automatic scorings. Diagnostic agreement for several cut-off points was explored and costs for two equally effective alternatives were calculated. Results: Of 366 randomized patients, 348 completed the protocol. Manual scoring produced better ROC curves than automatic scoring. There was no sensitive automatic or subsequent manual HRP apnea-hypopnea index (AHI) cut-off point. The specific cut-off points for automatic and subsequent manual HRP scorings (AHI>10 in both) had a specificity of 88% and 97%, respectively. The costs of manual and sequential HRP protocols were similar but less than the half that of polysomnography. Conclusion: A sequential HRP scoring protocol is a cost-effective alternative to polysomnography, although with a marginal cost savings compared to HRP manual scoring.en_US
dc.languageengen_US
dc.relation.ispartofEuropean Respiratory Journalen_US
dc.sourceEuropean Respiratory Journal [ISSN 0903-1936], n. 40(56), P909en_US
dc.subject32 Ciencias médicasen_US
dc.subject320508 Enfermedades pulmonaresen_US
dc.subject.otherApnoeaen_US
dc.subject.otherHypopneaen_US
dc.subject.otherSleep disordersen_US
dc.subject.otherSleep studiesen_US
dc.titleEffectiveness of sequential automatic-manual home respiratory polygraphy scoringen_US
dc.typeinfo:eu-repo/semantics/conferenceobjecten_US
dc.typeConferenceObjecten_US
dc.relation.conference22nd Annual Congress, Vienna, Austria 1–5 September 2012en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Actas de congresosen_US
dc.description.numberofpages1en_US
dc.utils.revisionen_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr2,874
dc.description.jcr6,355
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
item.grantfulltextopen-
item.fulltextCon texto completo-
crisitem.author.deptGIR TIDES- Técnicas estadísticas bayesianas y de decisión en la economía y empresa-
crisitem.author.deptIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.deptDepartamento de Métodos Cuantitativos en Economía y Gestión-
crisitem.author.orcid0000-0002-0632-6138-
crisitem.author.parentorgIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.fullNameVázquez Polo, Francisco José-
Colección:Actas de congresos
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