Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/48765
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dc.contributor.authorMasa, Juan F.
dc.contributor.authorCorral, Jaime
dc.contributor.authorPereira, Ricardo
dc.contributor.authorDuran-Cantolla, Joaquin
dc.contributor.authorCabello, Marta
dc.contributor.authorHernández-Blasco, Luis
dc.contributor.authorMonasterio, Carmen
dc.contributor.authorAlonso, Alberto
dc.contributor.authorChiner, Eusebi
dc.contributor.authorRubio, Manuela
dc.contributor.authorGarcia-Ledesma, Estefania
dc.contributor.authorCacelo, Laura
dc.contributor.authorCarpizo, Rosario
dc.contributor.authorSacristan, Lirios
dc.contributor.authorSalord, Neus
dc.contributor.authorCarrera, Miguel
dc.contributor.authorSancho-Chust, José N.
dc.contributor.authorEmbid, Cristina
dc.contributor.authorVazquez-Polo, Francisco-Jose
dc.contributor.authorNegrin, Miguel A.
dc.contributor.authorMontserrat, Jose M.
dc.contributor.otherGarin, Intza
dc.contributor.otherNegrin, Miguel
dc.contributor.otherDuran Cantolla, Joaquin
dc.contributor.otherMONTSERRAT, Josep Maria
dc.contributor.otherSalord, Neus
dc.contributor.otherVazquez-Polo, Francisco-Jose
dc.date.accessioned2018-11-24T00:44:35Z-
dc.date.available2018-11-24T00:44:35Z-
dc.date.issued2011
dc.identifier.issn0040-6376
dc.identifier.urihttp://hdl.handle.net/10553/48765-
dc.description.abstractIntroduction Home respiratory polygraphy (HRP) may be a cost-effective alternative to polysomnography for the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS), but stronger evidence is needed. Normally, patients transport HRP equipment from the hospital to home and back, which may create difficulties for some patients.Objectives To determine both the diagnostic efficacy and cost of HRP (with and without a transportation service moving the device and telematic transmission of data) in a large sample compared with in-hospital polysomnography.Methods Patients suspected of having SAHS were included in a multicentre study (eight hospitals). They were assigned to home and hospital protocols in random order. Receiver operating characteristic curves were constructed for manual respiratory polygraphy scoring protocol and different polysomnographic cut-off points. Diagnostic efficacies for several polysomnographic cutoff points were explored and costs for two equally effective alternatives were calculated.Results Of 366 randomised patients, 348 completed the protocol. The best receiver operating characteristic curve was obtained with a polysomnographic cut-off of the apnoea-hypopnoea index (AHI)>= 5. The sensitive HRP AHI cut-off point (<5) had a sensitivity of 96%, a specificity of 57% and a negative likelihood ratio (LR) of 0.07; the specific cut-off (>10) had a sensitivity of 87%, a specificity of 86% and a positive LR of 6.25. The cost of HRP was half that of polysomnography. Telematic transmission costs were similar if the patients' costs were taken in to account.Conclusion HRP is an alternative to polysomnography in patients with suspected SAHS. Telematic procedures may help patients with limited mobility and those who live a long way from the sleep centre.
dc.publisher0040-6376
dc.relation.ispartofThorax
dc.sourceThorax[ISSN 0040-6376],v. 66 (7), p. 567-573
dc.subject.otherPortable Monitoring Device
dc.subject.otherPositive Airway Pressure
dc.subject.otherApnoea/Hypopnoea Syndrome
dc.subject.otherPolysomnography
dc.subject.otherValidation
dc.subject.otherPopulation
dc.subject.otherSystem
dc.subject.otherDisorders
dc.subject.otherAccuracy
dc.titleEffectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome
dc.typeinfo:eu-repo/semantics/Articlees
dc.typeArticlees
dc.identifier.doi10.1136/thx.2010.152272
dc.identifier.scopus79959313267
dc.identifier.isi000291680300005
dcterms.isPartOfThorax
dcterms.sourceThorax[ISSN 0040-6376],v. 66 (7), p. 567-573
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dc.description.lastpage573
dc.description.firstpage567
dc.relation.volume66
dc.type2Artículoes
dc.identifier.wosWOS:000291680300005
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dc.identifier.investigatorRIDJ-4500-2012
dc.identifier.investigatorRIDK-8293-2017
dc.identifier.investigatorRIDB-6996-2015
dc.identifier.investigatorRIDNo ID
dc.identifier.investigatorRIDNo ID
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dc.contributor.wosstandardWOS:Masa, JF
dc.contributor.wosstandardWOS:Corral, J
dc.contributor.wosstandardWOS:Pereira, R
dc.contributor.wosstandardWOS:Duran-Cantolla, J
dc.contributor.wosstandardWOS:Cabello, M
dc.contributor.wosstandardWOS:Hernandez-Blasco, L
dc.contributor.wosstandardWOS:Monasterio, C
dc.contributor.wosstandardWOS:Alonso, A
dc.contributor.wosstandardWOS:Chiner, E
dc.contributor.wosstandardWOS:Rubio, M
dc.contributor.wosstandardWOS:Garcia-Ledesma, E
dc.contributor.wosstandardWOS:Cacelo, L
dc.contributor.wosstandardWOS:Carpizo, R
dc.contributor.wosstandardWOS:Sacristan, L
dc.contributor.wosstandardWOS:Salord, N
dc.contributor.wosstandardWOS:Carrera, M
dc.contributor.wosstandardWOS:Sancho-Chust, JN
dc.contributor.wosstandardWOS:Embid, C
dc.contributor.wosstandardWOS:Vazquez-Polo, FJ
dc.contributor.wosstandardWOS:Negrin, MA
dc.contributor.wosstandardWOS:Montserrat, JM
dc.date.coverdateEnero 2011
dc.identifier.ulpgces
dc.description.sjr2,822
dc.description.jcr6,84
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptGIR 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.deptGIR 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.orcid0000-0002-7074-6268-
crisitem.author.parentorgIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.parentorgIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.fullNameVázquez Polo, Francisco José-
crisitem.author.fullNameNegrín Hernández, Miguel Ángel-
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