{"id":19895,"date":"2002-12-11T00:00:00","date_gmt":"2002-12-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-la-utilidad-diagnostica-de-la-poligrafa%c2%ada-cardiorrespiratoria-domiciliaria-en-el-diagnosticos-del-sa%c2%adndrome-de-apneas-hipopneas-durante-el-sueno\/"},"modified":"2002-12-11T00:00:00","modified_gmt":"2002-12-11T00:00:00","slug":"evaluacion-de-la-utilidad-diagnostica-de-la-poligrafa%c2%ada-cardiorrespiratoria-domiciliaria-en-el-diagnosticos-del-sa%c2%adndrome-de-apneas-hipopneas-durante-el-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/valladolid\/evaluacion-de-la-utilidad-diagnostica-de-la-poligrafa%c2%ada-cardiorrespiratoria-domiciliaria-en-el-diagnosticos-del-sa%c2%adndrome-de-apneas-hipopneas-durante-el-sueno\/","title":{"rendered":"Evaluaci\u00f3n de la utilidad diagn\u00f3stica de la poligraf\u00edacardiorrespiratoria domiciliaria en el diagn\u00f3sticos del s\u00edndrome de apneas\/hipopneas durante el sue\u00f1o"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Luz Alonso Alvarez <\/strong><\/h2>\n<p>La polisomnograf\u00eda convencional (psg) constituye la prueba diagn\u00f3stica de elecci\u00f3n del sindrome de apneas\/hipopneas durante el sue\u00f1o (sahs), pero es necesaria la b\u00fasqueda de alternativas diagn\u00f3sticas menos costosas y de eficacia comparable a la psg. Por ello planteamos la validaci\u00f3n de un sistema de poligraf\u00eda cardiorrespiratoria (pc), realizada en el domicilio del paciente, comparada con la psg realizada en el laboratorio de suelo  objetivos del estudio  1,- determinar si la poligraf\u00eda cardiorresporatoria domiciliaria (pcd) es v\u00e1lida (sensible y espec\u00edfica) para establecer el diagn\u00f3stico de sahs.  2,- determinar el valor del rdi, obtenido en el domicilio del paciente, m\u00e1s adecuado para el diagn\u00f3stico de sahs.  3,- comparar los costes derivados de la realizaci\u00f3n de pcd, con la psg realizada en el laboratorio de sue\u00f1o.  pacientes y m\u00e9todos  estudio de evaluaci\u00f3n, independiente, ciego y aleatorio. Se incluyeron 45 pacientes con sospecha cl\u00ednica de sahs. A todos ellos se les realiz\u00f3 pcd y psg.  resultados  las correlaciones fueron significativas para todos los pares relacionados, siendo la correlaci\u00f3n para rdi\/iah, r=0,727, p&lt;0,001.  considerando como diagn\u00f3stico de sahs la presencia de iah &gt; 10\/hora de seu\u00f1o en la psg, la preValencia la enfermedad fue del 46,46%. Se calcul\u00f3 la curva roc indentific\u00e1ndose diferentes valores de rdi: el punto de corte m\u00e1s eficiente fue rdi=11,60 con un \u00e1rea bajo la curva del 87,50% ci 95% (74,22% &#8211; 95,46%), sensibilidad 71,4%, especificidad 91,7%, valor predicitvo positivo (vpp) 88,2% y valor predictivo negativo (vpn) 78,6.  considerando como punto umbral de diagn\u00f3stico (punto sensible), rdi=7,2 y como punto umbral de tratamiento (punto espec\u00edfico), rdi=13,70, la probabilidad post-test de un resultado negativo es de 13,60% y la probabilidad post-test de un resultado positivo de 92,86%.  para el c\u00e1lculo de costes se utiliz\u00f3 una poblaci\u00f3n te\u00f3rica estimada de 10<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n de la utilidad diagn\u00f3stica de la poligraf\u00edacardiorrespiratoria domiciliaria en el diagn\u00f3sticos del s\u00edndrome de apneas\/hipopneas durante el sue\u00f1o<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n de la utilidad diagn\u00f3stica de la poligraf\u00edacardiorrespiratoria domiciliaria en el diagn\u00f3sticos del s\u00edndrome de apneas\/hipopneas durante el sue\u00f1o <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Luz Alonso Alvarez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/11\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>\u00e1ngel Mara\u00f1\u00f3n Cabello<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Herreros fernandez <\/li>\n<li>Jos\u00e9 Luis Alvarez sala walther (vocal)<\/li>\n<li>victor Sobradillo pe\u00f1a (vocal)<\/li>\n<li>Jaime Martinez gonzalez-rio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Luz Alonso Alvarez La polisomnograf\u00eda convencional (psg) constituye la prueba diagn\u00f3stica de elecci\u00f3n del sindrome de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[12451],"tags":[27683,3295,6075,60830,12485,8324],"class_list":["post-19895","post","type-post","status-publish","format-standard","hentry","category-valladolid","tag-angel-maranon-cabello","tag-jaime-Martinez-gonzalez-rio","tag-jose-luis-alvarez-sala-walther","tag-m-luz-alonso-alvarez","tag-vicente-herreros-fernandez","tag-victor-sobradillo-pena"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19895","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=19895"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19895\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19895"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19895"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}