{"id":36311,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estrategias-clinicas-para-la-deteccion-y-el-diagnostico-del-sindrome-de-apnea-hipopnea-durante-el-sueno\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"estrategias-clinicas-para-la-deteccion-y-el-diagnostico-del-sindrome-de-apnea-hipopnea-durante-el-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estrategias-clinicas-para-la-deteccion-y-el-diagnostico-del-sindrome-de-apnea-hipopnea-durante-el-sueno\/","title":{"rendered":"Estrategias clinicas para la deteccion y el diagnostico del sindrome de apnea-hipopnea durante el sue\u00f1o."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Lourdes Hernandez Plaza <\/strong><\/h2>\n<p>Una de las inquietudes actuales a cerca del s\u00edndrome de apnea-hipopnea del sue\u00f1o (sahs) es optimizar la estrategia de su detecci\u00f3n y diagn\u00f3stico. Para ello, en este estudio se han: 1) elaborado distintos modelos de predicci\u00f3n cl\u00ednica del sahs; 2) evaluado la oximetr\u00eda ambulatoria; 3) descrito y analizado diferentes estrategias para la detecci\u00f3n y diagn\u00f3stico de los pacientes con sospecha de sufrir un sahs, bas\u00e1ndonos en modelos de predicci\u00f3n cl\u00ednica y oximetr\u00eda ambulatoria.  se estudiaron 211 pacientes con sospecha de padecer un sahs, en los que se realiz\u00f3 un cuestionario cl\u00ednico espec\u00edfico. Aleatoriamente se dividieron en dos grupos:  el de elaboraci\u00f3n de los modelos de predicci\u00f3n cl\u00ednica mediante el an\u00e1lisis de regresi\u00f3n log\u00edstica (n=150) y el de verificaci\u00f3n de los resultados obtenidos (n=61). La exactitud diagn\u00f3stica de la oximetr\u00eda ambulatoria se estudi\u00f3n en 77 individuos escogidos al azar. La interpretaci\u00f3n del registro fu\u00e9 automatizada. En 34 pacientes se analizaron conjuntamente los modelos de predicci\u00f3n cl\u00ednica y la oximetr\u00eda domiciliaria. El diagn\u00f3stico del sahs se estableci\u00f3 cuando el \u00edndice de apnea-hipopnea (iah) fu\u00e9 superior o igual a 15, por polisomnograf\u00eda convencional como m\u00e9todo de referencia.  la preValencia del sahs fu\u00e9 del 59%. Los modelos de predicci\u00f3n cl\u00ednica m\u00e1s relevantes y su rendimiento diagn\u00f3stico, con un punto de corte en la probabilidad de 0.4, fueron los siguientes:  modelo i: la observaci\u00f3n de apneas, la nicturia y el dormirse leyendo, (sensibilidad (s)=93%, especificidad (e)=24% y \u00e1rea bajo la curva roc = 0.74).  modelo ii: el imc, la edad, la observaci\u00f3n de apneas y el dormirse leyendo, (s=89%, e=41% y \u00e1rea bajo la curva roc = 0.77).  al aplicar estos modelos a los 61 pacientes, la sensibilidad y la especificidad fu\u00e9 respectivamente:  modelo i: 97% y 10%, modelo ii: 79%.  en el an\u00e1lisis de la oximetr\u00eda ambulatoria se seleccionaron dos crite<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estrategias clinicas para la deteccion y el diagnostico del sindrome de apnea-hipopnea durante el sue\u00f1o.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estrategias clinicas para la deteccion y el diagnostico del sindrome de apnea-hipopnea durante el sue\u00f1o. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Lourdes Hernandez Plaza <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Joaquin Sanchis Aldas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Grau  Veciana <\/li>\n<li>Daniel Navajas Navarro (vocal)<\/li>\n<li>Pere Abello Vila (vocal)<\/li>\n<li>Jos\u00e9 M. Montserrat Canal (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lourdes Hernandez Plaza Una de las inquietudes actuales a cerca del s\u00edndrome de apnea-hipopnea del sue\u00f1o (sahs) [&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":[9,69,139],"tags":[73058,11556,38512,11862,96227,13983],"class_list":["post-36311","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-pulmonares","category-medicina-interna","tag-daniel-navajas-navarro","tag-joaquin-sanchis-aldas","tag-jose-m-montserrat-canal","tag-jose-maria-grau-veciana","tag-lourdes-hernandez-plaza","tag-pere-abello-vila"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/36311","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=36311"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/36311\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=36311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=36311"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=36311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}