Diagnóstico de los trastornos respiratorios del sueño en recién nacidos con sospecha de apneas: comparación entre la saturometría nocturna y la poligrafía

Simple item page
dc.contributor.authorZenteno, D.
dc.contributor.authorBancalari, A.
dc.contributor.authorNavarro, X.
dc.contributor.authorDiaz, V.
dc.contributor.authorRodriguez-Nunez, I.
dc.contributor.authorBrockmann Veloso, Pablo Edmundo
dc.date.accessioned2020-01-14T13:39:12Z
dc.date.available2020-01-14T13:39:12Z
dc.date.issued2017
dc.description.abstractIntroduction: Night Continuous Saturometry (CSO2) is used in Neonatal Units to detect events of hypoxemia in Newborns (NB) with apnea episodes. Polygraphy (PG) has a larger number of measu- ring channels. Our goal was to evaluate the diagnostic performance of CSO2 compared to Polygra- phy in NB with suspected sleep apneas. Patients and Method: Results of CSO2 and PG performed simultaneously in RN with suspected apneas were retrospectively analyzed over a three-year period. A 2-channel Masimo Radical-7® pulse oximeter and an Apnea Link Plus® polygraph with 5 simulta- neous recording channels were used. Altered PG was defined as: desaturation index under 80% per hour ≥ 1 and/or number of desaturations under 80% ≥ 20 seconds greater than one in the whole va- lidated registry and/or hypoapnea apnea index ≥ 1 event per hour. In parallel, altered SpO2C was de- fined when one or both of the 80% saturation criteria were altered. Sensitivity, specificity, predictive values and Likelihood Ratio (LLR) for CSO2 were calculated. Results were expressed in absolute value, with 95% confidence interval. Results: Simultaneous 40 CSO2 and PG were performed; 80% (32/40) of them were preterm infants, 60% (24/40) males. 38% (15/40) of the CSO2 and 15% (6/40) of the PGs were altered (p < 0.05). CSO2 has a 100% Sensitivity, 74% Specificity, 40% VPP, 100% VPN, LLR + 3.78 and LLR-0. Conclusion: In the studied NB, CSO2 has a high diagnostic value, however, it may present false positives; It is suggested to use as a screening method and to perform diagnostic confirmation with another sleep test, such as PG.
dc.format.extent5 páginas
dc.fuente.origenFacultad de Medicina
dc.identifier.doi10.4067/S0370-41062017000600759
dc.identifier.issn0370-4106
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/27548
dc.issue.numeroNo. 6
dc.language.isoes
dc.pagina.final764
dc.pagina.inicio759
dc.revistaRevista chilena de pediatríaes_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.otherApnea obstructiva del sueñoes_ES
dc.subject.otherApnea obstructiva del sueño - Terapiaes_ES
dc.subject.otherRecién nacidoes_ES
dc.titleDiagnóstico de los trastornos respiratorios del sueño en recién nacidos con sospecha de apneas: comparación entre la saturometría nocturna y la poligrafíaes_ES
dc.typeartículo
dc.volumenVol. 88
sipa.codpersvinculados1005860
sipa.codpersvinculados16588
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Diagnóstico de los trastornos respiratorios del sueño en recién nacidos con sospecha de apneas- comparación entre la saturometría nocturna y la poligrafía .pdf
Size:
26.61 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Artículos de revistas