[Usefulness of the basic exploration of the upper airways and neighbor structures in patients with adult obstructive sleep apnea-hypopnea syndrome].

Abstract:

:Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a prevalent disease in the general population, associated with an increase in the cardiovascular morbimortality. A basic and/or standardized otolaryngologic exploration could help us to detect the structural abnormalities that alter the upper airway collapsibility and offer a high pre-test risk factor, improve the CPAP adherence or even the possibility of offering alternative treatments. This article offers a revision of the exploration in OSAHS patients. We describe a guideline to identify the main structural abnormalities related to OSAHS. We also include a short algorithm for the diagnosis of OSAHS, when is suspected by primary care physicians.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Ferré A,Vila J,Arcalís N

doi

10.1016/j.medcli.2013.04.035

subject

Has Abstract

pub_date

2014-04-07 00:00:00

pages

310-6

issue

7

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(13)00322-9

journal_volume

142

pub_type

杂志文章,评审
  • [Factors associated with mortality and gait impairment in elderly patients with hip fractures].

    abstract:BACKGROUND:Hip fractures are a major source of mortality and morbidity among the elderly. The aim of the present study is to try to identify predictors of death and of non-deambulation during the period of acute treatment. PATIENTS AND METHODS:Consecutive prospective study of 459 patients older than 65 years admitted ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Pagès E,Cuxart A,Iborra J,Olona M,Bermejo B

    更新日期:1998-05-23 00:00:00

  • [Contribution of magnetic resonance imaging in the early diagnosis of epidural metastasis].

    abstract:BACKGROUND:Vertebral bone metastases represent the most frequently affected region within the skeleton. They are of important relevance because of the risk of medullar compression. The diagnosis of medullar canal invasion is of particular interest in order to prevent neurological dysfunction. A prospective study was ca...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Verger E,Conill C,Vila A,Pomés J,Graus F,Biete A

    更新日期:1992-09-26 00:00:00

  • [The clinical significance of culturing Toxoplasma gondii on blood and other organic media].

    abstract:BACKGROUND:The aim of this study was to determine the value of the Toxoplasma gondii culture in blood and in other organic fluids in HIV positive and negative patients. METHODS:Retrospective analysis (October 1990-May 1992) was carried out including all patients with positive cultures for T. gondii admitted to the Hos...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Asensi V,Cartón JA,Maradona JA,de Oña M,Melón S,Martínez A,Asensi JM,Villar H,Méndez FJ,Arribas JM

    更新日期:1993-05-01 00:00:00

  • [Fever of unknown origin with a prolonged course (author's transl)].

    abstract::Out of 110 cases of fever of unknown origin (FUO) that met Petersdorf and Beeson's criteria 15 patients were selected because of prolonged FUO with more than six months elapsed between admission and the final diagnosis. In this group of chronic FUO an etiological diagnosis was reached in 11 cases, distributed as follo...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Barbado Hernández FJ,Redondo C,Muñoz A,Gil A,Puig JA,Vázquez Rodríguez JJ

    更新日期:1981-05-10 00:00:00

  • [Differential diagnosis of parkinsonism using dopamine transporters brain SPECT].

    abstract:BACKGROUND AND OBJECTIVE:Parkinsonism is a group of neurological disorders characterized by extrapiramidal signs. Often, the differential diagnosis between parkinsonism, essential tremor and drug-induced parkinsonism is difficult. The aim of the study was to evaluate the utility of (123I)-FP-CIT SPECT in patients with ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(04)74224-4

    authors: Lorenzo Bosquet C,Miquel Rodríguez F,Roca Bielsa I,Milà M,Aguadé Bruix S,Castell Conesa J

    更新日期:2004-03-13 00:00:00

  • [Risk factors of nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus].

    abstract:BACKGROUND AND OBJECTIVE:To include a specific antibiotic in the empiric therapy, it is necessary to predict when a nosocomial pneumonia (NP) is caused by methicillin-resistant Staphylococcus aureus (MRSA). We have developed a model for the prediction of the probability of a NP being caused by MRSA, when the carrier st...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2011.05.028

    authors: Torre-Cisneros J,Tejero García R,Natera Kindelán C,Font Ugalde P,Franco Álvarez de Luna F,Castón Osorio JJ,Rivero Román A,Casal Román M

    更新日期:2012-02-18 00:00:00

  • [The relationship between physical activity in leasure time and the ankle-brachial index in a general Spanish population: The ARTPER study].

    abstract:BACKGROUND AND OBJECTIVE:High levels of daily physical activity have been shown to be linked to decreased functional impairment in peripheral artery disease (PAD) patients and positively related to the ankle brachial index (ABI) in subjects without PAD. The aim of this study was to examine the relationship between leis...

    journal_title:Medicina clinica

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medcli.2015.01.015

    authors: Ruiz Comellas A,Pera G,Baena Díez JM,Heras A,Alzamora Sas MT,Forés Raurell R,Torán Monserrat P,Mundet Tudurí X

    更新日期:2015-11-20 00:00:00

  • [Economic evaluation studies in health].

    abstract::Clinical journals often publish economic evaluation studies of health technologies and programs. To improve the peer review process and, hence, the quality and validity of published studies, the British Medical Journal (BMJ) established publication guidelines for the publication of economic evaluations aimed at author...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(05)72212-0

    authors: Rovira-Forns J,Antoñanzas-Villar F

    更新日期:2005-12-01 00:00:00

  • [Usefulness of polymerase chain reaction for the diagnosis of Bazin erythema induratum].

    abstract:BACKGROUND:Erythema induratum of Bazin (BEI), is included in the group of cutaneous granulomatous lobulillar panniculitis. The aethiopathogenic association between EI and tuberculosis can not rely on the clinicohistological features of these panniculitis and M. tuberculosis has never been isolated from BEI lesions. Det...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Margall N,Baselga E,Coll P,Barnadas M,Sánchez F,de Moragas JM,Prats G

    更新日期:1996-11-30 00:00:00

  • [Costs of health care resources of ambulatory-care patients diagnosed with Alzheimer's disease in Spain].

    abstract:BACKGROUND:The annual consumption and costs of the health care resources used by ambulatory Alzheimer's disease patients were estimated. Patients were classified according to the degree of severity of the disease using Folstein's Mini Mental State Examination scale. The sociodemographic characteristics of both patients...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Boada M,Peña-Casanova J,Bermejo F,Guillén F,Hart WM,Espinosa C,Rovira J

    更新日期:1999-11-27 00:00:00

  • [Glucose transport hereditary diseases].

    abstract::Several heritable disorders of glucose transport across cellular membranes have been recently characterized both genetically and pathophysiologically. Diseases such as glucose-galactose malabsorption, Fanconi-Bickel syndrome and GLUT1 deficiency syndrome are caused by mutation of transporters located in bowel, liver a...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13095099

    authors: Pascual JM

    更新日期:2006-11-11 00:00:00

  • [Persistent and asymptomatic carriers of Australia antigen. A method for the evaluation of big series (author's transl)].

    abstract::The existence of an increasing number of apparently healthy carriers of the HBsAg demands a specific assisting attitude which must be highly reliable without increasing health care expenses. With that purpose, 129 asymptomatic carriers without prior history of jaundice and/or alcohol abuse were studied. The following ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Simó Falcó MD,Lissen Otero E,Caraballo Guijarro R,Sánchez Quijano A,García de Pesquera F,Castro Artigas R,Leal Noval M,Andreu Kern F

    更新日期:1981-02-25 00:00:00

  • [New approaches for the treatment of dyslipidemia].

    abstract::Reduction in the risk of cardiovascular complications through modification of lipids is currently focused on lowering low density lipoproteins-cholesterol, with statins being the preferred drugs. New agents, under research, such as antibodies neutralizing PCSK9, will have a special place for the management of patients...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.medcli.2013.04.026

    authors: Mostaza JM,Lahoz C

    更新日期:2014-04-07 00:00:00

  • [Prolonged hospitalization in patients admitted for acute heart failure in the short stay unit (EPICA-UCE study): study of associated factors].

    abstract:BACKGROUND AND OBJECTIVE:To study the factors associated with prolonged hospitalization in patients admitted for acute heart failure (AHF) in Spanish short-stay units (SSUs). PATIENTS AND METHODS:This was a multicentre, multipurpose cohort study with prospective follow-up including all patients admitted for AHF in the...

    journal_title:Medicina clinica

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medcli.2013.06.028

    authors: Martín-Sánchez FJ,Carbajosa V,Llorens P,Herrero P,Jacob J,Pérez-Dura MJ,Alonso H,Torres Murillo JM,Garrido M,López-Grima ML,Piñera P,Epelde F,Alquezar A,Fernández C,Miró O,en representación del grupo ICA-SEMES.

    更新日期:2014-09-15 00:00:00

  • [Basic cardiopulmonary resuscitation program for high school students (PROCES). Results from the pilot program].

    abstract:BACKGROUND AND OBJECTIVE:The PROCES (Programa de Reanimació Cardiopulmonar Orientat a Centres d'Ensenyament Secundari) program is aimed at teaching basic cardiopulmonary resuscitation (b-CPR) to teenagers within high school. Our aim was to analyze the results obtained from the pilot program. SUBJECTS AND METHOD:PROCES...

    journal_title:Medicina clinica

    pub_type: 杂志文章,多中心研究

    doi:10.1157/13070434

    authors: Miró O,Jiménez-Fábrega X,Díaz N,Coll-Vinent B,Bragulat E,Jiménez S,Espinosa G,Hernández-Rodríguez J,García-Alfranca F,Alvarez MT,Salvador J,Millá J,Sánchez M

    更新日期:2005-01-15 00:00:00

  • Evaluation of the activity of rheumatoid arthritis in clinical practice. Agreement between self-rated clinimetric evaluation and clinical evaluation with activity indexes: DAS28, CDAI and SDAI.

    abstract:INTRODUCTION AND OBJECTIVE:To achieve control of rheumatoid arthritis (RA) it is necessary to be able to evaluate its activity. The American College of Rheumatology (ACR) recommends for this purpose indexes of activity that can be performed by the patient (PAS-II and RAPID-3) and IA including medical evaluation with la...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2017.02.025

    authors: Horta-Baas G,Pérez Bolde-Hernández A,Hernández-Cabrera MF,Vergara-Sánchez I,Romero-Figueroa MDS

    更新日期:2017-10-11 00:00:00

  • [Two first years' bacteremia incidence and impact in a new hospital].

    abstract:BACKGROUND AND OBJECTIVE:We pursued here to determine the incidence of blood-stream infections. PATIENTS AND METHOD:Longitudinal descriptive study. All patients admitted to hospital from January 1999 to December 2000 were included. Blood-stream infection episodes were defined according to CDC criteria. Blood-stream in...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(03)73654-9

    authors: Bou R,Perpiñán J,Ramos P,Peris M,Aguilar A,Garcés R

    更新日期:2003-02-22 00:00:00

  • [Distribution of the A(TA)7TAA genotype associated with Gilbert syndrome in the Spanish population].

    abstract:BACKGROUND:We have examined the variation in the promoter region in the gene encoding UGT-1, associated with Gilbert's syndrome, in Spanish population. PATIENTS AND METHOD:Blood DNA was obtained from 100 blood donors. Polymerase chain reaction (PCR) was used to examine the A(TA)nTAA motif in the promoter region of the...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Fernández Salazar JM,Remacha Sevilla A,del Río Conde E,Baiget Bastús M

    更新日期:2000-10-28 00:00:00

  • [Selective biopsy of the sentinel ganglion in patients with breast cancer. Initial results].

    abstract:BACKGROUND:Sentinel-node biopsy is meant to excise the first-echelon node from a primary tumor, which is the one that most probably harbors early metastases. PATIENTS AND METHODS:We report our results in 35 patients with breast cancer, using a radiotracer by peri-tumoral injection, pre-surgical scintigraphy and intrao...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Fraile M,Rull M,Julian JF,Castellà E,Barnadas A,Alastrué A

    更新日期:1999-06-19 00:00:00

  • [Appropriateness of admissions to an internal medicine service at a tertiary hospital].

    abstract::In the present study, clinical, epidemiological and management factors influencing the appropriateness of the 1076 admissions to a general Internal Medicine Section during one year are evaluated. 184 admissions (17%) corresponded to patients who did not meet the AEP (Appropriateness Evaluation Protocol) criteria for a...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Matorras Galán P,de Pablo Casas M,Otero García L,Alonso López F,Daroca Pérez R,Díaz-Caneja Rodríguez N

    更新日期:1990-03-03 00:00:00

  • [antineutrophil cytoplasmic autoantibodies in inflammatory bowel disease].

    abstract:BACKGROUND:The aim of the present study was to determine the prevalence and diagnostic usefulness of antineutrophil cytoplasmic antibodies (ANCA) in a Spanish population of patients with inflammatory bowel disease from the province of Tarragona. PATIENTS AND METHODS:One hundred and fifty-six sera obtained from 116 pat...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Papo M,Quer JC,Pastor RM,García-Pardo G,Olona M,Prats E,Mirapeix E,Rodríguez R,Richart C

    更新日期:1998-01-17 00:00:00

  • [Benefits of physical activity and harms of inactivity].

    abstract::Epidemiological research has consistently shown that physical activity decreases the risk of coronary heart disease, hypertension and stroke. The finding that a low level of physical activity is a major determinant of the growing epidemics of obesity is also firm and consistent. The direct association existing between...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:

    authors: Varo Cenarruzabeitia JJ,Martínez Hernández JA,Martínez-González MA

    更新日期:2003-11-15 00:00:00

  • [The evolution and prognosis of disability in patients with hemiplegia].

    abstract:BACKGROUND:In order to plan the objectives of the rehabilitation treatment after a stroke, it is necessary to know the functional prognosis of the patient. The main prognostic factors of disability in the hemiplegic patient, by means of an analysis of his neurological deficits (aphasia, disorientation, urinary incontin...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(00)71602-2

    authors: Pinedo Otaola S,de La Villa MF

    更新日期:2000-10-21 00:00:00

  • [Consumption of sweets and snacks by a population of school children in the Autonomous Community of Madrid. The CAENPE Group].

    abstract:BACKGROUND:In our society advertising compaigns promote consumption of superfluous foods, such as sweets and snacks, displacing the intake of other basic nutrients. The aim of this study is to assess the intake of these foods by children, their relative contribution to overall macronutrient intake and their effects on ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: López del Val T,Estivariz CF,Martínez de Icaya P,Jaunsolo MA,del Olmo D,Vázquez Martínez C

    更新日期:1997-06-14 00:00:00

  • [Evaluation of brief intervention for smoking cessation in hospitalized patients].

    abstract:BACKGROUND AND OBJECTIVE:Since World Health Organization (WHO) recommends brief interventions for smoking cessation to be included systematically in daily practise as a part of clinical work, the main aim of this study is to know if this intervention is done by health professionals working in hospital wards in a genera...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13106128

    authors: Nieva G,Gual A,Mondon S,Walther M,Saltó E

    更新日期:2007-05-19 00:00:00

  • [Bacteremia in patients discharged from the emergency unit].

    abstract:BACKGROUND:To know the clinical and epidemiologic characteristics, the evolution and the rate of adequate empiric antibiotic treatment in adult patients with a bacteremia discovered after discharge from an emergency unit. PATIENTS AND METHOD:During 10 years (1989-1998), we registered the clinical and epidemiological d...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(01)71954-9

    authors: Javaloyas M,Jarné J,García D,Gudiol F

    更新日期:2001-05-19 00:00:00

  • [Environmental factors during early life and socioeconomic status in the present: which is more important for cardiovascular mortality in Spain?].

    abstract:BACKGROUND:To examine whether provincial mortality from ischaemic heart disease and cerebrovascular disease in Spain in 1991-1995 is associated with infant mortality in 1930-1934, independently of illiteracy (an estimator of socioeconomic status) in 1991. MATERIAL AND METHODS:Population-correlation study. RESULTS:Inf...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Guallar-Castillón P,Rodríguez Artalejo F,Banegas Banegas JR,de Andrés Manzano B,del Rey Calero J

    更新日期:1999-10-16 00:00:00

  • [Low prevalence of the Leu7/Pro polymorphism in the signal peptide of preproneuropeptide Y in the Spanish Mediterranean population].

    abstract:BACKGROUND AND OBJECTIVE:A common Leu7Pro polymorphism in the signal peptide of neuropeptide Y has been associated with increased plasma cholesterol and accelerated atherosclerosis in the Finnish population. SUBJECTS AND METHOD:A cross-sectional design was carried out in 1,000 individuals from the Mediterranean Spanis...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(03)73695-1

    authors: Portolés O,Sorlí JV,González JI,Ruiz de la Fuente S,Ramírez JB,Corella D

    更新日期:2003-03-15 00:00:00

  • Characterization and risk factors for aortic dilatation in pediatric patients with bicuspid aortic valve.

    abstract:INTRODUCTION AND OBJECTIVES:Dilatation of the ascending aorta associated with bicuspid aortic valve is a major cause of morbidity and mortality in adults. The main objective was to recognize the aortic involvement in children, its characteristics and risk factors. METHODS:Aortic measures of all pediatric patients with...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2017.03.041

    authors: Sabaté-Rotés A,Sabidó Sanchez L,Gran Ipiña F,Albert Brotons D,Abella RF,Rosés Noguer F

    更新日期:2017-11-09 00:00:00

  • [Alcohol-dependent patients with benzodiazepine abuse: its relation to personality disorders and neuropsychological impairment].

    abstract:BACKGROUND AND OBJECTIVE:Alcohol and drug dependent patients present a higher psychiatric comorbidity, which increases according to the number of drugs. Moreover, there are complications from the treatment and the prognosis is aggravated. We aimed to observe the differences regarding personality disorders (PD) and cogn...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13120771

    authors: Monràs M,Mondón S,Jou J

    更新日期:2008-05-17 00:00:00