当前位置： SCI文献检索 > REVISTA MEDICA DE CHILE期刊下所有文献 > [Predictive value of clinical features and nocturnal oximetry for the detection of obstructive sleep apnea syndrome].

[Predictive value of clinical features and nocturnal oximetry for the detection of obstructive sleep apnea syndrome].

Abstract：

BACKGROUND:Obstructive sleep apnea syndrome (OSA) is an important cause of morbidity and mortality in adults. AIM:To evaluate the diagnostic value of clinical features and oximetric data to screen for obstructive sleep apnea before performing polysomnograpy or respiratory polygraphy. MATERIAL AND METHODS:We studied 328 consecutive adult patients referred for snoring or excessive daytime sleepiness to a sleep clinic in whom a standardized questionnaire and the Sleepiness Epworth Scale were performed and body mass index (BMI), cervical circumference (CC), and nocturnal oximetry were measured. RESULTS:Fifty three percent (n = 173) had evidence of clinically significant OSA (apnea/hypopnea index (AHI) > 15 events/h). Patients with OSA were more likely to be male, obese (BMI ≥ 26 kg/m²), smokers, to have a thick neck (CC > 41 cm), and to have a significant greater prevalence of relative reported apneas and excessive daytime sleepiness, as determined by Epworth scale. Male gender (Odds ratio (OR): 4.00; 95% confidence intervals (CI): 1.59-10.0, p = 0.003), BMI ≥ 26 kg/m² (OR: 3.68; 95%CI: 1.59-8.49, p = 0.002), smoking (OR: 2.29; 95% CI: 1.17-4.47, p = 0.015), Epworth index > 13 (OR: 2.65; 95% CI: 1.35-5.23, p = 0.005) and duration of symptoms over 2 years (OR: 2.35; 95% CI: 1.20-4.58, p = 0.012) were significant independent predictors of OSA. In nocturnal oximetry, the lowest SpO2 (SpO2 min) and the length of registries below 90% (CT-90) were independent predictors of OSA and both correlated significantly with AHI (r = -0.49 and r = 0.46 respectively, p < 0.001). CONCLUSIONS:No single factor was usefully predictive of obstructive sleep apnea. However, combining clinical features and oximetry data may be appropriate to detect clinically significant OSA patients.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Saldías P F,Jorquera A J,Díaz P O

doi

/S0034-98872010000800001

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

941-50

issue

8

eissn

0034-9887

issn

0717-6163

pii

S0034-98872010000800001

journal_volume

138

pub_type

杂志文章

相关文献

REVISTA MEDICA DE CHILE文献大全
  • [Brown tumors in multiple locations: manifestation of severe renal osteodystrophy. Case report].

    abstract：:We report a 25 years old woman with a four years history of end stage renal disease on hemodialysis. During the last two years of follow up, multiple tender nodules appeared in the left clavicle and ribs. These were diagnosed as brown tumors, secondary to osteitis fibrosa cystica, in the context of a secondary hyperpa...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Gómez MC,Riquelme P,Sirandoni G,Sapunar J,Princic E,Lee B

    更新日期：2003-10-01 00:00:00

  • [Carotid endarterectomy combined with myocardial revascularization: report of 27 patients].

    abstract：:Atherosclerosis is a systemic disease that may involve more than one territory. Myocardial infarction can occur after carotid endarterectomy and stroke is a well documented morbidity of coronary artery bypass grafting. To optimize results, we have performed concomitant carotid endarterectomy and myocardial revasculari...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Mertens R,Valdés F,Krämer A,Morán S,Zalaquett R,Irarrázaval M,Maturana G

    更新日期：1996-12-01 00:00:00

  • [Practice of Internal Medicine in Latin America. Role of the internist].

    abstract：:This article explores the causes of the crisis in the role of internists. As in the United States, the progressive specialization of internists lead to a dehumanized, expensive and technical practice of medicine. Aiming to better incomes and prestige, more than 60% of internists practice as specialists. Primary care p...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Varela N

    更新日期：2002-01-01 00:00:00

  • [Selective use of glucocorticoids during the perioperative period of transsphenoidal surgery for pituitary tumors].

    abstract：BACKGROUND:There is consensus in promoting the selective use of glucocorticoids (GC) in the peri-operative period of transsphenoidal surgery (TE) for pituitary adenomas (PA). AIM:To evaluate the safety of a selective glucocorticoid administration protocol and the usefulness of immediate postoperative cortisol levels a...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872014000900004

    authors： Carrasco CA,Villanueva G P

    更新日期：2014-09-01 00:00:00

  • [Worsening situation of tuberculosis in Chile].

    abstract：BACKGROUND:Recent data suggest an increase in tuberculosis (TB) incidence in Chile. AIM:To evaluate recent epidemiological trends, geographic extension and potential factors associated with TB reemergence in Chile. MATERIAL AND METHODS:Data analysis from official sources and trend analysis. RESULTS:TB incidence rate...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872019000801042

    authors： Fica A,Herrera T,Aguilera X

    更新日期：2019-08-01 00:00:00

  • [Prevalence of calorie protein malnutrition among patients in chronic hemodialysis].

    abstract：BACKGROUND:Malnutrition has been strongly associated with morbidity and mortality in hemodialysis patients. In the other hand, dialysis allows a nutritional improvement in patients with more than 12 months in dialysis. AIM:To study the prevalence of malnutrition among patients in hemodialysis. PATIENTS AND METHODS:We...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Huidobro A,Velasco N,Rojas T

    更新日期：2001-05-01 00:00:00

  • [Long-term follow-up of non-operated patients with symptomatic and asymptomatic cholelithiasis].

    abstract：BACKGROUND:In Chile, cholelithiasis is a serious public health problem and there are no studies about its natural history. AIM:To assess the long term evolution of patients with symptomatic and asymptomatic cholelithiasis. PATIENTS AND METHODS:Ninety two patients with cholelithiasis (57 female), aged 15 to 80 years o...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Csendes A,Csendes P,Burdiles P

    更新日期：1996-10-01 00:00:00

  • [Immunophenotype. Clinical and laboratory features of acute lymphoblastic leukemia in Chile. Study of 500 children and 131 adults].

    abstract：:We describe the clinical features and immunophenotype of 500 children and 131 adults with acute lymphoblastic leukemia (ALL), diagnosed between 1984 and 1993. Cases were classified, according to immunophenotype in B-cell ALL with three subtypes (pro-B or null, common and B) and T-cell ALL. Among children, common ALL a...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Cabrera ME,Labra S,Ugarte S,Matutes E,Greaves MF

    更新日期：1996-03-01 00:00:00

  • [Pancreatic choristoma in the gallbladder: report of two cases].

    abstract：:Pancreatic choristoma is the occurrence of normal pancreatic tissue in an abnormal location without any anatomic continuity with the main body of the gland. Although heterotopia is uncommon in the gallbladder and biliary tract, anecdotic cases of gastric mucosa, liver, adrenal gland and pancreas among other tissues ha...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872007001000013

    authors： Beltrán MA,Barría C,Naquira C,Almonacid J,Cruces KS

    更新日期：2007-10-01 00:00:00

  • [Risk markers for insulin-dependent diabetes mellitus and duration of exposure to gluten in celiac patients].

    abstract：BACKGROUND:Celiac patients are at high risk of developing insulin-dependent diabetes mellitus, a condition that has a long pre-diabetic period. During this lapse, anti-islet cell antibodies serve as markers for future disease. This may be related with the duration of the exposure to gluten. AIM:To test the hypothesis ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/s0034-98872004000800010

    authors： Verbeke S,Cruchet S,Gotteland M,Ríos G,Hunter B,Chávez E,Brunser O,Araya M

    更新日期：2004-08-01 00:00:00

  • [The need for nuclear medicine specialists and gamma cameras].

    abstract：BACKGROUND:The ideal number of nuclear medicine specialists in relation to the needs of a given population should be defined by the institutions training such specialists. AIM:To establish the relationship between the number of gammacameras, nuclear medicine specialists and the number of inhabitants in different count...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： González P,Muñoz A

    更新日期：1996-12-01 00:00:00

  • [Effectiveness of a dietary and physical activity intervention to prevent obesity in school age children].

    abstract：BACKGROUND:With the aim of contributing to he Healthy Goal 2010 of reducing significantly the prevalence of childhood obesity we developed and implemented during 2003 and 2004, a school-based obesity prevention intervention which included nutrition education and the promotion of physical activity. AIM:To report the re...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,多中心研究

    doi：/S0034-98872008000100003

    authors： Kain J,Uauy R,Leyton B,Cerda R,Olivares S,Vio F

    更新日期：2008-01-01 00:00:00

  • [Mechanical ventilation to treat acute respiratory distress syndrome secondary to descending necrotizing mediastinitis. Role of dynamic axial computed tomography of the lung].

    abstract：:Lung computed tomography (CT) is being used increasingly to assess lung morphology in patients on mechanical ventilation. Lung CT under known levels of airway pressure (dynamic CT) can also assess the response of lung parenchyma to ventilatory therapy. We report a patient with acute respiratory distress syndrome secon...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Bugedo G,Bruhn A,Hernández G,Rojas G,Aparicio R,Castillo L

    更新日期：2003-02-01 00:00:00

  • [Anticoagulant efficacy of different pharmacological presentations of vitamin K antagonists].

    abstract：BACKGROUND:Vitamin K antagonist medications (VKA) are essential for the prevention of thromboembolic events, but their effectiveness is influenced by multiple factors, such as the type of medication chosen. AIM:To evaluate the efficacy in anticoagulant control of the bioequivalent and non-bioequivalent drugs of acenoc...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872020000901254

    authors： Rodríguez D,Nieto E,Quiroga T,Rojas E,Vera F

    更新日期：2020-09-01 00:00:00

  • [Risk of attention deficit/hyperactivity disorder in Aymara and Rapa-Nui school children: association with dopaminergic system polymorphisms].

    abstract：BACKGROUND:Attention deficit/hyperactivity disorder (ADHD) is a common, highly heritable neurobiological disorder of childhood onset, characterized by hyperactivity, impulsiveness or inattentiveness. AIM:To search for differences in risk for ADHD and its components among Chilean native and mixed populations and to loo...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872011000500006

    authors： Paz Lagos L,Silva C,Rothhammer P,Carrasco X,Llop E,Aboitiz F,Rothhammer F

    更新日期：2011-05-01 00:00:00

  • [Traumatic pancreatic pseudocyst, 2 cases].

    abstract：:Two patients with traumatic pancreatic pseudocyst are presented. One patient was treated with percutaneous drainage and the other was operated on to perform a cystoenterostomy. Both patients recovered successfully. Diagnosis and treatment of this condition is discussed. ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Espinoza R,Aguilera H,Fernández F

    更新日期：1992-08-01 00:00:00

  • [Mitral valve repair for degenerative mitral insufficiency: likelihood of success, early and-long term results at 20 years].

    abstract：BACKGROUND:The 2014 Guidelines for the Management of Patients with Valvular Heart Disease require to know the probability of success and operative mortality of Mitral Valve Repair (MVR) for Degenerative Mitral Insufficiency (DMI) at a given institution. AIM:To assess the probability of success, operative mortality and...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872015001000001

    authors： Latorre S G,Almeida Z J,Besa B S,Córdova A S,Zalaquett S R

    更新日期：2015-10-01 00:00:00

  • [Hydrostatic reduction of intestinal intussusception in children. Experience in 43 cases].

    abstract：BACKGROUND:Intestinal intussusception, a medical emergency, is more commonly idiopathic and ileocolic and occurs with higher frequency in children aged 6 months to 2 years. Barium enema confirms the diagnosis and allows its hydrostatic reduction, that is the treatment of choice of this condition. AIM:To report our exp...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： García C,Flores P,Zúñiga S,Accorsi E,Monsalva R,Lastra M,Montes P

    更新日期：1997-01-01 00:00:00

  • [A historical view of cardiology in Chile 1930-1990].

    abstract：:The most significant facts in the development of Chilean cardiology since 1930 are reviewed. The preeminence of great clinicians in the thirties was followed by the creation of Departments of Cardiology in University Hospitals. The emergence of powerful diagnostic tools and cardiac surgery allowed an accelerated devel...

    journal_title：Revista medica de Chile

    pub_type： 历史文章,杂志文章

    doi：

    authors： Noguera H

    更新日期：1990-10-01 00:00:00

  • [Prevalence of sexual dysfunction in climacteric women. Influence of menopause and hormone replace therapy].

    abstract：BACKGROUND:Few trials have studied the prevalence of sexual dysfunction (SD) and related risk factors in postmenopausal women using the DSM-IV criteria. AIM:To evaluate the prevalence of SD in menopausal women and the impact of risk factors. PATIENTS AND METHODS:Five hundred thirty four healthy women, 40 to 64 years ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Blümel JE,Araya H,Riquelme R,Castro G,Sánchez F,Gramegna G

    更新日期：2002-10-01 00:00:00

  • [Prevalence of islet cell antibodies among 1021 relatives of type 1 diabetics].

    abstract：BACKGROUND:An immunological damage of beta cells in the islets of Langerhans, plays a role in the pathogenesis of type 1 diabetes. Recently, the identification of individuals in pre clinical phase and with high risk of developing type 1 diabetes, has become possible by means of the detection of immune markers such as i...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Maiz A,Manrique M,Hodgson MI,Díaz de Valdés M,Acosta AM,Andrade L,Olmos P

    更新日期：1999-05-01 00:00:00

  • [Masters of internal medicine, in Chile: Manuel García de los Ríos Alvarez MD].

    abstract：:Master of Internal Medicine is the highest award granted by the Chilean Society of Internal Medicine (Sociedad Médica de Santiago) to its members. Since this award was instituted, in 1981, the Society has given it periodically to the most distinguished Chilean physicians. All nominees are considered a model as a physi...

    journal_title：Revista medica de Chile

    pub_type： 传,历史文章,杂志文章

    doi：/S0034-98872007001100015

    authors：

    更新日期：2007-11-01 00:00:00

  • [Subcortical dementia in HTLV-I tropical spastic paraparesis. Study of 43 cases].

    abstract：BACKGROUND:Central nervous system damage associated to HTLV-I does not limit itself to the spinal cord, but also involves subcortical structures, producing cognitive impairment and behavioral changes which eventually could conform a new form of subcortical dementia. AIM:To study cognitive changes in patients with HTLV...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Cartier L,Gormaz A

    更新日期：1999-04-01 00:00:00

  • [Immunophenotyping of peripheral blood lymphocytes from Chilean chronic chagasic patients by flow cytometry].

    abstract：BACKGROUND:Cellular immune mechanisms of the resistance to infection by T cruzi as well as the pathogenesis of Chagas disease are still controversial. AIM:To quantify and analyse the peripheral blood immune cells from chagasic and non chagasic patients by flow cytometry. PATIENTS AND METHODS:Peripheral blood samples ...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Sánchez G,Zulantay I,Gajardo M,Venegas J,Villanueva R,Pérez A,Liendo F,Apt W,Solari A

    更新日期：2002-04-01 00:00:00

  • [Quality of life of older people living in Antofagasta, Chile].

    abstract：BACKGROUND:As basic needs of older people are covered, the concern about the determinants of their quality of life becomes preeminent. AIM:To evaluate the relationship between self-reported quality of life and related variables. MATERIAL AND METHODS:The Quality of Life Survey for older people developed by the World H...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：/S0034-98872011000800005

    authors： Urzúa A,Bravo M,Ogalde M,Vargas C

    更新日期：2011-08-01 00:00:00

  • [Presence of DRD4/7R and DAT1/10R allele in Chilean family members with attention deficit hyperactivity disorder].

    abstract：BACKGROUND:Genes for dopamine receptor DRD4 and dopamine transporter DAT1 have been implicated in attention deficit with hyperactivity disorder (ADHD). However, the findings are not conclusive. More studies in populations with different genetic backgrounds may contribute to solve the discrepancies observed. AIM:To tes...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/s0034-98872004000900004

    authors： Carrasco X,Rothhammer P,Moraga M,Henríquez H,Aboitiz F,Rothhammer F

    更新日期：2004-09-01 00:00:00

  • [Etiopathogenic factors of arterial hypertension].

    abstract：:High blood pressure of unknown etiology has been related to many pathogenetic factors, mainly dietary salt intake, mental stress, alcohol consumption, sedentary living and aging. Hypertension is more common in condition such as obesity and diabetes mellitus. Sustained elevation of arterial pressure is mediated by vaso...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章,评审

    doi：

    authors： Pérez-Olea J

    更新日期：1992-06-01 00:00:00

  • [Quadriceps myopathy: a type of late focal dystrophy in a case].

    abstract：:A 62 years old male with a slowly progressive focal myopathy is presented. He had noticed weakness in the lower limbs for three years and weakness in the upper limbs for one year. He had bilateral atrophy of quadriceps and biceps muscles, absence of knee jerks and hypertrophy of the calves. Needle EMG showed myopathic...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：

    authors： Cartier L,Hernández JE,Stuardo A,González J,Villagra R

    更新日期：1995-01-01 00:00:00

  • [Viral etiology of community acquired pneumonia among adults admitted to a general hospital].

    abstract：BACKGROUND:There is paucity of information about viral etiology of community acquired pneumonia in adults. AIM:To investigate the viral etiology of pneumonia among hospitalized patients. MATERIAL AND METHODS:All adults with pneumonia that were hospitalized were prospectively enrolled at Puerto Montt hospital. A micro...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872012000800003

    authors： Rioseco Z ML,Riquelme O R,Riquelme O M,Inzunza P C,Oyarzún G P,Agüero O Y,Ferrés G M,Vial C P,Fasce P R,Torres M A

    更新日期：2012-08-01 00:00:00

  • [Hemolysis, serositis and exanthema induced by Mycoplasma pneumoniae infection. Report of one case].

    abstract：:Mycoplasma infections have extrapulmonary manifestations that may be associated with respiratory symptoms and may have skin, heart, gastrointestinal, rheumatologic, neurologic, hematologic involvement. Cold agglutinin mediated autoimmune hemolytic anemia is the most common hematological manifestation. We report a 27-y...

    journal_title：Revista medica de Chile

    pub_type： 杂志文章

    doi：10.4067/S0034-98872014001000015

    authors： Mondaca P R,Pizarro C V,Cares V,Eymin G

    更新日期：2014-10-01 00:00:00