Ambulatory monitoring in the diagnosis and management of obstructive sleep apnoea syndrome

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2013Suggested citation
Corral-Peñafiel, Jaime;
Pepin, Jean Louis;
Barbé Illa, Ferran;
.
(2013)
.
Ambulatory monitoring in the diagnosis and management of obstructive sleep apnoea syndrome.
European Respiratory Review, 2013, vol. 22, núm. 129, p. 312-324.
https://doi.org/10.1183/09059180.00004213.
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Obstructive sleep apnoea (OSA) is a highly prevalent disorder associated with complications
such as arterial hypertension, cardiovascular diseases and traffic accidents. The resources allocated for OSA
are insufficient and OSA is a significant public health problem. Portable recording devices have been
developed for the detection of OSA syndrome and have proved capable of providing an equivalent diagnosis
to in-laboratory polysomnography (PSG), at least in patients with a high pre-test probability of OSA
syndrome. PSG becomes important in patients who have symptoms and certain comorbidities such as
chronic obstructive pulmonary disease or stroke, as well as in patients with a clinical history suggesting a
different sleep disorder. Continuous positive airway pressure is the most effective treatment in OSA.
Ambulatory monitoring of the therapeutic modalities has been evaluated to enhance the care process and
reduce costs compared to the conventional approach, without sacrificing efficiency. This review evaluates
the role of portable monitoring devices in the diagnostic process of OSA and the search for alternative
strategies based on ambulatory management protocols.
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European Respiratory Review, 2013, vol. 22, núm. 129, p. 312-324European research projects
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