Eficacia y coste-efectividad del diagnóstico y decisión terapéutica de la apnea obstructiva del sueño en atención primariadescripción de la metodología.

  1. F. Javier Barca Durán 1
  2. M.A. Sánchez-Quiroga 2
  3. J. Corral Peñafiel 2
  4. F.J. Gómez de Terreros 2
  5. C. Carmona-Bernal 3
  6. A. Sánchez-Armengol 3
  7. A. Sánchez de la Torre 2
  8. J. Durán Cantolla 2
  9. C.J. Egea Santaolalla 2
  10. N. Salord 2
  11. C. Monasterio 2
  12. J. Terán 2
  13. M.L. Alonso Álvarez 2
  14. J. Muñoz Méndez
  15. E.M. Arias
  16. M. Cabello
  17. J.M. Montserrat 2
  18. M. De la Peña 2
  19. J.C. Serrano
  20. F. Barbe 2
  21. J.F. Masa
  1. 1 Universidad de Extremadura
    info

    Universidad de Extremadura

    Badajoz, España

    ROR https://ror.org/0174shg90

  2. 2 Centro de Investigacion Biomedica en Red de Enfermedades Respiratorias
    info

    Centro de Investigacion Biomedica en Red de Enfermedades Respiratorias

    Madrid, España

  3. 3 Hospital Universitario Virgen del Rocío
    info

    Hospital Universitario Virgen del Rocío

    Sevilla, España

    ROR https://ror.org/04vfhnm78

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Revista:
Revista española de patología torácica

ISSN: 1889-7347

Año de publicación: 2020

Volumen: 32

Número: 4

Páginas: 260-274

Tipo: Artículo

DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista española de patología torácica

Resumen

los médicos de Atención Primaria (AP) desempeñan un papel pasivo en el tratamiento del Síndrome de Apnea Obstructiva del Sueño (SAOS) La simplificación del diagnóstico y el uso de un algoritmo semiautomático para decidir el tratamiento pueden facilitar la integración de estos médicos de AP con ventajas de costo. El objetivo de este artículo fue describir el método utilizado en un ensayo controlado, aleatorizado, multicéntrico, de no inferioridad, con dos brazos paralelos y un análisis de costo-efectividad realizado en seis hospitales terciarios. Los pacientes con sospecha de SAOS se asignaron al azar al grupo de Atención Primaria (AP) o al protocolo del hospital. En AP, se utilizó un sistema de diagnóstico simplificado con análisis automático y toma de decisiones terapéuticas. El brazo intrahospitalario utilizó polisomnografía y la decisión terapéutica especializada. La variable principal fue la escala de somnolencia de Epworth y la secundaria, la adherencia a CPAP y los costos, entre otros.

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Fuente de los datos: Dialnet