Search

Your search keyword '"Montserrat, Jose M"' showing total 22 results
Start Over Author "Montserrat, Jose M"
22 results on '"Montserrat, Jose M"'

7. Effectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome

Author

Masa, Juan F, Corral, Jaime, Pereira, Ricardo, Duran-Cantolla, Joaquin, Cabello, Marta, Hernández-Blasco, Luis, Monasterio, Carmen, Alonso, Alberto, Chiner, Eusebi, Rubio, Manuela, Garcia-Ledesma, Estefania, Cacelo, Laura, Carpizo, Rosario, Sacristan, Lirios, Salord, Neus, Carrera, Miguel, Sancho-Chust, José N, Embid, Cristina, Vázquez-Polo, Francisco-José, Negrín, Miguel A, and Montserrat, Jose M

Published
2011
Full Text
View/download PDF

9. Efficacy of Home Single-Channel Nasal Pressure for Recommending Continuous Positive Airway Pressure Treatment in Sleep Apnea

Author

Masa, Juan F., Duran-Cantolla, Joaquin, Capote, Francisco, Cabello, Marta, Abad, Jorge, Garcia-Rio, Francisco, Ferrer, Antoni, Fortuna, Ana M., Gonzalez-Mangado, Nicolas, de la Peña, Monica, Aizpuru, Felipe, Barbe, Ferran, Montserrat, Jose M., Larrateguy, Luis D., de Castro, Jorge Rey, Garcia-Ledesma, Estefania, Corral, Jaime, Martin-Vicente, Maria J., Martinez-Null, Cristina, Egea, Carlos, Cancelo, Laura, García-Díaz, Emilio, Carmona-Bernal, Carmen, Sánchez-Armengol, Ángeles, Mayos, Merche, Miralda, Rosa M, Troncoso, Maria F., Gonzalez, Monica, Martinez-Martinez, Marian, Cantalejo, Olga, Piérola, Javier, Vigil, Laura, Embid, Cristina, del Mar Centelles, Mireia, Prieto, Teresa Ramírez, Rojo, Blas, and Lores, Vanesa

Subjects
Adult, Male, medicine.medical_specialty, Adolescent, portable monitor, medicine.medical_treatment, Polysomnography, Apnealink, Nose, Young Adult, CPAP, Physiology (medical), Internal medicine, medicine, Pressure, Humans, Continuous positive airway pressure, Aged, Aged, 80 and over, Sleep Apnea, Obstructive, Receiver operating characteristic, medicine.diagnostic_test, Continuous Positive Airway Pressure, business.industry, Home Single-Channel Nasal Pressure for Recommending CPAP Treatment, Area under the curve, Sleep apnea, Middle Aged, sleep apnea, medicine.disease, nervous system diseases, respiratory tract diseases, Clinical trial, Obstructive sleep apnea, medicine.anatomical_structure, Editorial, ROC Curve, Anesthesia, Area Under Curve, Female, Neurology (clinical), business
Abstract

Introduction Unlike other prevalent diseases, obstructive sleep apnea (OSA) has no simple tool for diagnosis and therapeutic decision-making in primary healthcare. Home single-channel nasal pressure (HNP) may be an alternative to polysomnography for diagnosis but its use in therapeutic decisions has yet to be explored. Objectives To ascertain whether an automatically scored HNP apnea-hypopnea index (AHI), used alone to recommend continuous positive airway pressure (CPAP) treatment, agrees with decisions made by a specialist using polysomnography and several clinical variables. Methods Patients referred by primary care physicians for OSA suspicion underwent randomized polysomnography and HNP. We analyzed the total sample and both more and less symptomatic subgroups for Bland and Altman plots to explore AHI agreement; receiver operating characteristic curves to establish area under the curve (AUC) measurements for CPAP recommendation; and therapeutic decision efficacy for several HNP AHI cutoff points. Results Of the 787 randomized patients, 35 (4%) were lost, 378 (48%) formed the more symptomatic and 374 (48%) the less symptomatic subgroups. AHI bias and agreement limits were 5.8 ± 39.6 for the total sample, 5.3 ± 38.7 for the more symptomatic, and 6 ± 40.2 for the less symptomatic subgroups. The AUC were 0.826 for the total sample, 0.903 for the more symptomatic, and 0.772 for the less symptomatic subgroups. In the more symptomatic subgroup, 70% of patients could be correctly treated with CPAP. Conclusion Automatic HNP scoring can correctly recommend CPAP treatment in most of more symptomatic patients with OSA suspicion. Our results suggest that this device may be an interesting tool in initial OSA management for primary care physicians, although future studies in a primary care setting are necessary. Clinical trials information Clinicaltrial.gov identifier: NCT01347398.

Published
2015

12. Effectiveness of Home Single-Channel Nasal Pressure for Sleep Apnea Diagnosis

Author

Masa, Juan F., primary, Durán-Cantolla, Joaquín, additional, Capote, Francisco, additional, Cabello, Marta, additional, Abad, Jorge, additional, Garcia-Rio, Francisco, additional, Ferrer, Antoni, additional, Mayos, Merche, additional, Mangado, Nicolás, additional, de la Peña, Mónica, additional, Aizpuru, Felipe, additional, Barbé, Ferran, additional, and Montserrat, Jose M., additional

Published
2014
Full Text
View/download PDF

13. Effectiveness of Three Sleep Apnea Management Alternatives

Author

Masa, Juan F., primary, Corral, Jaime, additional, de Cos, Julio Sanchez, additional, Duran-Cantolla, Joaquin, additional, Cabello, Marta, additional, Hernández-Blasco, Luis, additional, Monasterio, Carmen, additional, Alonso, Alberto, additional, Chiner, Eusebi, additional, Aizpuru, Felipe, additional, Vázquez-Polo, Francisco-José, additional, Zamorano, Jose, additional, Montserrat, Jose M., additional, Garcia-Ledesma, Estefania, additional, Pereira, Ricardo, additional, Cancelo, Laura, additional, Martinez, Angeles, additional, Sacristan, Lirios, additional, Salord, Neus, additional, Carrera, Miguel, additional, Sancho-Chust, José N., additional, Negrín, Miguel A., additional, and Embid, Cristina, additional

Published
2013
Full Text
View/download PDF

15. Association Between Sleep Apnea And Cancer Incidence. Longitudinal Study Of 8,900 Patients From The Multicenter Spanish Cohort

Author

Martínez-García, Miguel A., primary, Martínez-Alonso, Montserrat, additional, Duran-Cantolla, Joaquin, additional, Marin, Jose M., additional, González, Monica, additional, de la Peña, Monica, additional, Masdeu, Maria J., additional, del Campo, Felix, additional, Farre, Ramon, additional, Barbe, Ferran, additional, Montserrat, Jose M., additional, and Campos-Rodriguez, Francisco, additional

Published
2012
Full Text
View/download PDF

16. Effect Of CPAP Treatment On The Incidence Of Cardiovascular Events And Hypertension In Non-sleepy OSAS Patients. A Long-term RCT

Author

Barbé, Ferran, primary, Duran-Cantolla, Joquin, additional, Carmona, Carmen, additional, de la Peña, Mónica, additional, Chiner, Eusebi, additional, Masa, Juan F., additional, Gonzalez, Mónica, additional, Marin, Jose M., additional, García-Río, Francisco, additional, Díaz-de-Atauri, Josefa, additional, Terán, Joaquin, additional, Mayos, Mercedes, additional, Monasterio, Carmen, additional, del Campo, Felix, additional, Gómez, Silvia, additional, Sánchez-de-la-Torre, Manuel, additional, Martínez, Montse, additional, and Montserrat, Jose M., additional

Published
2010
Full Text
View/download PDF

19. Effectiveness of home single-channel nasal pressure for sleep apnea diagnosis.

Author

Masa, Juan F, Duran-Cantolla, Joaquin, Capote, Francisco, Cabello, Marta, Abad, Jorge, Garcia-Rio, Francisco, Ferrer, Antoni, Mayos, Merche, Gonzalez-Mangado, Nicolas, de la Peña, Monica, Aizpuru, Felipe, Barbe, Ferran, Montserrat, Jose M, Larrateguy, Luis D, de Castro, Jorge Rey, Garcia-Ledesma, Estefania, Utrabo, Isabel, Corral, Jaime, Martinez-Null, Cristina, and Egea, Carlos

Published
2014
Full Text
View/download PDF

20. Significance of including a surrogate arousal for sleep apnea-hypopnea syndrome diagnosis by respiratory polygraphy.

Author

Masa, Juan F, Corral, Jaime, Gomez de Terreros, Javier, Duran-Cantolla, Joaquin, Cabello, Marta, Hernández-Blasco, Luis, Monasterio, Carmen, Alonso, Alberto, Chiner, Eusebi, Aizpuru, Felipe, Zamorano, Jose, Cano, Ricardo, Montserrat, Jose M, Garcia-Ledesma, Estefania, Pereira, Ricardo, Cancelo, Laura, Martinez, Angeles, Sacristan, Lirios, Salord, Neus, and Carrera, Miguel

Published
2013
Full Text
View/download PDF

22. Effectiveness of sequential automatic-manual home respiratory polygraphy scoring.

Author

Masa JF, Corral J, Pereira R, Duran-Cantolla J, Cabello M, Hernández-Blasco L, Monasterio C, Alonso-Fernandez A, Chiner E, Vázquez-Polo FJ, and Montserrat JM

Subjects
Adolescent, Adult, Aged, Automation, Cost-Benefit Analysis, Female, Health Care Costs, Humans, Male, Middle Aged, Polysomnography economics, ROC Curve, Sleep Apnea, Obstructive economics, Spain, Young Adult, Polysomnography instrumentation, Polysomnography methods, Sleep Apnea, Obstructive diagnosis
Abstract

Automatic home respiratory polygraphy (HRP) scoring functions can potentially confirm the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS) (obviating technician scoring) in a substantial number of patients. The result would have important management and cost implications. The aim of this study was to determine the diagnostic cost-effectiveness of a sequential HRP scoring protocol (automatic and then manual for residual cases) compared with manual HRP scoring, and with in-hospital polysomnography. We included suspected SAHS patients in a multicentre study and assigned them to home and hospital protocols at random. We constructed receiver operating characteristic (ROC) curves for manual and automatic scoring. Diagnostic agreement for several cut-off points was explored and costs for two equally effective alternatives were calculated. Of 366 randomised patients, 348 completed the protocol. Manual scoring produced better ROC curves than automatic scoring. There was no sensitive automatic or subsequent manual HRP apnoea-hypopnoea index (AHI) cut-off point. The specific cut-off points for automatic and subsequent manual HRP scorings (AHI >25 and >20, respectively) had a specificity of 93% for automatic and 94% for manual scorings. The costs of manual protocol were 9% higher than sequential HRP protocol; these were 69% and 64%, respectively, of the cost of the polysomnography. A sequential HRP scoring protocol is a cost-effective alternative to polysomnography, although with limited cost savings compared to HRP manual scoring.

Published
2013
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results