Abstract

BORSINI, Eduardo et al. Red de complejidad creciente en el diagnóstico de SAHOS: Estrategia de transmisión de datos con equipos de nivel III. Rev. am. med. respir. [online]. 2015, vol.15, n.2, pp.122-130. ISSN 1852-236X.

Introduction: The diagnosis of Sleep Apnea Hypopnea Obstructive Syndrome (SAHOS) requires confirmation by polysomnography (PSG) or respiratory polygraphy (RP). The RP at home using self-administered technique and data transmission could facilitate access to diagnosis in isolated populations. The objective was to describe a telemedicine pilot experience using self-administered home RP with level III devices in satellite outpatient care centers (OCC) (Vicente Lopez and Barrio Norte) to British Hospital of Buenos Aires. Material and Methods: OCC technicians were trained in the managing Epworth (ESS), STOP-BANG and Berlin questionnaires and the handling of RP devices. RP systems were connected to intranet to send respiratory records unprocessed to Central British Hospital, where experts carried out the scoring and final report. Results: During a year, one hundred and three RP records were performed in 99 patients, 72 male (72.7%), with the following characteristics (mean and standard deviation): age 55.77 years ± 14.53, BMI 30.63 ± 7.3, ESS 8.39 ± 4.92, ESS > 11 points 26.3%, no further education beyond primary schooling 10.1% and high risk in Berlin questionnaire 93.9%. Polygraphic indicators show; Recording Total Time (RTT): 443.6 minutes ± 99.26; RTT valid for manual analysis time: 368.2 ± 115.7; AIH: 16.98 ± 18.61; oxygen desaturation index, ODI (criterion 3%): 17.61 ± 17.49 and time under 90% (T < 90): 19% ± 24.3. The distribution by severity was: 29 snorers (30%), 29 mild (30%), 21 moderate (22.2%) and 20 severe (20.2%). Continuous Positive Airway Pressure (CPAP) therapy was prescribed to 32 patients (32.3%). The delays were: acquisition: 5.3 days ± 3.7, transmission: 1.64 days ± 2.3 and reports: 1.1 day ± 0.9. Conclusion: The strategy showed acceptable delays and CPAP treatment was available to a third of the study population.

Keywords : Respiratory Polygraphy; SAHOS; Telemedicine.

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