{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:03:45Z","timestamp":1790287425151,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":3639,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"vor","delay-in-days":61,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Sleep Sci"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Introduction: Obstructive sleep apnea syndrome (OSA) is diagnosed through polysomnography (PSG) or respiratory polygraphy (RP). Self-administered home-based RP using devices with data transmission could facilitate diagnosis in distant populations. The purpose of this work was to describe a telemedicine initiative using RP in four satellite outpatient care clinics (OCC) of Buenos Aires Hospital Brit\u00e1nico Central (HBC).<\/jats:p>\n                  <jats:p>Materials and methods: OCC technicians were trained both in the use of RP. Raw signals were sent to HBC via intranet software for scoring and final report.<\/jats:p>\n                  <jats:p>Results: During a 24-month 499 RP were performed in 499 patients: 303 men (60.7%) with the following characteristics (mean and standard deviation): valid time for manual analysis: 392.8\u2009min (\u2009\u00b1\u2009100.1), AHI: 17.05 (\u2009\u00b1\u200916.49 and percentile 25\u201375 [Pt]: 5\u201323) ev\/hour, ODI (criterion 3%): 18.05 (\u2009\u00b1\u200916.48 and Pt 25\u201375: 6\u201325) ev\/hour, and time below 90% (T\u2009&lt;\u200990): 17.9% (\u2009\u00b1\u200923.4 and Pt 25\u201375: 1\u201323). The distribution of diagnoses (absolute value and percentage) was: normal (66\/13%), snoring (70\/14%), mild (167\/33.5%), moderate (110\/ 22%), and severe (86\/17.2%). Continuous positive airway pressure (CPAP) was indicated for 191 patients (38.6%). Twenty recordings (4%) were considered invalid and the RP had to be repeated.<\/jats:p>\n                  <jats:p>PSG at HBC was indicated in 60 (12.1%) cases (mild OSA or normal AHI with high ESS or cardiovascular disease).<\/jats:p>\n                  <jats:p>Conclusions: Physicians were able to diagnosis OSA by doing portable respiratory polygraphy at distance. The remote diagnosis strategy presented short delays, safe data transmission, and low rate of missing data.<\/jats:p>","DOI":"10.1016\/j.slsci.2016.10.009","type":"journal-article","created":{"date-parts":[[2016,11,14]],"date-time":"2016-11-14T11:52:30Z","timestamp":1479124350000},"page":"244-248","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["\u201cDiagnosis of sleep apnea in network\u201d respiratory polygraphy as a decentralization strategy"],"prefix":"10.1055","volume":"09","author":[{"given":"Eduardo","family":"Borsini","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Service, Hospital Brit\u00e1nico, Buenos Aires, Argentina"},{"name":"Argentine Research Group for Sleep Apnea (GAIAS, for its Spanish acronym), Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magali","family":"Blanco","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Service, Hospital Brit\u00e1nico, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Bosio","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Service, Hospital Brit\u00e1nico, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di Tullio","family":"Fernando","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Service, Hospital Brit\u00e1nico, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenda","family":"Ernst","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Service, Hospital Brit\u00e1nico, Buenos Aires, Argentina"},{"name":"Argentine Research Group for Sleep Apnea (GAIAS, for its Spanish acronym), Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Salvado","sequence":"additional","affiliation":[{"name":"Respiratory Medicine Service, Hospital Brit\u00e1nico, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,19]]},"container-title":["Sleep Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S1984006316300840?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S1984006316300840?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1016\/j.slsci.2016.10.009.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T22:30:25Z","timestamp":1787178625000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1016\/j.slsci.2016.10.009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,8,19]]},"published-print":{"date-parts":[[2016,9]]}},"URL":"https:\/\/doi.org\/10.1016\/j.slsci.2016.10.009","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1984-0659","1984-0063"],"issn-type":[{"value":"1984-0659","type":"print"},{"value":"1984-0063","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"\u201cDiagnosis of sleep apnea in network\u201d respiratory polygraphy as a decentralization strategy","name":"articletitle","label":"Article Title"},{"value":"Sleep Science","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.slsci.2016.10.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Brazilian Association of Sleep. Production and hosting by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}