{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:53:19Z","timestamp":1793371999259,"version":"4.5.0"},"reference-count":53,"publisher":"European Respiratory Society (ERS)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2011,6,16]]},"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p>The aim of this study to evaluate the efficacy of a home-based programme on clinical response, continuous positive airway pressure (CPAP) compliance and cost in a population of high pre-test probability of suffering obstructive sleep apnoea syndrome (OSAS).<\/jats:p><jats:p>Patients were randomised into the following three groups. Group A: home respiratory polygraphy (RP) and home follow-up; group B: hospital polysomnography and hospital follow-up; and group C: home RP and hospital follow-up. Evaluation during 6 months included Epworth Sleepiness Scale (ESS), Functional Outcomes Sleep Questionnaire (FOSQ), and daily activity and symptom questionnaires. Compliance was assessed by memory cards (group A) and using an hourly counter (groups B and C).<\/jats:p><jats:p>66 patients were included (22 per branch), 83% were males, aged mean\u00b1<jats:sc>sd<\/jats:sc>52\u00b110 yrs, body mass index 34\u00b17kg\u00b7m<jats:sup>\u22122<\/jats:sup>, apnoea\/hypopnoea index 43\u00b120 h<jats:sup>\u22121<\/jats:sup>, CPAP pressure 8\u00b12 cmH<jats:sub>2<\/jats:sub>O, with no between-group differences. Clinical response showed an ESS of mean\u00b1<jats:sc>sd<\/jats:sc>15\u00b13 to 6\u00b14, a FOSQ of 16\u00b13 to 18\u00b12, symptoms of 43\u00b17 to 25\u00b17, and activity of 37\u00b111 to 25\u00b18. At the end of the study, compliance was: group A 73%, group B 68% and group C 57%. The cost per patient was: group A \u20ac590\u00b143, group B \u20ac894\u00b111 and group C \u20ac644\u00b193 (p&lt;0.001).<\/jats:p><jats:p>In conclusion, patients with a high initial probability of having OSAS can be diagnosed and treated in a home setting, with a high level of CPAP compliance and lower cost than using either a hospital-based approach or home RP\/hospital follow-up.<\/jats:p>","DOI":"10.1183\/09031936.00013311","type":"journal-article","created":{"date-parts":[[2011,7,1]],"date-time":"2011-07-01T00:51:43Z","timestamp":1309481503000},"page":"305-312","source":"Crossref","is-referenced-by-count":50,"title":["Effect of an ambulatory diagnostic and treatment programme in patients with sleep apnoea"],"prefix":"10.1183","volume":"39","author":[{"given":"A.L.","family":"Andreu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Chiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.N.","family":"Sancho-Chust","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Pastor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Llombart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Gomez-Merino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Senent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Barb\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2011,6,30]]},"reference":[{"key":"2024102020442418000_39.2.305.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304293281704"},{"key":"2024102020442418000_39.2.305.2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.163.3.2005065"},{"key":"2024102020442418000_39.2.305.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.115.1.123"},{"key":"2024102020442418000_39.2.305.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.14.1829"},{"key":"2024102020442418000_39.2.305.5","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200901-0050OC"},{"key":"2024102020442418000_39.2.305.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2009.01.002"},{"key":"2024102020442418000_39.2.305.7","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.161.2.9903139"},{"key":"2024102020442418000_39.2.305.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199903183401104"},{"key":"2024102020442418000_39.2.305.9","doi-asserted-by":"publisher","DOI":"10.1159\/000222811"},{"key":"2024102020442418000_39.2.305.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71141-7"},{"key":"2024102020442418000_39.2.305.11","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)91660-Z"},{"key":"2024102020442418000_39.2.305.12","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/S1579-2129(07)60050-0","article-title":"Resources and delays in the diagnosis of sleep apnoea\u2013hypopnoea syndrome","volume":"43","author":"Masa Jimenez","year":"2007","journal-title":"Arch Bronconeumol"},{"key":"2024102020442418000_39.2.305.13","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1136\/thx.54.11.968","article-title":"Nocturnal oximetry for the diagnosis of the sleep apnoea hypopnoea syndrome: a method to reduce the number of polysomnographies","volume":"54","author":"Chiner","year":"1999","journal-title":"Thorax"},{"key":"2024102020442418000_39.2.305.14","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.01.00072401"},{"key":"2024102020442418000_39.2.305.15","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.97.10081720"},{"key":"2024102020442418000_39.2.305.16","doi-asserted-by":"crossref","first-page":"157","DOI":"10.7326\/0003-4819-146-3-200702060-00004","article-title":"Diagnosis and initial management of obstructive sleep apnoea without polysomnography","volume":"146","author":"Mulgrew","year":"2007","journal-title":"Ann Intern Med"},{"key":"2024102020442418000_39.2.305.17","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.159.2.9803121"},{"key":"2024102020442418000_39.2.305.18","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1164\/ajrccm.159.2.9804061","article-title":"Evidence of the effectiviness of continuous positive airway pressure in the treatment of sleep apnoea\/hypopnoea syndrome","volume":"159","author":"Ballester","year":"1999","journal-title":"Am J Respir Crit Care Med"},{"key":"2024102020442418000_39.2.305.19","doi-asserted-by":"crossref","unstructured":"McArdle N Devereux G Heidarnejad H . 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