{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T13:41:54Z","timestamp":1765806114415,"version":"3.40.5"},"reference-count":25,"publisher":"Universidad del Valle","issue":"4","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Introducci\u00f3nEl diagn\u00f3stico precoz de los trastornos respiratorios del sue\u00f1o permite intervenciones oportunas, mitigando consecuencias multisist\u00e9micas. El examen de elecci\u00f3n para diagn\u00f3stico y categorizaci\u00f3n es la polisomnograf\u00eda; presenta disponibilidad limitada, emergiendo alternativas como la poligraf\u00eda, m\u00e1s accesible y de menor costo.\nObjetivoAnalizar asociaci\u00f3n entre patolog\u00edas de base y s\u00edndrome de apnea-hipoapnea obstructiva del sue\u00f1o en ni\u00f1os con sospecha de trastornos respiratorio del sue\u00f1o.\nM\u00e9todos. Estudio transversal retrospectivo. Se incluyeron poligraf\u00edas de ni\u00f1os \u22651 a\u00f1o hospitalizados con sospecha de trastornos respiratorios del sue\u00f1o. Se recopilaron variables demogr\u00e1ficas, cl\u00ednicas y poligr\u00e1ficas.\u00a0 Se realiz\u00f3 un an\u00e1lisis de regresi\u00f3n log\u00edstica para evaluar presencia de s\u00edndrome de apnea-hipoapnea obstructiva del sue\u00f1o seg\u00fan patolog\u00edas.\nResultadosDe 1000 poligraf\u00edas se analizaron 407. Mediana de edad 8,2 a\u00f1os (4,1-12,2), varones 56%. Diagn\u00f3sticos principales: da\u00f1o neurol\u00f3gico (19,4%), enfermedades neuromusculares (16%), obstrucci\u00f3n de v\u00eda a\u00e9rea superior (15,5%) y da\u00f1o pulmonar cr\u00f3nico \u00a0(15,5%). Poligraf\u00edas alteradas 56%; s\u00edndrome de apneas obstructivas del sue\u00f1o leve 63%, moderado 21% y severo 16%, destacando obesidad y enfermedades neuromusculares. Se encontraron diferencias significativas en edad (p=0.001) e \u00edndice de apneas-hipoapnea (p=0,002) \u00a0seg\u00fan diagn\u00f3sticos. \u00a0Los pacientes con s\u00edndrome de Down tuvieron un riesgo 5,5 veces mayor de s\u00edndrome de apnea-hipopnea obstructiva del sue\u00f1o en comparaci\u00f3n con los pacientes con da\u00f1o pulmonar cr\u00f3nico ajustado por edad e \u00edndice de apnea-hipoapnea.\nConclusionesExisti\u00f3 un alto porcentaje de s\u00edndrome de apnea-hipoapnea obstructiva del sue\u00f1o, especialmente en obesidad y enfermedades neuromusculares. Los pacientes con s\u00edndrome de Down tienen m\u00e1s riesgo de s\u00edndrome de apnea-hipoapnea obstructivas del sue\u00f1o respecto a da\u00f1o pulmonar cr\u00f3nico. La poligraf\u00eda es una herramienta potencialmente implementable en centros asistenciales con caracter\u00edsticas y recursos similares.<\/jats:p>","DOI":"10.25100\/cm.v55i4.6622","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T01:18:17Z","timestamp":1747271897000},"page":"e2016622","update-policy":"https:\/\/doi.org\/10.25100\/cm.crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Poligraf\u00edas en pacientes pedi\u00e1tricos hospitalizados: Una pr\u00e1ctica de la vida real"],"prefix":"10.25100","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5083-1468","authenticated-orcid":false,"given":"Daniel","family":"Zenteno","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0014-6491","authenticated-orcid":false,"given":"Gerardo","family":"Torres-Puebla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6094-0413","authenticated-orcid":false,"given":"Camila","family":"S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0806-8885","authenticated-orcid":false,"given":"V\u00edcto","family":"Oviedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2766-5077","authenticated-orcid":false,"given":"Jaime","family":"Tapia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7974-4333","authenticated-orcid":false,"given":"Rodrigo","family":"Torres-Castro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10728","published-online":{"date-parts":[[2024,12,30]]},"reference":[{"key":"93491","doi-asserted-by":"crossref","unstructured":"Marcus CL, Brooks LJ, Ward SD, Draper KA, Gozal D, Halbower AC, Jones J, Lehmann C, Schechter MS, Sheldon S, et al. 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