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Coordinated program between primary care and sleep unit for the management of obstructive sleep apnea.
npj Primary Care Respiratory Medicine ( IF 3.1 ) Pub Date : 2019-11-08 , DOI: 10.1038/s41533-019-0151-9
Mercè Mayos 1, 2, 3 , Patricia Peñacoba 1, 3 , Anna María Pedro Pijoan 4 , Carme Santiveri 5 , Xavier Flor 3, 6 , Joan Juvanteny 3, 7 , Gabriel Sampol 3, 8 , Patricia Lloberes 8 , José Ignacio Aoiz 9 , Joan Bayó 9 , Núria Grau 10 , Ana M Fortuna 1, 3 , Vicente Plaza 1, 3 , M Antònia Llauger 3, 11
Affiliation  

The purpose of this study is to develop and validate a work model in the primary health-care setting for identifying patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) based on clinical variables and an ambulatory sleep monitoring study. After screening, patients with mild-moderate OSAHS could be managed by primary care physicians, whereas those identified with severe OSAHS would be referred to specialists from sleep units for starting specific treatment. The proposed model does not move the entire health-care process to a generally overburdened primary care level and favors the coordinated work and the necessary flexibility to adapt the model to challenges and perspectives of OSAHS.

中文翻译:

初级保健和睡眠单位之间的协调计划,用于治疗阻塞性睡眠呼吸暂停。

这项研究的目的是在主要医疗保健环境中开发和验证一种工作模型,以基于临床变量和动态睡眠监测研究来识别阻塞性睡眠呼吸暂停低通气综合症(OSAHS)患者。筛查后,轻度至中度OSAHS的患者可以由初级保健医生进行管理,而那些患有严重OSAHS的患者将被转诊至睡眠部门的专家,以开始具体治疗。提议的模型不会将整个卫生保健过程转移到普遍负担过重的初级保健水平,而是需要协调的工作和必要的灵活性来使模型适应OSAHS的挑战和观点。
更新日期:2019-11-08
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