Sind Messungen im Schlaflabor wirklich notwendig? Mit dieser Frage wurden 373 Patienten untersucht, Apnoe-Hypopnoe-Index bei einer Polygraphie > 15\/h, und Tagesschl\u00c3\u00a4frigkeit (Epworth-Skalenwert gr\u00c3\u00b6\u00c3\u0178er 11 Punkte, und gro\u00c3\u0178er “adjustierter Halsumfang”: wahrer Halsumfang, + 3 cm bei Schnarchen, plus 3 cm bei unregelm\u00c3\u00a4\u00c3\u0178ger Nachtatmung, + 4 cm bei arteriellem Hypertonus.<\/p>\n
Die Ergebnisse waren bei rein ambulanter Diagnostik und CPAP-Einstellung den Daten der Schlaflabordiagnostik und Therapieeinleitung vergleichbar.<\/p>\n
Aber: Lediglich etwa die H\u00c3\u00a4lfte der Patienten kam nach gr\u00c3\u00bcndlicher Pr\u00c3\u00bcfung (erneute Polygraphie) f\u00c3\u00bcr die Untersuchung in Frage. Und: die Eingangskriterien erf\u00c3\u00bcllten nur Patienten mit hoher “Pr\u00c3\u00a4test-Wahrscheinlichkeit” – also Schnarchen\/fremdbeobachtete Atmungspausen\/\u00c3\u0153bergewicht (hoher Halsumfang) plus deutliche Tagesschl\u00c3\u00a4frigkeit. Au\u00c3\u0178erdem: ausgeschlossen waren Patienten mit chronisch obstruktiver Bronchitis, Herzschw\u00c3\u00a4che, neuromuskul\u00c3\u00a4ren erkrankungen, Restless-Legs-Syndrom, Ein- und Durchschlafst\u00c3\u00b6rungen, und weitere Gr\u00c3\u00bcnde (s. Ver\u00c3\u00b6ffentlichung).<\/p>\n
Fazit: f\u00c3\u00bcr die meisten Patienten ist die Diagnostik und \/oder Therapieeinleitung im Schlaflabor unumg\u00c3\u00a4nglich.<\/p>\n
Rosen CL et al. Sleep 2012;35:757-767\u00c2\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
Sind Messungen im Schlaflabor wirklich notwendig? Mit dieser Frage wurden 373 Patienten untersucht, Apnoe-Hypopnoe-Index bei einer Polygraphie > 15\/h, und Tagesschl\u00c3\u00a4frigkeit (Epworth-Skalenwert gr\u00c3\u00b6\u00c3\u0178er 11 Punkte, und gro\u00c3\u0178er “adjustierter Halsumfang”: wahrer Halsumfang, + 3 cm bei Schnarchen, plus 3 cm bei unregelm\u00c3\u00a4\u00c3\u0178ger Nachtatmung, + 4 cm bei arteriellem Hypertonus. Die Ergebnisse waren bei rein ambulanter Diagnostik […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-310","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Sind Messungen im Schlaflabor wirklich notwendig? Mit dieser Frage wurden 373 Patienten untersucht, Apnoe-Hypopnoe-Index bei einer Polygraphie > 15\/h, und Tagesschl\u00c3\u00a4frigkeit (Epworth-Skalenwert gr\u00c3\u00b6\u00c3\u0178er 11 Punkte, und gro\u00c3\u0178er “adjustierter Halsumfang”: wahrer Halsumfang, + 3 cm bei Schnarchen, plus 3 cm bei unregelm\u00c3\u00a4\u00c3\u0178ger Nachtatmung, + 4 cm bei arteriellem Hypertonus. Die Ergebnisse waren bei rein ambulanter Diagnostik…","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=310"}],"version-history":[{"count":0,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/310\/revisions"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}