Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia

La apnea obstructiva del sueño (AOS) es una patología de alta prevalencia alrededor del mundo(1). El tratamiento está guiado por un abordaje multidisciplinar que permita corregir los eventos respiratorios, siendo necesario en una buena proporción de los casos el uso de dispositivos de presión positi...

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Autores:
Vargas Ramírez, Leslie Katherine
Tipo de recurso:
Fecha de publicación:
2022
Institución:
Universidad Autónoma de Bucaramanga - UNAB
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Repositorio UNAB
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spa
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oai:repository.unab.edu.co:20.500.12749/16878
Acceso en línea:
http://hdl.handle.net/20.500.12749/16878
Palabra clave:
Medical sciences
Health sciences
Obstructive apnea
Disease management
Pressure devices
Breathing disorders
Respiratory diseases
Technological innovations
Product development
Ciencias médicas
Trastornos de la respiración
Enfermedades respiratorias
Innovaciones tecnológicas
Desarrollo de productos
Ciencias de la salud
Apnea obstructiva
Manejo de enfermedad
Dispositivos de presión
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id UNAB2_fa098f68ef752645fff8f927b43c4609
oai_identifier_str oai:repository.unab.edu.co:20.500.12749/16878
network_acronym_str UNAB2
network_name_str Repositorio UNAB
repository_id_str
dc.title.spa.fl_str_mv Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
dc.title.translated.spa.fl_str_mv Strategies used through new technologies to improve adherence to positive pressure devices in adult patients with obstructive sleep apnea. Systematic review of the literature and recommendations based on evidence synthesis
title Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
spellingShingle Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
Medical sciences
Health sciences
Obstructive apnea
Disease management
Pressure devices
Breathing disorders
Respiratory diseases
Technological innovations
Product development
Ciencias médicas
Trastornos de la respiración
Enfermedades respiratorias
Innovaciones tecnológicas
Desarrollo de productos
Ciencias de la salud
Apnea obstructiva
Manejo de enfermedad
Dispositivos de presión
title_short Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
title_full Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
title_fullStr Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
title_full_unstemmed Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
title_sort Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia
dc.creator.fl_str_mv Vargas Ramírez, Leslie Katherine
dc.contributor.advisor.none.fl_str_mv Villar Centeno, Juan Carlos
Egea Mendoza, Carlos
dc.contributor.author.none.fl_str_mv Vargas Ramírez, Leslie Katherine
dc.contributor.cvlac.spa.fl_str_mv Villar Centeno, Juan Carlos [0000068519]
dc.contributor.googlescholar.spa.fl_str_mv Villar Centeno, Juan Carlos [nTlsWe0AAAAJ]
dc.contributor.orcid.spa.fl_str_mv Villar Centeno, Juan Carlos [0000-0002-7047-7299]
Egea Mendoza, Carlos [0000-0002-7618-7444]
dc.contributor.scopus.spa.fl_str_mv Villar Centeno, Juan Carlos [57193835436]
dc.contributor.researchgate.spa.fl_str_mv Villar Centeno, Juan Carlos [Juan_Villar11]
dc.subject.keywords.spa.fl_str_mv Medical sciences
Health sciences
Obstructive apnea
Disease management
Pressure devices
Breathing disorders
Respiratory diseases
Technological innovations
Product development
topic Medical sciences
Health sciences
Obstructive apnea
Disease management
Pressure devices
Breathing disorders
Respiratory diseases
Technological innovations
Product development
Ciencias médicas
Trastornos de la respiración
Enfermedades respiratorias
Innovaciones tecnológicas
Desarrollo de productos
Ciencias de la salud
Apnea obstructiva
Manejo de enfermedad
Dispositivos de presión
dc.subject.lemb.spa.fl_str_mv Ciencias médicas
Trastornos de la respiración
Enfermedades respiratorias
Innovaciones tecnológicas
Desarrollo de productos
dc.subject.proposal.spa.fl_str_mv Ciencias de la salud
Apnea obstructiva
Manejo de enfermedad
Dispositivos de presión
description La apnea obstructiva del sueño (AOS) es una patología de alta prevalencia alrededor del mundo(1). El tratamiento está guiado por un abordaje multidisciplinar que permita corregir los eventos respiratorios, siendo necesario en una buena proporción de los casos el uso de dispositivos de presión positiva para tal fin (2). La terapia con presión positiva (PAP) ha demostrado beneficios en relación con mejoría de los síntomas de la enfermedad como la somnolencia diurna(3) y en mejoría de desenlaces clínicos como control de hipertensión arterial en poblaciones específicas (4), mejoría en la condición hemodinámica en pacientes con falla cardiaca(5), así como mayor éxito en el control de la fibrilación auricular (6). A pesar de los beneficios descritos es difícil lograr la adherencia adecuada al uso de la terapia PAP (7). Con el objetivo de mejorar esta adherencia las guías internacionales para el manejo de pacientes con apnea obstructiva del sueño recomiendan el uso de estrategias de educación, intervenciones comportamentales y apoyo basado en resolución de problemas que deben ser brindadas al paciente al inicio del tratamiento y durante el seguimiento (8,9). En los últimos años se han introducido nuevas tecnologías en el proceso de adaptación de los pacientes con AOS(10), siendo mayor el uso después del inicio de la pandemia de COVID19. Se desconoce la utilidad de estas herramientas para lograr una buena adherencia de los pacientes con AOS a los dispositivos de presión positiva.
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-07-11T15:43:53Z
dc.date.available.none.fl_str_mv 2022-07-11T15:43:53Z
dc.date.issued.none.fl_str_mv 2022
dc.type.eng.fl_str_mv Thesis
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv Tesis
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12749/16878
dc.identifier.instname.spa.fl_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.unab.edu.co
url http://hdl.handle.net/20.500.12749/16878
identifier_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
reponame:Repositorio Institucional UNAB
repourl:https://repository.unab.edu.co
dc.language.iso.spa.fl_str_mv spa
language spa
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82. Pépin JL, Jullian-Desayes I, Sapène M, Treptow E, Joyeux-Faure M, Benmerad M, et al. Multimodal Remote Monitoring of High Cardiovascular Risk Patients with OSA Initiating CPAP: A Randomized Trial. Chest. 2019 Apr 1;155(4):730–9.
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institution Universidad Autónoma de Bucaramanga - UNAB
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spelling Villar Centeno, Juan Carlos399926b0-729c-4af9-845c-0ad596601e9dEgea Mendoza, Carlos42313188-cf48-4d64-8a69-dbad8d8cd753Vargas Ramírez, Leslie Katherineb2c431b1-1dd1-4d3f-8caf-4c4f0488c2f8Villar Centeno, Juan Carlos [0000068519]Villar Centeno, Juan Carlos [nTlsWe0AAAAJ]Villar Centeno, Juan Carlos [0000-0002-7047-7299]Egea Mendoza, Carlos [0000-0002-7618-7444]Villar Centeno, Juan Carlos [57193835436]Villar Centeno, Juan Carlos [Juan_Villar11]Colombia2022-07-11T15:43:53Z2022-07-11T15:43:53Z2022http://hdl.handle.net/20.500.12749/16878instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coLa apnea obstructiva del sueño (AOS) es una patología de alta prevalencia alrededor del mundo(1). El tratamiento está guiado por un abordaje multidisciplinar que permita corregir los eventos respiratorios, siendo necesario en una buena proporción de los casos el uso de dispositivos de presión positiva para tal fin (2). La terapia con presión positiva (PAP) ha demostrado beneficios en relación con mejoría de los síntomas de la enfermedad como la somnolencia diurna(3) y en mejoría de desenlaces clínicos como control de hipertensión arterial en poblaciones específicas (4), mejoría en la condición hemodinámica en pacientes con falla cardiaca(5), así como mayor éxito en el control de la fibrilación auricular (6). A pesar de los beneficios descritos es difícil lograr la adherencia adecuada al uso de la terapia PAP (7). Con el objetivo de mejorar esta adherencia las guías internacionales para el manejo de pacientes con apnea obstructiva del sueño recomiendan el uso de estrategias de educación, intervenciones comportamentales y apoyo basado en resolución de problemas que deben ser brindadas al paciente al inicio del tratamiento y durante el seguimiento (8,9). En los últimos años se han introducido nuevas tecnologías en el proceso de adaptación de los pacientes con AOS(10), siendo mayor el uso después del inicio de la pandemia de COVID19. Se desconoce la utilidad de estas herramientas para lograr una buena adherencia de los pacientes con AOS a los dispositivos de presión positiva.1. Título 4 2. Resumen 4 3. Abstract 6 4. Planteamiento del problema 8 5. Marco teórico 9 6. Estado del arte 15 7. Objetivo General 17 8. Objetivos Específicos 18 9. Metodología 19 9.1 Formulación de las preguntas clínicas 19 9.2 Desarrollo de preguntas PICO 19 9.3 Fuentes de información 21 9.4 Criterios de selección 21 9.5 Estrategias de búsqueda de la literatura 22 9.6 Proceso de selección de los estudios y recolección de datos 22 9.7 Evaluación del riesgo de sesgos 23 9.8 Análisis y síntesis 23 10.Resultados 24 10.1 Selección del cuerpo de la evidencia 24 10.2 Extracción de datos 26 10.3 Evaluación de riesgo de sesgos 34 10.4 Efectos de las intervenciones 35 11. Evaluación del cuerpo de la evidencia y generación de 43 recomendaciones 12. Bibliografía 50 13. Anexos 57MaestríaObstructive sleep apnea (OSA) is a highly prevalent pathology around the world (1). The treatment is guided by a multidisciplinary approach that allows correcting respiratory events, being necessary in many cases the use of devices of positive pressure for this purpose (2). Positive pressure therapy (PAP) has shown benefits in relation to improvement of disease symptoms such as daytime sleepiness (3) and improvement of clinical outcomes such as control of arterial hypertension in specific populations (4), improvement in the condition hemodynamics in patients with heart failure (5), as well as greater success in the control of atrial fibrillation (6). Despite the benefits described, it is difficult to achieve adequate adherence to the use of PAP therapy (7). With the aim of improving this adherence, the international guidelines for the management of patients with obstructive sleep apnea recommend the use of educational strategies, behavioral interventions and support based on problem solving that should be provided to the patient at the beginning of treatment and during follow-up (8,9). In recent years, new technologies have been introduced in the adaptation process of patients with OSA (10), with greater use after the onset of the COVID19 pandemic. The usefulness of these tools in achieving good adherence of OSA patients to positive pressure devices is unknown.application/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidenciaStrategies used through new technologies to improve adherence to positive pressure devices in adult patients with obstructive sleep apnea. Systematic review of the literature and recommendations based on evidence synthesisThesisinfo:eu-repo/semantics/masterThesisTesisinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/redcol/resource_type/TMMagíster en Métodos para la Producción y Aplicación de Conocimiento Científico en SaludUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludMaestría en Métodos para la Producción y Aplicación de Conocimiento Científico en SaludMedical sciencesHealth sciencesObstructive apneaDisease managementPressure devicesBreathing disordersRespiratory diseasesTechnological innovationsProduct developmentCiencias médicasTrastornos de la respiraciónEnfermedades respiratoriasInnovaciones tecnológicasDesarrollo de productosCiencias de la saludApnea obstructivaManejo de enfermedadDispositivos de presión1. Benjafield A v., Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. The Lancet Respiratory Medicine. 2019 Aug 1;7(8):687–98.2. Mediano O, González Mangado N, Montserrat JM, Alonso-Álvarez ML, et al. Arch Bronconeumol. 2022 Jan;58(1):52-683. Weaver TE, Maislin G, Dinges DF, Bloxham T, George CF, Greenberg H, Kader G, Mahowald M, Younger J, Pack AI. Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep. 2007 Jun;30(6):711-94. Sapiña-Beltrán E, Torres G, Benítez I, Santamaría-Martos F, Durán-Cantolla J, Egea C, et al. Differential blood pressure response to continuous positive airway pressure treatment according to the circadian pattern in hypertensive patients with obstructive sleep apnoea. European Respiratory Journal 2020;54(1).5. Bradley TD, Logan AG, Kimoff RJ, Sériès F, Morrison D, Ferguson K, Belenkie I, Pfeifer M, Fleetham J, Hanly P, Smilovitch M, Tomlinson G, Floras JS; CANPAP Investigators. Continuous positive airway pressure for central sleep apnea and heart failure. N Engl J Med. 2005 Nov 10;353(19):2025-336. Qureshi WT, Nasir U bin, Alqalyoobi S, O’Neal WT, Mawri S, Sabbagh S, et al. Meta-Analysis of Continuous Positive Airway Pressure as a Therapy of Atrial Fibrillation in Obstructive Sleep Apnea. American Journal of Cardiology [Internet]. 2015;116(11):1767–737. Bazurto-Zapata MA, Herrera K, Vargas-Ramirez L, Duenas-Meza E, Gonzalez-Garcia M. Factores subjetivos asociados a la no adherencia a la CPAP en pacientes con síndrome de apnea hipopnea de sueño. Acta Médica Colombiana. 2013;38(2):71–58. NICE. Obstructive sleep apnoea/ hypopnoea syndrome and obesity hypoventilation syndrome in over 16s NICE guideline. 2021. Available from: www.nice.org.uk/guidance/ng2029. Patil SP, Ayappa IA, Caples SM, John Kimoff R, Patel SR, Harrod CG. Treatment of adult obstructive sleep apnea with positive airway pressure: An American academy of sleep medicine systematic review, meta-analysis, and GRADE assessment. 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