Evidence map›Paper›PMID 21645873›Full record

ReviewSleep medicine2011

The impact of atypical antipsychotic use on obstructive sleep apnea: a pilot study and literature review.

Afshin Shirani, Sergio Paradiso, Mark Eric Dyken

Abstract readReview
In one paragraph

Review in Sleep medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
  2. Approach the Patient With Obstructive Sleep Apnea and Obesity.The Journal of clinical endocrinology and metabolism · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Sleep therapeutics and neuropsychiatric illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Review
  8. Observational
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Afshin ShiraniDepartment of Psychiatry, Dartmouth Medical School, Hanover, NH, USA. afshinshirani@hotmail.com
Sergio Paradiso
Mark Eric Dyken

Funding

Neuroscience of Late-Life Depression, Social Perception, and Emotional AwarenessK23AG027837 · NIA · UNIVERSITY OF IOWA · PI PARADISO, SERGIO · 2008 to 2012
$767k
NIA NIH HHS 5K23AG027837NIA NIH HHS K23 AG027837
6 · The paper itself

Abstract

backgroundLimited evidence links atypical antipsychotics (AAs) use to sleep related respiratory dysfunction and greater severity of obstructive sleep apnea (OSA). The present paper reviews the published evidence and examines the impact of AA use on the presence and severity of OSA among subjects with clinically suspected OSA after adjusting for several confounds.

methodsArchives of the University of Iowa Sleep Laboratory from 2005 to 2009 were searched for patients using AAs at the time of diagnostic polysomnogram (PSG). PSG data of the 84 AA users with heterogeneous psychiatric disorders (of these 20 diagnosed only with depression) were subsequently compared to PSG data of two randomly selected, non-AA user groups from the same patient pool: (i) 200 subjects with a depressive disorder as the only psychiatric diagnosis, and (ii) 331 mentally healthy controls. PSG data were analyzed adjusting for known demographic, medical, and psychiatric risk factors for OSA.

resultsPrevalence and severity of OSA did not differ significantly across three groups. Sex, age, body mass index (BMI), and neck circumference (NC) independently predicted OSA. Odds ratio for OSA in the subset of AA users carrying the diagnosis of depression (n=20) compared with subjects without mental illness was 4.53 (p<.05). By contrast, AA users without depression or those with multiple psychiatric diagnoses including depression did not show a statistically significantly elevated OSA risk.

conclusionsAA use in subjects with depression appears to increase the risk of OSA after controlling for known predisposing factors.

Indexed as

Antipsychotic AgentsDatabases, FactualHumansMedical RecordsMental DisordersPilot ProjectsPrevalenceRisk FactorsSleep Apnea, ObstructiveAntipsychotic Agents

Identifiers

PMID21645873
PMCPMC3789524

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.