Evidence map›Paper›PMID 23036264›Full record

Trial reportSleep medicine2013

Effect of continuous positive airway pressure on day/night rhythm of prothrombotic markers in obstructive sleep apnea.

Roland von Känel, Loki Natarajan, Sonia Ancoli-Israel, Paul J Mills, Tanya Wolfson, Anthony C Gamst, José S Loredo, Joel E Dimsdale

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Endothelial dysfunction in obstructive sleep apnea patients.Sleep & breathing = Schlaf & Atmung · 2022
    Article
  5. Coagulation and Fibrinolysis in Obstructive Sleep Apnoea.International journal of molecular sciences · 2021
    Review
  6. Review
  7. Obstructive sleep apnea might trigger acute pulmonary embolism: results from a cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. 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

8 authors at 2 institutions in 2 countries.

Roland von KänelDepartment of General Internal Medicine, Inselspital, Bern University Hospital, and University of Bern, Switzerland.
Loki Natarajan
Sonia Ancoli-Israel
Paul J Mills
Tanya Wolfson
Anthony C Gamst
José S Loredo
Joel E Dimsdale
University of California, San Diego · USUniversity of Bern · CH

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jing Yang · 1985 to 2026
$124.9M
ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZELL, JASON · 1985 to 2010
$74.3M
BNP and Neuroimmune Characteristics of CHF &DepressionR01HL073355 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MILLS, PAUL J · 2005 to 2014
$5.6M
SLEEP APNEA &HYPERTENSION--ROLE OF SYMP NERVOUS SYSTEMR01HL044915 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIMSDALE, JOEL E · 1991 to 2008
$4.7M
SLEEP CONSOLIDATION IN A NURSING HOME POPULATIONR01AG008415 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANCOLI-ISRAEL, SONIA · 1989 to 2011
$3.0M
NCI NIH HHS CA23100NCI NIH HHS P30 CA023100NCRR NIH HHS M01 RR000827NCRR NIH HHS M01 RR00827NHLBI NIH HHS HL073355NHLBI NIH HHS HL44915NHLBI NIH HHS R01 HL044915NHLBI NIH HHS R01 HL073355NIA NIH HHS AG08415NIA NIH HHS R01 AG008415
6 · The paper itself

Abstract

objectiveObstructive sleep apnea (OSA) has been associated with an increased risk of atherothrombotic events. A prothrombotic state might partially explain this link. This study investigated OSA patients' day/night rhythm of several prothrombotic markers and their potential changes with therapeutic continuous positive airway pressure (CPAP).

methodsThe study included 51 OSA patients [apnea hypopnea index (AHI) ⩾10] and 24 non-OSA controls (AHI<10). Of the 51 OSA patients, 25 were randomized to CPAP and 26 to placebo-CPAP. Twelve blood samples were collected over a 24h period to measure prothrombotic markers. For the apneic patients these samples were collected before treatment and after 3weeks of treatment with either CPAP or placebo-CPAP. Day/night variation in prothrombotic markers was examined using a cosinor analysis.

resultsCompared with controls, OSA patients showed lower mesor (mean) and amplitude (difference between maximum and minimum activity) of D-dimer. In unadjusted (but not in adjusted) analysis, patients showed higher mesor of plasminogen activator inhibitor-1 (p<0.05 in all cases). No significant group differences were seen in mesor and amplitude for either soluble tissue factor or von Willebrand factor, or the acrophase (time of the peak) and periodic pattern for any prothrombotic markers. There were no significant differences in changes of periodic pattern and in day/night rhythm parameters of prothrombotic markers pre- to post-treatment between the CPAP and placebo condition.

conclusionsThere may be altered day/night rhythm of some prothrombotic markers in OSA patients compared with controls. CPAP treatment for 3weeks did not affect day/night rhythm of prothrombotic markers in OSA patients differently from placebo-CPAP.

Indexed as

BiomarkersCase-Control StudiesCircadian RhythmContinuous Positive Airway PressureFemaleFibrin Fibrinogen Degradation ProductsHumansMaleMiddle AgedPlasminogen Activator Inhibitor 1Sleep Apnea, ObstructiveThromboplastinThrombosisvon Willebrand FactorBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DPlasminogen Activator Inhibitor 1Thromboplastinvon Willebrand Factor

Identifiers

PMID23036264
PMCPMC3540139
OpenAlexW1974780258

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.