Evidence map›Paper›PMID 23904679›Full record

ArticleSleep2013

A nine-year follow-up study of sleep patterns and mortality in community-dwelling older adults in Taiwan.

Hsi-Chung Chen, Tung-Ping Su, Pesus Chou

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 10 pooled it
–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

47 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  11. Trial
  12. Computerized Cognitive Behavioral Therapy for Insomnia in a Community Health Setting.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017
    Trial
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  19. Time to Sleep?-A Review of the Impact of the COVID-19 Pandemic on Sleep and Mental Health.International journal of environmental research and public health · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Hsi-Chung ChenDepartment of Psychiatry & Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan.
Tung-Ping Su
Pesus Chou

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo simultaneously explore the associations between mortality and insomnia, sleep duration, and the use of hypnotics in older adults.

designA fixed cohort study.

settingA community in Shih-Pai area, Taipei, Taiwan.

participantsA total of 4,064 participants over the age of 65 completed the study.

interventionN/A. MEASUREMENTS AND

resultsInsomnia was classified using an exclusionary hierarchical algorithm, which categorized insomnia as "no insomnia," "subjective poor sleep quality," "Pittsburgh Sleep Quality Index > 5 insomnia," "1-month insomnia disorder," and "6-month insomnia disorder." The main outcome variables were 9-year all-cause mortality rates. In the all-cause mortality analyses, when hypnotic use, depressive symptoms and total sleep time were excluded from a proportional hazards regression model, subjects with "Pittsburgh Sleep Quality Index > 5 insomnia" had a higher mortality risk (HR: 1.21, 95% CI: 1.01-1.45). In the full model, frequent hypnotic use and long sleep duration predicted higher mortality rates. However, the increased mortality risk for subjects with "Pittsburgh Sleep Quality Index > 5 insomnia" was not observed in the full model. On the contrary, individuals with a 6-month DSM-IV insomnia disorder had a lower risk for premature death (HR: 0.64, 95% CI: 0.43-0.96).

conclusionsLong sleep duration and frequent hypnotics use predicted an increased mortality risk within a community-dwelling sample of older adults. The association between insomnia and mortality was affected by insomnia definition and other parameters related to sleep patterns.

Indexed as

SleepAgedAlgorithmsFemaleFollow-Up StudiesHumansHypnotics and SedativesMaleMortalityProportional Hazards ModelsSeverity of Illness IndexSleep Initiation and Maintenance DisordersTaiwanHypnotics and SedativesInsomniaolder adultssleep durationsleep patternuse of hypnotics

Identifiers

PMID23904679
PMCPMC3700716

What OpenQuestion holds

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Registered trials

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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.