Evidence map›Paper›PMID 24493191›Full record

ArticleThe bone & joint journal2014

Sleep apnoea adversely affects the outcome in patients who undergo posterior lumbar fusion: a population-based study.

O Stundner, Y-L Chiu, X Sun, S-K Ramachandran, P Gerner, V Vougioukas, M Mazumdar, S G Memtsoudis

Open access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in The bone & joint journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Risks for prolonged mechanical ventilation and reintubation after cervical malignant tumor surgery: a nested case-control study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Clinical consequences and economic costs of untreated obstructive sleep apnea syndrome.World journal of otorhinolaryngology - head and neck surgery · 2015
    Review
  11. 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 6 institutions in 3 countries.

O StundnerParacelsus Medical University, Department of Anaesthesiology, Perioperative Medicine and Intensive Care Medicine, Muellner Hauptstrasse 48, 5020 Salzburg, Austria.
Y-L Chiu
X Sun
S-K Ramachandran
P Gerner
V Vougioukas
M Mazumdar
S G Memtsoudis
Cornell University · USHospital for Special Surgery · USParacelsus Medical University · ATStony Brook University · USUniversity of Freiburg · DEUniversity of Michigan · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024996 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2007 to 2011
$49.6M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457NCRR NIH HHS UL1 RR024996NCRR NIH HHS UL1-RR024996PHS HHS U18 HSO16-75
6 · The paper itself

Abstract

Despite the increasing prevalence of sleep apnoea, little information is available regarding its impact on the peri-operative outcome of patients undergoing posterior lumbar fusion. Using a national database, patients who underwent lumbar fusion between 2006 and 2010 were identified, sub-grouped by diagnosis of sleep apnoea and compared. The impact of sleep apnoea on various outcome measures was assessed by regression analysis. The records of 84,655 patients undergoing posterior lumbar fusion were identified and 7.28% (n = 6163) also had a diagnostic code for sleep apnoea. Compared with patients without sleep apnoea, these patients were older, more frequently female, had a higher comorbidity burden and higher rates of peri-operative complications, post-operative mechanical ventilation, blood product transfusion and intensive care. Patients with sleep apnoea also had longer and more costly periods of hospitalisation. In the regression analysis, sleep apnoea emerged as an independent risk factor for the development of peri-operative complications (odds ratio (OR) 1.50, confidence interval (CI) 1.38;1.62), blood product transfusions (OR 1.12, CI 1.03;1.23), mechanical ventilation (OR 6.97, CI 5.90;8.23), critical care services (OR 1.86, CI 1.71;2.03), prolonged hospitalisation and increased cost (OR 1.28, CI 1.19;1.37; OR 1.10, CI 1.03;1.18). Patients with sleep apnoea who undergo posterior lumbar fusion pose significant challenges to clinicians.

Indexed as

Population SurveillanceAdultAgedFemaleFollow-Up StudiesHumansLumbar VertebraeMaleMiddle AgedPostoperative ComplicationsPrevalencePrognosisRetrospective StudiesRisk AssessmentRisk FactorsSleep Apnea SyndromesSleep Apnoea; Spinal Fusion; Complications; Upper Airway Resistance; Sleep Apnoea Syndrome; Outcomes Research

Identifiers

PMID24493191
PMCPMC4274768
OpenAlexW2281408305

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.