Evidence map›Paper›PMID 25126035›Full record

Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2014

The efficacy of a chinstrap in treating sleep disordered breathing and snoring.

Sushanth Bhat, Neola Gushway-Henry, Peter G Polos, Vincent A DeBari, Sandeep Riar, Divya Gupta, Liudmila Lysenko, Disha Patel, Justin Pi, Sudhansu Chokroverty

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Making Sense of the Noise: Toward Rational Treatment for Obstructive Sleep Apnea.American journal of respiratory and critical care medicine · 2020
    Article
  4. Review
  5. Use of a chinstrap in treating sleep disordered breathing and snoring.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2014
    Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Sushanth BhatNJ Neuroscience Institute at JFK Medical Center/Seton Hall University, Edison NJ;
Neola Gushway-HenryNJ Neuroscience Institute at JFK Medical Center/Seton Hall University, Edison NJ;
Peter G PolosNJ Neuroscience Institute at JFK Medical Center/Seton Hall University, Edison NJ;
Vincent A DeBariSeton Hall University School of Health and Medical Sciences, South Orange, NJ;
Sandeep RiarJFK Medical Center, Edison, NJ;
Divya GuptaNJ Neuroscience Institute at JFK Medical Center/Seton Hall University, Edison NJ;
Liudmila LysenkoOchsner Health Systems, New Orleans, LA;
Disha PatelNJ Neuroscience Institute at JFK Medical Center/Seton Hall University, Edison NJ;
Justin PiHackensack University Medical Center, Hackensack NJ.
Sudhansu ChokrovertyNJ Neuroscience Institute at JFK Medical Center/Seton Hall University, Edison NJ;

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesA previously published case report suggested that a chinstrap alone might improve obstructive sleep apnea (OSA). We conducted this study to determine whether a chinstrap was a feasible alternative to continuous positive airway pressure (CPAP) in patients with OSA.

methods26 adult patients with OSA (apnea-hypopnea index [AHI] > 5/h on diagnostic polysomnogram [PSG]) underwent a modified split-night PSG, using only a chinstrap for the first 2 hours of sleep, followed by CPAP titration for the remainder of the night. Improvements in AHI, arterial oxygen saturation (SpO2), and snoring with chinstrap use were compared to results with optimal CPAP pressures.

resultsThere was no significant difference between the diagnostic PSG and the chinstrap portion of the split-night PSG in the following parameters: general AHI (median [IQR] 16.0/h [9.7-26.0] vs. 25.9/h [10.7-42.7]), SpO2 nadir (84.0% [80.5-87.5] vs. 87.0 [84.0-88.5]), AHI in REM sleep (26.7/h [16.8-43.7] vs. 42.4/h [21.3-57.7]), AHI in supine sleep (24.9/h [11.9-51.5] vs. 29.8/h [11.7-55.5]), snoring index (253.2/h [147.5-353.1] vs. 180.0/h [9.8-393.3]) or subjective snoring scale (3.0 [0.8-3.0] vs. 2.5 [0.4-3.0]). The AHI and SpO2 nadir in the 13 patients with mild OSA also did not improve with chinstrap use (9.6/h [8.1-12.2] vs. 10.6/h [6.8-35.4] and 87.0% [83.0-90.0] vs. 88.0% [87.0-89.0]). All these parameters showed significant improvement with optimal CPAP titration (p < 0.05).

conclusionsA chinstrap alone is not an effective treatment for OSA. It does not improve sleep disordered breathing, even in mild OSA, nor does it improve the AHI in REM sleep or supine sleep. It is also ineffective in improving snoring.

Indexed as

ChinEquipment and SuppliesAdultFemaleHumansMaleMiddle AgedSleep Apnea SyndromesSnoringTreatment OutcomeYoung Adultalternatives to CPAPchinstrapmodified split-night polysomnographyobstructive sleep apneapolysomnographypositional OSAREM OSAsnoring

Identifiers

PMID25126035
PMCPMC4106943

What OpenQuestion holds

Textmetadata
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.