Evidence map›Paper›PMID 25669178›Full record

ArticleSleep2015

Obstructive Sleep Apnea is Related to Impaired Cognitive and Functional Status after Stroke.

Justine A Aaronson, Coen A M van Bennekom, Winni F Hofman, Tijs van Bezeij, Joost G van den Aardweg, Erny Groet, Wytske A Kylstra, Ben Schmand

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Sleep, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03558659 (Positional Therapy to Treat Obstructive Sleep Apnea in Stroke Patients), which is not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 4% 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.

NCT03558659 naterminatednot on this mapstarted 2018, after this paper: background citation

Positional Therapy to Treat Obstructive Sleep Apnea in Stroke Patients: A Randomized Controlled

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2018 to 2022Enrolled1ConditionsStroke, Ischemic, Obstructive Sleep ApneaArmsPositional therapy belt
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
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  7. Effect of Continuous Positive Airway Pressure on Stroke Rehabilitation: A Pilot Randomized Sham-Controlled Trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016
    Trial
  8. Effects of Continuous Positive Airway Pressure on Cognitive and Functional Outcome of Stroke Patients with Obstructive Sleep Apnea: A Randomized Controlled Trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016
    Trial
  9. Article
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  14. Sleep disordered breathing and adult congenital heart disease.International journal of cardiology. Congenital heart disease · 2024
    Review
  15. Review
  16. Article
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  18. The relationship between sleep quality and gait in people with multiple sclerosis: A pilot study.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2024
    Article
  19. Review
  20. 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 4 institutions in 1 country.

Justine A AaronsonHeliomare Research and Development and Heliomare Rehabilitation, Wijk aan Zee, Netherlands.
Coen A M van BennekomHeliomare Research and Development and Heliomare Rehabilitation, Wijk aan Zee, Netherlands.
Winni F HofmanDepartment of Psychology, Brain and Cognition group, University of Amsterdam, Amsterdam, Netherlands.
Tijs van BezeijHeliomare Research and Development and Heliomare Rehabilitation, Wijk aan Zee, Netherlands.
Joost G van den AardwegDepartment of Pulmonary Medicine, Medical Center Alkmaar, Alkmaar, Netherlands.
Erny GroetHeliomare Research and Development and Heliomare Rehabilitation, Wijk aan Zee, Netherlands.
Wytske A KylstraHeliomare Research and Development and Heliomare Rehabilitation, Wijk aan Zee, Netherlands.
Ben SchmandDepartment of Psychology, Brain and Cognition group, University of Amsterdam, Amsterdam, Netherlands.
Heliomare · NLAcademic Medical Center · NLMedisch Centrum Alkmaar · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesObstructive sleep apnea (OSA) is a common sleep disorder in stroke patients and is associated with prolonged hospitalization, decreased functional outcome, and recurrent stroke. Research on the effect of OSA on cognitive functioning following stroke is scarce. The primary objective of this study was to compare stroke patients with and without OSA on cognitive and functional status upon admission to inpatient rehabilitation.

designCase-control study. SETTING AND PATIENTS: 147 stroke patients admitted to a neurorehabilitation unit.

interventionsN/A. MEASUREMENTS: All patients underwent sleep examination for diagnosis of OSA. We assessed cognitive status by neuropsychological examination and functional status by two neurological scales and a measure of functional independence.

resultsWe included 80 stroke patients with OSA and 67 stroke patients without OSA. OSA patients were older and had a higher body mass index than patients without OSA. OSA patients performed worse on tests of attention, executive functioning, visuoperception, psychomotor ability, and intelligence than those without OSA. No differences were found for vigilance, memory, and language. OSA patients had a worse neurological status, lower functional independence scores, and a longer period of hospitalization in the neurorehabilitation unit than the patients without OSA. OSA status was not associated with stroke type or classification.

conclusionsObstructive sleep apnea (OSA) is associated with a lower cognitive and functional status in patients admitted for stroke rehabilitation. This underlines the importance of OSA as a probable prognostic factor, and calls for well-designed randomized controlled trials to study its treatability.

Indexed as

AdultAgedBody Mass IndexCase-Control StudiesCognitionCognition DisordersExecutive FunctionFemaleHospitalizationHumansIntelligenceMaleMiddle AgedPrognosisPsychomotor PerformanceSleepcognitionfunctional statusobstructive sleep apnearehabilitationstroke

Identifiers

PMID25669178
PMCPMC4531411
OpenAlexW2337030863

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.