Evidence map›Paper›PMID 26642771›Full record

Observational studySleep & breathing = Schlaf & Atmung2016

The Determining Risk of Vascular Events by Apnea Monitoring (DREAM) study: design, rationale, and methods.

Brian B Koo, Christine Won, Bernardo J Selim, Li Qin, Sangchoon Jeon, Nancy S Redeker, Dawn M Bravata, Kingman P Strohl, John Concato, Andrey V Zinchuk and 1 more

Erratum issuedAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2016. 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Observational
  3. Varying Hypopnea Definitions Affect Obstructive Sleep Apnea Severity Classification and Association With Cardiovascular Disease.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    Observational
  4. Review
  5. Observational
  6. Observational
  7. On the importance of polysomnography after stroke.Sleep & breathing = Schlaf & Atmung · 2017
    Article
  8. The Association between Nocturnal Cardiac Arrhythmias and Sleep-Disordered Breathing: The DREAM Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Brian B KooDepartment of Neurology, Yale University, New Haven, CT, USA.
Christine WonDepartment of Pulmonary, Critical Care, and Sleep Medicine, Yale University, New Haven, CT, USA.
Bernardo J SelimDepartment of Pulmonary, Critical Care, and Sleep Medicine, Mayo Clinic, Rochester, MN, USA.
Li QinDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
Sangchoon JeonDivision of Acute Care/Health Systems, Yale School of Nursing, New Haven, CT, USA.
Nancy S RedekerDivision of Acute Care/Health Systems, Yale School of Nursing, New Haven, CT, USA.
Dawn M BravataDepartment of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.
Kingman P StrohlDepartment of Pulmonary, Critical Care, and Sleep Medicine, Case Western Reserve University, Cleveland, OH, USA.
John ConcatoDepartment of Internal Medicine, Yale University, New Haven, CT, USA.
Andrey V ZinchukDepartment of Pulmonary, Critical Care, and Sleep Medicine, Yale University, New Haven, CT, USA.
Henry K YaggiDepartment of Pulmonary, Critical Care, and Sleep Medicine, Yale University, New Haven, CT, USA. henry.yaggi@yale.edu.
Yale University · USVA Connecticut Healthcare System · USYale New Haven Health System · USIndiana University School of MedicineLouis Stokes Cleveland VA Medical Center · USMayo Clinic · US

Funding

Yale Center for Sleep Disturbance in Acute and Chronic ConditionsP20NR014126 · NINR · YALE UNIVERSITY · PI REDEKER, NANCY S, YAGGI, HENRY KLAR · 2012 to 2016
$1.4M
6 · The paper itself

Abstract

purposeThe goal of the Determining Risk of Vascular Events by Apnea Monitoring (DREAM) study is to develop a prognostic model for cardiovascular outcomes, based on physiologic variables-related to breathing, sleep architecture, and oxygenation-measured during polysomnography in US veterans.

methodsThe DREAM study is a multi-site, retrospective observational cohort study conducted at three Veterans Affairs (VA) centers (West Haven, CT; Indianapolis, IN; Cleveland, OH). Veterans undergoing polysomnography between January 1, 2000 and December 31, 2004 were included based on referral for evaluation of sleep-disordered breathing, documented history and physical prior to sleep testing, and ≥2-h sleep monitoring. Demographic, anthropomorphic, medical, medication, and social history factors were recorded. Measures to determine sleep apnea, sleep architecture, and oxygenation were recorded from polysomnography. VA Patient Treatment File, VA-Medicare Data, Vista Computerized Patient Record System, and VA Vital Status File were reviewed on dates subsequent to polysomnography, ranging from 0.06 to 8.8 years (5.5 ± 1.3 years; mean ± SD).

resultsThe study population includes 1840 predominantly male, middle-aged veterans. As designed, the main primary outcome is the composite endpoint of acute coronary syndrome, stroke, transient ischemic attack, or death. Secondary outcomes include incidents of neoplasm, congestive heart failure, cardiac arrhythmia, diabetes, depression, and post-traumatic stress disorder. Laboratory outcomes include measures of glycemic control, cholesterol, and kidney function. (Actual results are pending.)

conclusionsThis manuscript provides the rationale for the inclusion of veterans in a study to determine the association between physiologic sleep measures and cardiovascular outcomes and specifically the development of a corresponding outcome-based prognostic model.

Indexed as

PolysomnographyAcute Coronary SyndromeCause of DeathCohort StudiesHumansIschemic Attack, TransientMaleMiddle AgedRetrospective StudiesRisk AssessmentSleep Apnea, ObstructiveStrokeUnited StatesVeteransCardiovascularEpidemiologyOSASleep apneaVeterans

Identifiers

PMID26642771
OpenAlexW2191141053

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.