Evidence map›Paper›PMID 27048175›Full record

Observational studyLung2016

Snoring as a Determinant Factor of Oxidative Stress in the Airway of Patients with Obstructive Sleep Apnea.

Ramon Fernandez Alvarez, Gemma Rubinos Cuadrado, Rebeca Alonso Arias, Juan Alejandro Cascon Hernandez, Begoña Palomo Antequera, Marta Iscar Urrutia, Pere Casan Clara

Open access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Lung, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Review
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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

7 authors at 1 institution in 1 country.

Ramon Fernandez AlvarezServicio de Neumologia, Área de gestión de Pulmón, Hospital Universitario Central de Asturias, C/Joaquin Alonso Bonet nº 6 5º izda, 33206, Oviedo, Gijón, Asturias, Spain. enelllano@gmail.com.
Gemma Rubinos CuadradoServicio de Inmunologia, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Rebeca Alonso AriasServicio de Inmunologia, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Juan Alejandro Cascon HernandezServicio de Neumologia, Área de gestión de Pulmón, Hospital Universitario Central de Asturias, C/Joaquin Alonso Bonet nº 6 5º izda, 33206, Oviedo, Gijón, Asturias, Spain.
Begoña Palomo AntequeraServicio de Neumologia, Área de gestión de Pulmón, Hospital Universitario Central de Asturias, C/Joaquin Alonso Bonet nº 6 5º izda, 33206, Oviedo, Gijón, Asturias, Spain.
Marta Iscar UrrutiaServicio de Neumologia, Área de gestión de Pulmón, Hospital Universitario Central de Asturias, C/Joaquin Alonso Bonet nº 6 5º izda, 33206, Oviedo, Gijón, Asturias, Spain.
Pere Casan ClaraServicio de Neumologia, Área de gestión de Pulmón, Hospital Universitario Central de Asturias, C/Joaquin Alonso Bonet nº 6 5º izda, 33206, Oviedo, Gijón, Asturias, Spain.
Hospital Universitario Central de Asturias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn obstructive sleep apnea-hypopnea syndrome (OSAS), airway collapses and vibrations cause local and systemic inflammatory response and oxidative stress (OS). Our objective was to determine the presence of OS in the airway of patients with OSAS compared with controls without OSAS and determine its relation to treatment with CPAP and other clinical variables.

methodWe performed a prospective observational case-control study with repeated measures. We recruited consecutive patients with SAHS diagnosed using complete polysomnography, and a parallel control group. We collected a sample of exhaled breath condensate (EBC) prior to nasal continuous positive airway pressure (CPAP) treatment and again after 4 months. The marker of OS used was 8-isoprostane (8-IPN). The variables analyzed were age, sex, anthropometric variables, apnea-hypopnea index (AHI), snoring, oxygenation, and polysomnographic variables.

resultsThe study included 20 patients and 10 controls. In cases, the initial value of 8-IPN was 6.8 (1.9), and after nasal CPAP, it was 5.3 (1.2) pg/ml (p = 0.02). In controls, the value of 8-IPN was 5.6 (1.1) pg/ml (p = 0.04 compared to initial values). 8-IPN showed significant correlation with snoring, AHI, BMI, nocturnal desaturation index, and non-REM sleep. On multivariate analysis, only snoring was a significant predictor of 8-IPN.

conclusionsSnoring, and not OSAS severity, could be the phenomenon underlying the presence of local OS measured in the airway of patients with OSAS.

Indexed as

Oxidative StressAdultAgedBody Mass IndexBreath TestsCase-Control StudiesContinuous Positive Airway PressureDinoprostFemaleHumansMaleMiddle AgedOxygenProspective StudiesSeverity of Illness IndexSleep Apnea, Obstructive8-epi-prostaglandin F2alphaDinoprostOxygenCPAPOxidative stressSleep apneaSleep apnea–hypopnea syndromeSnoring

Identifiers

PMID27048175
OpenAlexW2319369672

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.