Evidence map›Paper›PMID 27166233›Full record

Trial reportSleep2016

Effects of Zolpidem CR on Sleep and Nocturnal Ventilation in Patients with Heart Failure.

Rodrigo C Gatti, Patrick R Burke, Leonardo J Otuyama, Dirceu R Almeida, Sergio Tufik, Dalva Poyares

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Sleep Disturbances in Patients With Coronary Heart Disease: A Systematic Review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Pooled it
  2. Article
  3. Review
  4. Sleep Quality in Patients with Heart Failure in the Spanish Population: A Cross-Sectional Study.International journal of environmental research and public health · 2020
    Article
  5. 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

6 authors.

Rodrigo C GattiDepartment of Psychobiology, Sleep Division, Universidade Federal de Sao Paulo, Brazil.
Patrick R BurkeDepartment of Psychobiology, Sleep Division, Universidade Federal de Sao Paulo, Brazil.
Leonardo J OtuyamaDepartment of Psychobiology, Sleep Division, Universidade Federal de Sao Paulo, Brazil.
Dirceu R AlmeidaDepartment of Medicine, Cardiology Division, Universidade Federal de Sao Paulo, Brazil.
Sergio TufikDepartment of Psychobiology, Sleep Division, Universidade Federal de Sao Paulo, Brazil.
Dalva PoyaresDepartment of Psychobiology, Sleep Division, Universidade Federal de Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveThis study aimed to evaluate the effects of zolpidem CR (controlled release) on sleep and nocturnal ventilation in patients with congestive heart failure, a population at risk for insomnia and poor sleep quality.

methodsFifteen patients with heart failure (ischemic cardiomyopathy) and ejection fraction ≤ 45% in NYHA functional class I or II were evaluated with full polysomnography in a placebo-controlled, double-blind, randomized trial. Patients underwent three tests: (1) baseline polysomnography and, after randomization, (2) a new test with zolpidem CR 12.5 mg or placebo, and after 1 week, (3) a new polysomnography, crossing the "medication" used.

resultsA 16% increase in total sleep time was found with the use of zolpidem CR and an increase in stage 3 NREM sleep (slow wave sleep). The apnea hypopnea index (AHI) did not change with zolpidem CR even after controlling for supine position; however, a slight but significant decrease was observed in lowest oxygen saturation compared with baseline and placebo conditions (83.60 ± 5.51; 84.43 ± 3.80; 80.71 ± 5.18, P = 0.002).

conclusionZolpidem CR improved sleep structure in patients with heart failure, did not change apnea hypopnea index, but slightly decreased lowest oxygen saturation.

Indexed as

Double-Blind MethodFemaleHeart FailureHumansHypnotics and SedativesMaleMiddle AgedPolysomnographyPyridinesRespirationSleepSleep Initiation and Maintenance DisordersSupine PositionTime FactorsZolpidemHypnotics and SedativesPyridinesZolpidemheart failurepolysomnographysleepzolpidem CR

Identifiers

PMID27166233
PMCPMC4945308

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.