Evidence map›Paper›PMID 27597768›Full record

ArticlePhysiological reports2016

Respiratory rate variability in sleeping adults without obstructive sleep apnea.

Guillermo Gutierrez, Jeffrey Williams, Ghadah A Alrehaili, Anna McLean, Ramin Pirouz, Richard Amdur, Vivek Jain, Jalil Ahari, Amandeep Bawa, Shawn Kimbro

Open access · goldAbstract read
In one paragraph

Article in Physiological reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
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  15. Combining a wireless radar sleep monitoring device with deep machine learning techniques to assess obstructive sleep apnea severity.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  18. [A wearable six-minute walk-based system to predict postoperative pulmonary complications after cardiac valve surgery: an exploratory study].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
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  19. Repeated seizures lead to progressive ventilatory dysfunction in SSJournal of applied physiology (Bethesda, Md. : 1985) · 2023
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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

10 authors at 2 institutions in 1 country.

Guillermo GutierrezPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia ggutierrez@mfa.gwu.edu.
Jeffrey WilliamsPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
Ghadah A AlrehailiPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
Anna McLeanPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
Ramin PirouzPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
Richard AmdurDepartment of Surgery, The George Washington University MFA, Washington, District of Columbia.
Vivek JainPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
Jalil AhariPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
Amandeep BawaPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
Shawn KimbroPulmonary, Critical Care and Sleep Medicine Division, The George Washington University MFA, Washington, District of Columbia.
George Washington University · USGeorge Washington University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Characterizing respiratory rate variability (RRV) in humans during sleep is challenging, since it requires the analysis of respiratory signals over a period of several hours. These signals are easily distorted by movement and volitional inputs. We applied the method of spectral analysis to the nasal pressure transducer signal in 38 adults with no obstructive sleep apnea, defined by an apnea-hypopnea index <5, who underwent all-night polysomnography (PSG). Our aim was to detect and quantitate RRV during the various sleep stages, including wakefulness. The nasal pressure transducer signal was acquired at 100 Hz and consecutive frequency spectra were generated for the length of the PSG with the Fast Fourier Transform. For each spectrum, we computed the amplitude ratio of the first harmonic peak to the zero frequency peak (H1/DC), and defined as RRV as (100 - H1/DC) %. RRV was greater during wakefulness compared to any sleep stage, including rapid-eye-movement. Furthermore, RRV correlated with the depth of sleep, being lowest during N3. Patients spent most their sleep time supine, but we found no correlation between RRV and body position. There was a correlation between respiratory rate and sleep stage, being greater in wakefulness than in any sleep stage. We conclude that RRV varies according to sleep stage. Moreover, spectral analysis of nasal pressure signal appears to provide a valid measure of RRV during sleep. It remains to be seen if the method can differentiate normal from pathological sleep patterns.

Indexed as

Sleep Apnea, ObstructiveAdultFemaleFourier AnalysisHumansMaleMiddle AgedMovementNosePolysomnographyPosturePressureRespiratory RateRetrospective StudiesSleepSleep, REMMonitoringobstructive sleep apnearespiratory rate variabilityspectral analysis

Identifiers

PMID27597768
PMCPMC5027356
OpenAlexW2518610154

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.