Evidence map›Paper›PMID 28389588›Full record

ArticleNeurology2017

Probable REM sleep behavior disorder and risk of stroke: A prospective study.

Chaoran Ma, Milena Pavlova, Yesong Liu, Ying Liu, Chunmei Huangfu, Shouling Wu, Xiang Gao

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05922995 (A Single Center, Open Label Prospective Observational Pilot Study to Evaluate the Effects of Tasimelteon in Participants With REM Behavior Disorder), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT05922995 early_phase1terminatednot on this mapstarted 2023, after this paper: background citation

A Single Center, Open Label Prospective Observational Pilot Study to Evaluate the Effects of Tasimelteon in Participants With REM Behavior Disorder (RBD)

TypeinterventionalSponsorBrigham and Women's HospitalRan2023 to 2023Enrolled20ConditionsREM Behavior DisorderArmsTasimelteon
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Plasma urate concentrations and possible REM sleep behavior disorder.Annals of clinical and translational neurology · 2019
    Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Sleep-disordered breathing increases mortality in patients with diabetes.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Observational
  8. Article
  9. Prospective Study of Sleep Talking and Risk of Stroke.Journal of the American Heart Association · 2024
    Article
  10. Article
  11. Article
  12. Sleep disorders as both risk factors for, and a consequence of, stroke: A narrative review.International journal of stroke : official journal of the International Stroke Society · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  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

7 authors at 2 institutions in 1 country.

Chaoran MaFrom the Department of Nutritional Sciences (C.M., X.G.), The Pennsylvania State University, University Park; Department of Neurology (M.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Departments of Neurology (Yesong Liu, Ying Liu, C.H.) and Cardiology (S.W.), Kailuan General Hospital, Tangshan, China.
Milena PavlovaFrom the Department of Nutritional Sciences (C.M., X.G.), The Pennsylvania State University, University Park; Department of Neurology (M.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Departments of Neurology (Yesong Liu, Ying Liu, C.H.) and Cardiology (S.W.), Kailuan General Hospital, Tangshan, China.
Yesong LiuFrom the Department of Nutritional Sciences (C.M., X.G.), The Pennsylvania State University, University Park; Department of Neurology (M.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Departments of Neurology (Yesong Liu, Ying Liu, C.H.) and Cardiology (S.W.), Kailuan General Hospital, Tangshan, China.
Ying LiuFrom the Department of Nutritional Sciences (C.M., X.G.), The Pennsylvania State University, University Park; Department of Neurology (M.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Departments of Neurology (Yesong Liu, Ying Liu, C.H.) and Cardiology (S.W.), Kailuan General Hospital, Tangshan, China.
Chunmei HuangfuFrom the Department of Nutritional Sciences (C.M., X.G.), The Pennsylvania State University, University Park; Department of Neurology (M.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Departments of Neurology (Yesong Liu, Ying Liu, C.H.) and Cardiology (S.W.), Kailuan General Hospital, Tangshan, China.
Shouling WuFrom the Department of Nutritional Sciences (C.M., X.G.), The Pennsylvania State University, University Park; Department of Neurology (M.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Departments of Neurology (Yesong Liu, Ying Liu, C.H.) and Cardiology (S.W.), Kailuan General Hospital, Tangshan, China.
Xiang GaoFrom the Department of Nutritional Sciences (C.M., X.G.), The Pennsylvania State University, University Park; Department of Neurology (M.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and Departments of Neurology (Yesong Liu, Ying Liu, C.H.) and Cardiology (S.W.), Kailuan General Hospital, Tangshan, China. xxg14@psu.edu drwusl@163.com.
Brigham and Women's Hospital · USPennsylvania State University · US

Funding

Statins, statin-related gene, and Parkinson's disease riskR21NS087235 · NINDS · PENNSYLVANIA STATE UNIVERSITY, THE · PI GAO, XIANG · 2014 to 2015
$398k
A Prospective Study of Nicotine from Edible Solanaceae and Risk of Parkinson DiseaseR03NS093245 · NINDS · PENNSYLVANIA STATE UNIVERSITY, THE · PI GAO, XIANG · 2016 to 2017
$157k
NINDS NIH HHS R03 NS093245NINDS NIH HHS R21 NS087235
6 · The paper itself

Abstract

objectiveTo examine whether probable REM sleep behavior disorder (pRBD) was associated with increased risk of developing stroke in a community-based cohort.

methodsThe study included 12,003 participants (mean age 54.0 years) of the Kailuan Study, free of stroke, cancer, Parkinson disease, dementia, and head injury at baseline (2012). We determined pRBD using a validated REM sleep behavior disorder (RBD) questionnaire in 2012. Incident stroke cases were confirmed by review of medical records. We used Cox proportional hazards models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of stroke according to pRBD status, adjusting for several sleep measures (i.e., insomnia, daytime sleepiness, sleep duration, snoring, and use of hypnotics) and other potential confounders.

resultsDuring 3 years of follow-up, we documented 159 incident stroke cases. Relative to participants without pRBD at the baseline, those with pRBD had a 157% higher risk (95% CI 59%-313%) of developing stroke. Presence of pRBD was associated with increased risk of both stroke types-the adjusted HR was 1.93 (95% CI 1.07-3.46) for ischemic stroke and 6.61 (95% CI 2.27-19.27) for hemorrhagic stroke.

conclusionsPresence of pRBD was associated with a higher risk of developing stroke, including both ischemic and hemorrhagic types. Future studies with clinically confirmed RBD and a longer follow-up would be appropriate to further investigate this association.

Indexed as

Brain IschemiaCerebral HemorrhageChinaFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedProportional Hazards ModelsProspective StudiesREM Sleep Behavior DisorderRiskSensitivity and SpecificityStrokeSurveys and Questionnaires

Identifiers

PMID28389588
PMCPMC5419983
OpenAlexW2605026641

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.