Evidence map›Paper›PMID 28449915›Full record

ArticleSleep medicine2017

High prevalence of poststroke sleep-disordered breathing in Mexican Americans.

Lynda D Lisabeth, Brisa N Sánchez, Ronald D Chervin, Lewis B Morgenstern, Darin B Zahuranec, Susan D Tower, Devin L Brown

Abstract readComparative Study
In one paragraph

Article in Sleep medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Association between sleep-disordered breathing and post-stroke fatigue in patients with ischemic stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Racial and ethnic differences in sleep-disordered breathing and sleep duration among stroke patients.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  10. High prevalence of obstructive sleep apnea syndrome in Spain's Stroke Belt.The Journal of international medical research · 2021
    Article
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  19. Article
  20. Lack of Worsening of Sleep-Disordered Breathing After Recurrent Stroke in the BASIC Project.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    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 4 institutions in 1 country.

Lynda D LisabethDepartment of Epidemiology, University of Michigan School of Public Health, MI, USA; Stroke Program, University of Michigan Health System, MI, USA. Electronic address: llisabet@umich.edu.
Brisa N SánchezDepartment of Biostatistics, University of Michigan School of Public Health, MI, USA.
Ronald D ChervinMichael S Aldrich Sleep Disorders Laboratory, University of Michigan Health System, MI, USA.
Lewis B MorgensternDepartment of Epidemiology, University of Michigan School of Public Health, MI, USA; Stroke Program, University of Michigan Health System, MI, USA.
Darin B ZahuranecStroke Program, University of Michigan Health System, MI, USA.
Susan D TowerLocal Corpus Christi physician, TX, USA.
Devin L BrownStroke Program, University of Michigan Health System, MI, USA.
Michigan Medicine · USUniversity of Michigan–Ann Arbor · USMichigan Department of Health and Human Services · USTexas A&M University – Corpus Christi · US

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
Sleep apnea health disparities in Mexican American stroke patientsR01NS070941 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, LISABETH, LYNDA D · 2011 to 2015
$2.6M
The epidemiology of sleep apnea in a bi-ethnic stroke populationR01HL098065 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, LISABETH, LYNDA D · 2010 to 2013
$1.5M
NHLBI NIH HHS R01 HL098065NINDS NIH HHS R01 NS038916NINDS NIH HHS R01 NS070941
6 · The paper itself

Abstract

objectiveThe purpose of this study is to compare sleep-disordered breathing (SDB) prevalence and severity after stroke between Mexican Americans (MAs) and non-Hispanic whites (NHWs). PATIENTS/

methodsIschemic stroke (IS) patients within ∼30 days of onset were identified from the population-based BASIC Project (2010-2014) and offered screening with an overnight cardiopulmonary monitoring device, ApneaLink Plus™. The number of apneas and hypopneas per hour, as reflected by the apnea/hypopnea index (AHI), was used to measure SDB severity; SDB was defined as AHI ≥10. Ethnicity, demographics, and risk factors were collected from interviews and medical records. Log and negative-binomial regression models were used to determine prevalence ratios (PRs) and apnea/hypopnea event rate ratios (RRs) comparing MAs with NHWs after adjustment for demographics, risk factors, and stroke severity.

resultsA total of 549 IS cases had AHI data. The median age was 65 years (interquartile range (IQR): 57-76), 55% were men, and 65% were MA. The MAs had a higher prevalence of SDB (68.5%) than NHWs (49.5%) in unadjusted (PR = 1.38; 95% confidence interval (CI): 1.14-1.67) and adjusted analyses (PR = 1.21; 95% CI: 1.01-1.46). The median AHI was 16 (IQR: 7-31) in MAs and nine (IQR: 5-24) in NHWs. The severity of SDB (rate of apneas/hypopneas) was higher in MAs than NHWs in unadjusted (RR = 1.31; 95% CI: 1.09-1.58) but not adjusted analysis (RR = 1.14; 95% CI: 0.95-1.38). There was no ethnic difference in severity among subjects with SDB.

conclusionMore than two-thirds of MA stroke patients had SDB, which was almost 40% more common among MAs than NHWs. Physicians treating MA patients after stroke should have a high index of suspicion for SDB, a treatable condition that could otherwise have adverse impact.

Indexed as

PrevalenceAgedBrain IschemiaFemaleHumansMaleMexican AmericansMiddle AgedPolysomnographyRacial GroupsRisk FactorsSeverity of Illness IndexSleep Apnea SyndromesStrokeWhite PeopleEthnicitySleep-disordered breathingStroke

Identifiers

PMID28449915
PMCPMC5412590
OpenAlexW2254811200

What OpenQuestion holds

Textmetadata
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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.