Evidence map›Paper›PMID 29187415›Full record

ArticleBMJ open2017

Is insomnia a risk factor for new-onset asthma? A population-based study in Taiwan.

Yu-Chieh Lin, Chih-Cheng Lai, Chih-Chiang Chien, Chin-Ming Chen, Shyh-Ren Chiang, Chung-Han Ho, Shih-Feng Weng, Kuo-Chen Cheng

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
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

8 authors at 3 institutions in 1 country.

Yu-Chieh LinDepartment of Family Medicine, Jiannren Hospital, Kaohsiung, Taiwan.
Chih-Cheng LaiDepartment of Intensive Care Medicine, Chi Mei Medical Center, Liouying, Taiwan.
Chih-Chiang ChienDepartment of Internal Medicine, Chi Mei Medical Center, Yung Kang, Tainan, Taiwan.
Chin-Ming ChenDepartment of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Shyh-Ren ChiangDepartment of Internal Medicine, Chi Mei Medical Center, Yung Kang, Tainan, Taiwan.
Chung-Han HoDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan.
Shih-Feng WengDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kuo-Chen ChengDepartment of Internal Medicine, Chi Mei Medical Center, Yung Kang, Tainan, Taiwan.
Chi Mei Medical Center · TWChia Nan University of Pharmacy and Science · TWMinistry of Health and Welfare · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether insomnia at baseline is a risk factor for new-onset asthma.

methodsWe recruited 48 871 patients with insomnia (insomnia group) newly diagnosed between 2002 and 2007, and 97 742 matched controls without insomnia (control group) from Taiwan's Longitudinal Health Insurance Database 2000. All of the patients were followed up for 4 years to see whether new-onset asthma developed. Patients with previous asthma or insomnia were excluded. The Poisson regression was used to estimate the incidence rate ratios (IRRs) and 95% CIs of asthma. Cox proportional hazard regression was used to calculate the risk of asthma between the two groups.

resultsAfter a 4-year follow-up, 424 patients in the insomnia group and 409 in the control group developed asthma. The incidence rate of asthma was significantly higher in the insomnia group (22.01vs10.57 per 10 000 person-years). Patients with insomnia have a higher risk of developing new-onset asthma during the 4-year follow-up (HR: 2.08, 95% CI 1.82 to 2.39). The difference remained significant after adjustment (adjusted HR: 1.89, 95% CI 1.64 to 2.17).

conclusionsThis large population-based study suggests that insomnia at baseline is a risk factor for developing asthma.

Indexed as

AdultAgedAge DistributionAsthmaCase-Control StudiesComorbidityFemaleHumansIncidenceMaleMiddle AgedPoisson DistributionProportional Hazards ModelsProspective StudiesRisk FactorsSex Distributionasthmacomorbidinsomniamedical disordersrisk

Identifiers

PMID29187415
PMCPMC5719310
OpenAlexW2768170404

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.