Evidence map›Paper›PMID 29958890›Full record

ArticleClinica chimica acta; international journal of clinical chemistry2018

Snoring and markers of fetal and placental wellbeing.

Myriam Salameh, Jennifer Lee, Glenn Palomaki, Elizabeth Eklund, Patrizia Curran, Jose Antonio Rojas Suarez, Geralyn Lambert-Messerlian, Ghada Bourjeily

Open access · greenAbstract read
In one paragraph

Article in Clinica chimica acta; international journal of clinical chemistry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Sleep-disordered breathing in pregnancy: a developmental origin of offspring obesity?Journal of developmental origins of health and disease · 2021
    Review
  5. Review
  6. Sex differences in obstructive sleep apnoea.European respiratory review : an official journal of the European Respiratory Society · 2019
    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 4 institutions in 2 countries.

Myriam SalamehThe Miriam Hospital, Department of Medicine, United States.
Jennifer LeeWarren Alpert Medical School at Brown University, United States.
Glenn PalomakiWarren Alpert Medical School at Brown University, United States; Department of Pathology and Laboratory Medicine, Women and Infants Hospital, United States.
Elizabeth EklundDepartment of Pathology and Laboratory Medicine, Women and Infants Hospital, United States.
Patrizia CurranThe Miriam Hospital, Department of Medicine, United States.
Jose Antonio Rojas SuarezThe University of Cartagena, Colombia.
Geralyn Lambert-MesserlianWarren Alpert Medical School at Brown University, United States; Department of Pathology and Laboratory Medicine, Women and Infants Hospital, United States.
Ghada BourjeilyThe Miriam Hospital, Department of Medicine, United States; Warren Alpert Medical School at Brown University, United States. Electronic address: ghada_bourjeily@brown.edu.
Brown University · USMiriam Hospital · USUniversity of Cartagena · COWomen & Infants Hospital of Rhode Island · US

Funding

Placental role in mediating adverse outcomes in obstructive sleep apneaR01HD078515 · NICHD · MIRIAM HOSPITAL · PI BOURJEILY, GHADA · 2014 to 2018
$2.7M
Predictors of de novo development of obstructive sleep apnea in pregnancyR01HL130702 · NHLBI · MIRIAM HOSPITAL · PI BOURJEILY, GHADA · 2016 to 2020
$2.6M
Warren Alpert Medical School Basic Translational ResearchT35HL094308 · NHLBI · BROWN UNIVERSITY · PI Thomas Benedict Bartnikas, Brittany Star Hampton · 2009 to 2026
$808k
NHLBI NIH HHS R01 HL130702NHLBI NIH HHS T35 HL094308NICHD NIH HHS R01 HD078515
6 · The paper itself

Abstract

introductionSnoring, the symptom of partial airway obstruction during sleep, is a common complaint during pregnancy and is associated with adverse perinatal outcomes. Mechanisms underlying this association have not been studied. We investigated the relationship between snoring in pregnancy and maternal serum markers of feto-placental wellbeing.

methodsWe conducted a secondary analysis of a cross sectional study designed to investigate perinatal outcomes of sleep-disordered breathing. Women admitted for delivery were systematically selected and answered a questionnaire about snoring using the Multivariable Apnea Prediction Index. Participants who had screening markers measured were included and divided into snorers and non -snorers. Markers measured included first and second trimester Down syndrome screening markers, reported as multiples of the median (MoM). An additional analysis was performed with snorers categorized as acute or chronic snorers based on duration of snoring in relation to pregnancy.

resultsWhile significant differences were noted in co-morbid maternal medical conditions between snorers and non-snorers, there were no significant differences in the neonatal outcomes assessed between the two groups. No significant differences were noted in any of the first trimester (PAPP-A) or second trimester (AFP, uE3, hCG, inhibin-A) markers between snorers and non-snorers, p > 0.25. In addition, no significant differences in marker levels were noted between acute and chronic snorers.

conclusionSnoring is not associated with alterations in the markers of fetal or placental wellbeing tested here and suggests that there are alternative mechanisms underlying the association between snoring and adverse perinatal outcomes.

Indexed as

Fetal MonitoringAdultBiomarkersCross-Sectional StudiesFemaleFetusHumansPlacentaPregnancySnoringBiomarkersFetoplacental markersPregnancySleep disordered breathingSnoring

Identifiers

PMID29958890
PMCPMC6113085
OpenAlexW2810798878

What OpenQuestion holds

Textmetadata
LicenceTDM
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.