Evidence map›Paper›PMID 29970768›Full record

ArticleLung India : official organ of Indian Chest Society

Obstructive Sleep Apnea in a rural population in South India: Feasibility of health care workers to administer level III sleep study.

Ashna M Pinto, Uma Devaraj, Priya Ramachandran, Bobby Joseph, George A D'Souza

Open access · diamondAbstract read
In one paragraph

Article in Lung India : official organ of Indian Chest Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Underlining the Need for Sleep Medicine and Surgery as a Separate Postgraduate Branch.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  4. Article
  5. Nontubercular mycobacterial cough.BMJ case reports · 2022
    Article
  6. Status of the practice of sleep medicine in India during the COVID-19 pandemic.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    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

5 authors at 1 institution in 1 country.

Ashna M PintoDepartment of Pulmonary and Sleep Medicine, St. John's Medical College, Bengaluru, Karnataka, India.
Uma DevarajDepartment of Pulmonary and Sleep Medicine, St. John's Medical College, Bengaluru, Karnataka, India.
Priya RamachandranDepartment of Pulmonary and Sleep Medicine, St. John's Medical College, Bengaluru, Karnataka, India.
Bobby JosephDepartment of Community Medicine, St. John's Medical College, Bengaluru, Karnataka, India.
George A D'SouzaDepartment of Pulmonary and Sleep Medicine, St. John's Medical College, Bengaluru, Karnataka, India.
St.John's Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the occurrence of obstructive sleep apnea (OSA) and its risk factors in a rural Indian population using screening questionnaire and Level III sleep study. To determine the feasibility to train community health workers to administer Level III sleep study in the high-risk population. MATERIALS AND

methodsThe study was conducted from seven villages with adult population of 2247, in Mugalur, near Bengaluru, from January to April 2014. Berlin questionnaire was used to screen 321 participants chosen by stratified random sampling. A total of 26 out of 321 patients underwent Level III sleep study at home, administered by the health workers, who were trained in three sessions to hook up the machine. Data were verified by a certified sleep physician.

resultsThe mean age was 39.43 ± 15.6 years with the M:F ratio of 0.98:1. Prevalence of risk of OSA by Berlin questionnaire was 8.72% (95% confidence interval [CI] 5.63, 11.81) in the total population, 7.4% in males and 11.7% in females. Older age (odds ratio [OR] 3.97; CI 1.63, 9.6), hypertension (OR 11; CI 4.3, 28.2), obesity (OR 2.35; CI 1, 5.5), and higher Mallampati score (OR 3.78; CI 1.7, 8.4) were significantly associated with high risk of OSA (P = 0.0001-0.04). Twenty-six patients underwent Level III sleep study and OSA was diagnosed in 12 patients. The mean apnea-hypopnea index (AHI) of this group was 9.7/h. The prevalence of OSA by AHI criteria was 3.74%.

conclusionsOSA is underdiagnosed in rural populations, although risk factors are present. Training community health workers to administer Level III sleep study is a feasible and cost-effective strategy.

Indexed as

Berlin questionnairecommunity health workersobstructive sleep apnearural

Identifiers

PMID29970768
PMCPMC6034385
OpenAlexW2810185842

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.