Evidence map›Paper›PMID 30135591›Full record

ArticlePediatric research2019

The association of nocturnal hypoxia and an echocardiographic measure of pulmonary hypertension in children with sickle cell disease.

Pritish Mondal, Bryan Stefek, Ankita Sinharoy, Binu-John Sankoorikal, Mutasim Abu-Hasan, Vincent Aluquin

Open access · bronzeAbstract read
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In one paragraph

Article in Pediatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. The Cardiopulmonary Complications of Sickle Cell Disease.Hematology/oncology clinics of North America · 2022
    Review
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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

6 authors at 3 institutions in 1 country.

Pritish MondalDivision of Pediatric Pulmonology and Sleep Medicine, Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA. pmondal@pennstatehealth.psu.edu.
Bryan StefekDivision of Pediatric Cardiology, Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA.
Ankita SinharoyDepartment of Public Health, Penn State College of Medicine, Hershey, PA, USA.
Binu-John SankoorikalDivision of Pediatric Pulmonology and Sleep Medicine, Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA.
Mutasim Abu-HasanDivision of Pediatric Pulmonology, Department of Pediatrics, University of Florida, Gainesville, FL, USA.
Vincent AluquinDivision of Pediatric Cardiology, Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary hypertension (PH) is multifactorial in origin and may develop early in children with sickle cell disease (C-SCD). Potential etiologies are hemolysis-induced endothelial dysfunction, left ventricular (LV) dysfunction, and chronic hypoxia. Nocturnal hypoxia (NH) in C-SCD is known to be a sequela of obstructive sleep apnea (OSA). The primary objective of this study is to correlate polysomnographic evidence NH with echocardiographic measures of PH in C-SCD.

methodsWe performed a retrospective chart review of 20 C-SCD (Hemoglobin SS), who had polysomnography and echocardiogram performed within a narrow time interval, and 31% of them had pre-existing cardiac conditions. Tricuspid regurgitant jet velocity (TRJV) ≥ 2.5 m/s was considered as an indicator of PH.

resultsTwenty-five percent of the subjects had NH. Forty percent of C-SCD, predominantly male, had evidence of PH based on an elevated TRJV. Children with NH compared to non-NH had significantly worse baseline hypoxemia (p < 0.001), higher TRJV (p = 0.005), and higher LV end-diastolic diameters (p = 0.009). The severity of NH was influenced by OSA. However, PH was not associated with OSA or duration of hydroxyurea therapy.

conclusionOur study indicates that NH is associated with PH in C-SCD, and that screening for NH may help to identify C-SCD with higher morbidity risk.

Indexed as

AdolescentAnemia, Sickle CellChildChild, PreschoolElectrocardiographyFemaleHumansHypertension, PulmonaryHypoxiaMalePolysomnographyRetrospective StudiesSleep Apnea, Obstructive

Identifiers

PMID30135591
OpenAlexW2884928433

What OpenQuestion holds

Textmetadata
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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.