Evidence map›Paper›PMID 30217579›Full record

ArticleAmerican journal of obstetrics and gynecology2018

Screening extremely obese pregnant women for obstructive sleep apnea.

Jennifer E Dominguez, Chad A Grotegut, Mary Cooter, Andrew D Krystal, Ashraf S Habib

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Obstructive sleep apnea in pregnant women.International anesthesiology clinics · 2022
    Article
  12. High prevalence of obstructive sleep apnea in pregnant women with class III obesity: a prospective cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  13. Obstructive sleep apnea in pregnancy: 1 sleep study may not be enough in high-risk women.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  14. The Berlin Questionnaire in pregnancy predominantly identifies obesity.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  15. Article
  16. Obstructive Sleep Apnea in Pregnancy: Early Lessons From Our Sleep Pregnancy Clinic.WMJ : official publication of the State Medical Society of Wisconsin · 2021
    Article
  17. Article
  18. Obesity And Obstetric Anesthesia: Current Insights.Local and regional anesthesia · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jennifer E DominguezDepartment of Anesthesiology, Duke University Medical Center, Durham, NC. Electronic address: Jennifer.dominguez@dm.duke.edu.
Chad A GrotegutDepartment of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC.
Mary CooterDepartment of Anesthesiology, Duke University Medical Center, Durham, NC.
Andrew D KrystalDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC; Department of Psychiatry, University of California, San Francisco, San Francisco, CA.
Ashraf S HabibDepartment of Anesthesiology, Duke University Medical Center, Durham, NC.
Duke Medical Center · USDuke University · US

Funding

INTEGRATED TRAINING IN ANESTHESIOLOGY RESEARCHT32GM008600 · NIGMS · DUKE UNIVERSITY · PI Miriam Treggiari · 1996 to 2026
$6.6M
NIGMS NIH HHS T32 GM008600
6 · The paper itself

Abstract

backgroundObesity is prevalent among pregnant women in the United States; obstructive sleep apnea is highly comorbid with obesity and is associated with adverse pregnancy outcomes. Screening for obstructive sleep apnea in pregnant women has remained a challenge because of a lack of validated screening tools.

objectiveThe purpose of this study was to evaluate established obstructive sleep apnea screening tools, a sleepiness scale, and individual component items in a cohort of pregnant women with extreme obesity in mid pregnancy with the use of objective testing to determine obstructive sleep apnea status and to describe the prevalence of obstructive sleep apnea among women with extreme obesity. STUDY

designAdult pregnant subjects, between 24 and 35 weeks gestation, with a body mass index ≥40 kg/m

resultsTwenty-four percent of pregnant women with extreme obesity had obstructive sleep apnea on home sleep apnea testing in mid pregnancy (Apnea-Hypopnea Index, ≥5 events per hour]. Established obstructive sleep apnea screening tools performed very poorly to screen for obstructive sleep apnea in this cohort. Age, body mass index, neck circumference, frequently witnessed apneas, and highly likely to fall asleep while driving were associated most strongly with obstructive sleep apnea status in this cohort.

conclusionWe found that 24% of pregnant women with body mass index ≥40 kg/m

Indexed as

Obesity, MorbidPrenatal DiagnosisAdultBody Mass IndexCohort StudiesFemaleGestational AgeHumansNorth CarolinaPolysomnographyPregnancyPregnancy ComplicationsPregnancy OutcomePrevalenceSleep Apnea, ObstructiveApnea-Hypopnea IndexBerlin QuestionnaireEpworth Sleepiness Scalehome sleep apnea testobesitySTOP-BANG

Identifiers

PMID30217579
PMCPMC6733412
OpenAlexW2891197139

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.