Evidence map›Paper›PMID 30820850›Full record

ArticleSleep & breathing = Schlaf & Atmung2019

Short- and long-term continuous positive airway pressure usage in the post-stroke population with obstructive sleep apnea.

Tetyana Kendzerska, Kelly Wilton, Russell Bahar, Clodagh M Ryan

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04399200 (Sleep Apnea Syndrome and Incidence of Major Adverse Cardiac and Cerebrovascular Events), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT04399200 recruitingnot on this mapstarted 2020, after this paper: background citation

Sleep Apnea Syndrome and Incidence of Major Adverse Cardiac and Cerebrovascular Events (MACCEs) After a First Stroke

TypeobservationalSponsorUniversity Hospital, GrenobleRan2020 to 2035Enrolled1,620ConditionsStroke, Sleep-disordered Breathing, Sleep Apnea Syndromes, Sleep Apnea, ObstructiveArmsTreatment according to standard care recommandation
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Predictors for short-term and long-term automatic PAP compliance.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  4. Article
  5. 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

4 authors.

Tetyana KendzerskaDepartment of Medicine, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Kelly WiltonDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Russell BaharDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Clodagh M RyanDepartment of Medicine, University of Toronto, Toronto, ON, Canada. Clodagh.ryan@uhn.ca.ORCID http://orcid.org/0000-0002-2372-965X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) is highly prevalent in post-stroke patients and observational evidence suggests that untreated it is a harbinger of poorer outcomes in this population. Clinical trials on the impact of treatment of OSA with continuous positive airway pressure (CPAP) have countered difficulties with patient engagement and adherence to CPAP therapy. Real-world data on continuous positive airway pressure initiation and usage in the post-stroke population with obstructive sleep apnea is limited.

methodsWe performed a clinical retrospective study between January 2006 and June 2015 to describe the short- and long-term CPAP usage in the post-stroke population with OSA, and to assess which patient, disease, and treatment-related factors were associated with CPAP purchase, initiation, and usage in this population.

resultsOf 191 post-stroke patients' recommended CPAP therapy, post-prescription usage at 3, 6, 12, 24, and 60 months was 58%, 53%, 48%, 45%, and 39% respectively. OSA severity-related factors, such as AHI or degree of nocturnal hypoxemia, were not significantly associated with CPAP usage. Predictors of CPAP usage at all time points were younger age, male sex, never smokers, and no history of hypertension. There were some differences in predictors of CPAP usage between early and later time periods.

conclusionsWe demonstrated that the long-term usage of CPAP therapy is possible with most of the attrition occurring in the first 3 months. Upfront healthcare resource allocation to CPAP initiation and usage in this population may improve longer-term usage.

Indexed as

Continuous Positive Airway PressureLong-Term CarePatient ComplianceStroke RehabilitationAgedFemaleHumansMaleMiddle AgedRetrospective StudiesStrokeAdherenceContinuous positive airway pressureObstructive sleep apneaStrokeUsage

Identifiers

PMID30820850

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Registered trials

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