Evidence map›Paper›PMID 30928116›Full record

ArticleSleep health2019

Effect of positive airway pressure therapy in children with obstructive sleep apnea syndrome: does positive airway pressure use reduce pedestrian injury risk?

Kristin T Avis, Karen L Gamble, David C Schwebel

Abstract read
In one paragraph

Article in Sleep health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

3 authors.

Kristin T AvisUniversity of Alabama at Birmingham, Department of Pediatrics, Birmingham, AL.
Karen L GambleUniversity of Alabama at Birmingham, Department of Psychiatry, Birmingham, AL.
David C SchwebelUniversity of Alabama at Birmingham, Department of Psychology, Birmingham, AL. Electronic address: schwebel@uab.edu.

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
Using Virtual Reality to Train Children in Pedestrian SafetyR01HD058573 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SCHWEBEL, DAVID C · 2009 to 2012
$1.3M
NICHD NIH HHS R01 HD058573NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

introductionTreatment with positive airway pressure (PAP) therapy reduces injury risk among adults with obstructive sleep apnea syndrome (OSAS), but the effect of PAP therapy on children's injury risk is unknown. This study investigated whether treatment of OSAS with PAP reduces children's pedestrian injury risk in a virtual reality pedestrian environment.

methodsForty-two children ages 8-16 years with OSAS were enrolled upon diagnosis by polysomnography. Children crossed a simulated street several times upon enrollment, prior to PAP treatment, and again after 3 months of PAP therapy. Children underwent sleep studies at all time points.

resultsChildren adherent with PAP had a significant reduction in hits by a virtual vehicle (P < .01) and less time to contact with oncoming vehicles (P < .01) following treatment. Those who were nonadherent did not show improved safety. There was no change in attention to oncoming traffic.

conclusionsOSAS may have significant consequences on children's daytime functioning in a critical domain of personal safety: pedestrian skills. In pedestrian simulation, children with OSAS adherent to PAP therapy showed improvement in pedestrian safety and had fewer collisions with a virtual vehicle following treatment. Results highlight need for heightened awareness of the real-world benefits of treatment for pediatric sleep disorders. LEVEL OF EVIDENCE: Level II Therapeutic Study.

Indexed as

Positive-Pressure RespirationAccidents, TrafficAdolescentChildFemaleHumansMalePedestriansRisk AssessmentSleep Apnea, ObstructiveTreatment OutcomeWounds and InjuriesChildrenInjury riskObstructive sleep apnea syndromePAPPedestrian safety

Identifiers

PMID30928116
PMCPMC6443098

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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.