Evidence map›Paper›PMID 31527545›Full record

ReviewJournal of clinical medicine2019

Τhe Co-Existence of Obstructive Sleep Apnea and Bronchial Asthma: Revelation of a New Asthma Phenotype?

Angeliki Damianaki, Emmanouil Vagiakis, Ioanna Sigala, Athanasia Pataka, Nikoletta Rovina, Athina Vlachou, Vasiliki Krietsepi, Spyros Zakynthinos, Paraskevi Katsaounou

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. [Survey on sleep status and OSA-18 questionnaire among preschool children in Zhongshan City].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. The prevalence of obstructive sleep apnea in Japanese asthma patients.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  10. Article
  11. Review
  12. The Association between Asthma and OSA in Children.Children (Basel, Switzerland) · 2022
    Article
  13. Article
  14. Brazilian Thoracic Association Consensus on Sleep-disordered Breathing.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. 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

9 authors at 5 institutions in 1 country.

Angeliki DamianakiPulmonary Department "Saint George" General Hospital of Chania, 73300 Crete, Greece.
Emmanouil VagiakisSleep Lab, First ICU Clinic Evangelismos Hospital, 10676 Athens, Greece.
Ioanna SigalaSleep Lab, First ICU Clinic Evangelismos Hospital, 10676 Athens, Greece.
Athanasia PatakaRespiratory Failure Unit, G. Papanikolaou Hospital, Exohi, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.
Nikoletta RovinaICU, First Department of Pulmonary Medicine, Sotiria Hospital, 115 27 Athens, Greece.
Athina VlachouFirst ICU Clinic, National and Kapodistrian University of Athens, 10561 Athens, Greece.
Vasiliki KrietsepiPulmonary Department "Saint George" General Hospital of Chania, 73300 Crete, Greece.
Spyros ZakynthinosFirst ICU Clinic, National and Kapodistrian University of Athens, 10561 Athens, Greece.
Paraskevi KatsaounouFirst ICU Clinic, National and Kapodistrian University of Athens, 10561 Athens, Greece. paraskevikatsaounou@gmail.com.
National and Kapodistrian University of Athens · GREvangelismos Hospital · GRAristotle University of Thessaloniki · GRChania General Hospital ”St. George” · GRSotiria General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bronchial asthma (BA) and obstructive sleep apnea (OSA) are common respiratory obstructive diseases that may coexist. It would be interesting to study the possible influence of that coexistence on both diseases. Until now, reviews focused mainly on epidemiology. The aim of this study was to review the literature in relation to epidemiology, pathophysiology, consequences, screening of patients, and treatment of the coexistence of OSA and BA. We pooled studies from the PubMed database from 1986 to 2019. OSA prevalence in asthmatics was found to be high, ranging from19% to 60% in non-severe BA, reaching up to 95% in severe asthma. Prevalence was correlated with the duration and severity of BA, and increased dosage of steroids taken orally or by inhalation. This high prevalence of the coexistence of OSA and BA diseases could not be a result of just chance. It seems that this coexistence is based on the pathophysiology of the diseases. In most studies, OSA seems to deteriorate asthma outcomes, and mainly exacerbates them. CPAP (continuous positive airway pressure) treatment is likely to improve symptoms, the control of the disease, and the quality of life in asthmatics with OSA. However, almost all studies are observational, involving a small number of patients with a short period of follow up. Although treatment guidelines cannot be released, we could recommend periodic screening of asthmatics for OSA for the optimal treatment of both the diseases.

Indexed as

alternative overlap syndromebronchial asthmaObstructive sleep apnea

Identifiers

PMID31527545
PMCPMC6780801
OpenAlexW2974766590

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.