Evidence map›Paper›PMID 32164495›Full record

ArticleJournal of the American Heart Association2020

Association Between Risk of Obstructive Sleep Apnea and Cerebrovascular Reactivity in Stroke Patients.

Renan C Castello-Branco, Thiago Cerqueira-Silva, Alisson L Andrade, Beatriz M M Gonçalves, Camila B Pereira, Iuri F Felix, Leila S B Santos, Louise M Porto, Maria E L Marques, Marilia B Catto and 6 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

16 authors.

Renan C Castello-BrancoStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Thiago Cerqueira-SilvaStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Alisson L AndradeStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Beatriz M M GonçalvesStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Camila B PereiraStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Iuri F FelixStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Leila S B SantosStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Louise M PortoStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Maria E L MarquesStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Marilia B CattoStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Murilo A OliveiraStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Paulo R S P de SousaStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Pedro J R MuiñosStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Renata M MaiaStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Saul SchnitmanStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.
Jamary Oliveira-FilhoStroke Clinic, Hospital Professor Edgard Santos Federal University of Bahia Salvador Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Obstructive sleep apnea (OSA) is present in 60% to 70% of stroke patients. Cerebral vasoreactivity in patients with stroke and OSA has not been well studied and could identify a new pathophysiologic mechanism with potential therapeutic intervention. We aimed to determine whether risk categories for OSA are associated with cerebral vasoreactivity in stroke patients. Methods and Results In this cross-sectional study of a cohort of patients with stroke, we used clinical questionnaires (Sleep Obstructive Apnea Score Optimized for Stroke [SOS] and snoring, tiredness, observed, pressure, bmi, age, neck, gender [STOP-BANG] scores) to assess the risk of OSA and transcranial Doppler to assess cerebral vasoreactivity (breath-holding index and visual evoked flow velocity response). Of the 99 patients included, 77 (78%) had medium or high risk of OSA and 80 performed transcranial Doppler. Mean breath-holding index was 0.52±0.37, and median visual evoked flow velocity response was 10.8% (interquartile range: 8.8-14.5); 54 of 78 (69%) showed impaired anterior circulation vasoreactivity (breath-holding index <0.69) and 53 of 71 (75%) showed impaired posterior circulation vasoreactivity (visual evoked flow velocity response ≤14.0%). There was a significant negative correlation between the risk of OSA calculated by STOP-BANG and the breath-holding index (

Indexed as

Cerebrovascular CirculationAdultAgedBlood Flow VelocityCross-Sectional StudiesDyslipidemiasFemaleHumansMaleMiddle AgedPrognosisRisk AssessmentRisk FactorsSleep Apnea, ObstructiveStrokeUltrasonography, Doppler, Transcranialcerebral vasoreactivityobstructive sleep apneastroketranscranial Dopplerultrasonography

Identifiers

PMID32164495
PMCPMC7335520

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.