Evidence map›Paper›PMID 32215832›Full record

ArticleSleep & breathing = Schlaf & Atmung2021

Polysomnographic risk factors for vigilance-related cognitive decline and obstructive sleep apnea.

Karen McCloy, Brett Duce, Vinayak Swarnkar, Craig Hukins, Udantha Abeyratne

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Effects of Obstructive Sleep Apnea and CPAP on Cognitive Function.Current neurology and neuroscience reports · 2021
    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

5 authors at 2 institutions in 1 country.

Karen McCloyDepartment of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia. k.mccloy@uqconnect.edu.au.
Brett DuceDepartment of Respiratory and Sleep Medicine, Princess Alexandra Hospital, Brisbane, Australia.
Vinayak SwarnkarDepartment of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia.
Craig HukinsDepartment of Respiratory and Sleep Medicine, Princess Alexandra Hospital, Brisbane, Australia.
Udantha AbeyratneDepartment of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia.
Queensland University of Technology · AUPrincess Alexandra Hospital · AU

Funding

National Health and Medical Research Council (NHMRC) APP1126600
6 · The paper itself

Abstract

purposeCognitive decline (CD) and obstructive sleep apnea (OSA) are often comorbid. Some modifiable risk factors (RF) for CD are also associated with OSA. Diagnostic polysomnography (PSG) measures these RF and may identify at risk patients prior to the onset of CD. We aim to determine whether there are severe RF associated with established CD and an increasing severity of OSA that could identify patients at risk for CD for medical intervention.

methodsWe gathered information from subjects having type 1 PSG for suspected OSA. The psychomotor vigilance task (PVT) measured established CD (group 0 and group1). We compared levels of severe RF in group 0 and group 1 with a larger group (group 2) without the PVT. We used severe standardized values of excessive daytime sleepiness (Epworth Sleepiness Score [ESS]), overnight change of systolic blood pressure (ΔSBP), change of oxygen desaturation (ΔSpO2), and sleep arousal (ArI) as RF. We compared the severe levels of ESS, ΔSBP, ΔSpO2, and ArI by group and OSA severity.

resultsA total of 136 patients underwent diagnostic PSG. PVT parameters were available for 43 subjects. The severity of the RF was consistent with risk for CD (ΔSBP 22.0 ± 5.6, ESS 18.2 ± 2.2, ArI 58.8 ± 18.7, ΔSpO2 61.7 ± 21.9). The levels of RF increased with increasing severity of OSA. There were significant between-group differences for severe ΔSpO2 (p = 0.004) and ΔSpO2 + ArI (p = 0.019).

conclusionThe levels of RF increase with increasing OSA severity. Subjects with severe RF ΔSpO2 and ΔSpO2 + ArI are likely to have PVT-determined CD. Risk factor analysis may screen for CD.

Indexed as

PolysomnographyAdultAgedArousalCognitive DysfunctionFemaleHumansMaleMiddle AgedPsychomotor PerformanceRetrospective StudiesRisk AssessmentRisk FactorsSeverity of Illness IndexSleep Apnea, ObstructiveCognitive declineObstructive sleep apneaOxygen desaturationRisk factorSleep fragmentation

Identifiers

PMID32215832
OpenAlexW3013959679

What OpenQuestion holds

Textmetadata
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.