Evidence map›Paper›PMID 32222588›Full record

ArticleChest2020

OSA and Neurocognitive Impairment in Children With Congenital Heart Disease.

Daniel Combs, Jamie O Edgin, Scott Klewer, Brent J Barber, Wayne J Morgan, Chiu-Hsieh Hsu, Ivo Abraham, Sairam Parthasarathy

Abstract read
In one paragraph

Article in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Alterations in Amygdala/Hippocampal Volume Ratios in Children with Obstructive Sleep Apnea Syndrome Caused by Adenotonsillar Hypertrophy.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

8 authors.

Daniel CombsDepartment of Pediatrics, Division of Pulmonary and Sleep Medicine, University of Arizona, Tucson, AZ; Department of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Arizona, Tucson, AZ; University of Arizona Health Sciences Center for Sleep & Circadian Science, University of Arizona, Tucson, AZ. Electronic address: dcombs@peds.arizona.edu.
Jamie O EdginDepartment of Psychology, University of Arizona, Tucson, AZ.
Scott KlewerDepartment of Pediatrics, Division of Cardiology, University of Arizona, Tucson, AZ.
Brent J BarberDepartment of Pediatrics, Division of Cardiology, University of Arizona, Tucson, AZ.
Wayne J MorganDepartment of Pediatrics, Division of Pulmonary and Sleep Medicine, University of Arizona, Tucson, AZ.
Chiu-Hsieh HsuDepartment of Epidemiology & Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ.
Ivo AbrahamCenter for Health Outcomes and PharmacoEconomic Research, University of Arizona, Tucson, AZ.
Sairam ParthasarathyDepartment of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Arizona, Tucson, AZ; University of Arizona Health Sciences Center for Sleep & Circadian Science, University of Arizona, Tucson, AZ.

Funding

Translational Approaches to Health Disparities in Lung, Sleep, and PandemicsR25HL126140 · NHLBI · UNIVERSITY OF ARIZONA · PI FRANCISCO A MORENO, JANKO Z. NIKOLICH · 2014 to 2026
$4.6M
Memory Measures for Clinical Trials in Down syndrome and Fragile X syndromeR01HD088409 · NICHD · UNIVERSITY OF ARIZONA · PI EDGIN, JAMIE O. · 2016 to 2020
$3.7M
Medications for Obstructive Sleep Apnea to Improve Cognition in Children with Down Syndrome (MOSAIC DS)R61HL151254 · NHLBI · UNIVERSITY OF ARIZONA · PI COMBS, DANIEL · 2019 to 2021
$465k
(PQA 2) Obesity & Obstructive Sleep Apnea in Hepatocellular Carcinoma ProgressionR21CA184920 · NCI · UNIVERSITY OF ARIZONA · PI MARTINEZ, JESSE D. · 2014 to 2015
$362k
NCI NIH HHS R21 CA184920NHLBI NIH HHS L40 HL134018NHLBI NIH HHS R25 HL126140NHLBI NIH HHS R61 HL151254NICHD NIH HHS R01 HD088409
6 · The paper itself

Abstract

backgroundChildren with congenital heart disease (CHD) have an increased risk of neurocognitive impairment. No prior studies have evaluated the role of OSA, which is associated with neurocognitive impairment in children without CHD. RESEARCH QUESTION: Is OSA is associated with neurocognitive impairment in children with CHD? STUDY DESIGN AND

methodsChildren aged 6 to 17 years with corrected moderate to complex CHD without syndromes that may affect neurocognition were recruited from the pediatric cardiology clinic. Participants underwent home sleep testing and neurocognitive testing, including a validated Intellectual Quotient (IQ) test as well as validated tests of memory (Paired Associates Learning test), executive function (Intra-Extra Dimensional set shift test), and attention (Simple Reaction Test) from the CANTAB neurocognitive testing battery.

resultsComplete results were available for 30 children. Seventeen children (57%) were found to have OSA. Total IQ was markedly lower in children with CHD and comorbid OSA compared with children with CHD without comorbid OSA (mean, 86 ± 12 vs 98 ± 11; P = .01). Children with CHD and OSA did significantly worse on the Paired Associates Learning test, with a median of eight total errors (interquartile range [IQR], 2.25-15) compared with children with CHD without OSA (median total errors, 2, IQR, 1-8; P = .02).

interpretationChildren with CHD and comorbid OSA have impaired neurocognition compared with children with CHD without comorbid OSA. OSA may be a reversible cause of neurocognitive impairment in children with CHD. Further research is needed to evaluate the effects of OSA treatment on neurocognitive impairment in children with CHD.

Indexed as

AdolescentChildCognition DisordersFemaleHeart Defects, CongenitalHumansMaleNeuropsychological TestsSleep Apnea, Obstructivecognitive functioncongenital heartOSApediatric cardiology

Identifiers

PMID32222588
PMCPMC7478226

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.