Evidence map›Paper›PMID 32537463›Full record

ArticleERJ open research2020

Predictive equation for optimal continuous positive airway pressure in children with obstructive sleep apnoea.

Joelle Chong, Ram Bajpai, Oon Hoe Teoh, Arun Pugalenthi, John C Allen, Zai Ru Cheng, Soh Gin Tan, Meilan Lim, Jasmine Tan, Anne Goh and 2 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

12 authors at 4 institutions in 2 countries.

Joelle ChongLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Ram BajpaiCentre for Population Health Sciences, Lee Kong Chian School of Medicine, Singapore, Singapore.ORCID https://orcid.org/0000-0002-1227-2703
Oon Hoe TeohLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID https://orcid.org/0000-0002-5100-1543
Arun PugalenthiLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
John C AllenDuke-NUS Medical School, Singapore, Singapore.
Zai Ru ChengPaediatric Respiratory Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Soh Gin TanPaediatric Respiratory Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Meilan LimPaediatric Respiratory Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Jasmine TanPaediatric Respiratory Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Anne GohLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Yi Hua TanLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Biju ThomasLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Nanyang Technological University · SGKK Women's and Children's Hospital · SGDuke-NUS Medical School · SGKeele University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimA subgroup of children with obstructive sleep apnoea (OSA) requires treatment with continuous positive airway pressure (CPAP). This study's aims were: 1) to determine if the optimal CPAP for the treatment of OSA in children correlates with body mass index (BMI); 2) to determine the correlation between polysomnographic variables and optimal CPAP in children with OSA; and 3) to develop a CPAP predictive equation for children with OSA.

methodsThis was a retrospective study of children with OSA who underwent CPAP titration studies. Patients with craniofacial abnormalities (except Down syndrome) and neuromuscular diseases were excluded. Polysomnograms were done using Sandman Elite. Correlations between optimal CPAP, clinical and polysomnographic variables were analysed. A multivariable linear regression model for optimal CPAP was developed.

results198 children (mean±sd age 13.1±3.6 years) were studied. Optimal CPAP had a significant positive correlation with age (rho=0.216, p=0.002), obstructive apnoea-hypopnoea index (rho=0.421, p<0.001), 3% oxygen desaturation index (rho=0.417, p<0.001), rapid eye movement respiratory disturbance index (rho=0.378, p<0.001) and BMI z-score (rho=0.160, p=0.024); and a significant negative correlation with arterial oxygen saturation measured by pulse oximetry nadir (rho= -0.333, p<0.001). The predictive equation derived was:Optimal CPAP (cmH

conclusionThe equation developed may help to predict optimal CPAP in children with OSA. Further studies are required to validate this equation and to determine its applicability in different populations.

Identifiers

PMID32537463
PMCPMC7276523
OpenAlexW3034952411

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.