Evidence map›Paper›PMID 34498947›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2021

Quantification of airway conductance from noninvasive ventilatory drive in patients with sleep apnea.

Thomas M Tolbert, Ankit Parekh, Scott A Sands, Anne M Mooney, Indu Ayappa, David M Rapoport

Open access · greenAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

6 authors at 2 institutions in 2 countries.

Thomas M TolbertDivision of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0002-2275-8192
Ankit ParekhDivision of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Scott A SandsDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Anne M MooneyDivision of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Indu AyappaDivision of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
David M RapoportDivision of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0002-4855-2600
Icahn School of Medicine at Mount Sinai · USBrigham and Women's Hospital · US

Funding

A Novel Pharmacological Therapy for Obstructive Sleep ApneaR01HL146697 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SANDS, SCOTT A · 2019 to 2023
$3.4M
Mentoring Research in the Physiology of Sleep Disordered BreathingK24HL109156 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI AYAPPA, INDU A · 2013 to 2023
$1.0M
Sustained Attention Neuroimaging in Sleep ApneaK25HL151912 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PAREKH, ANKIT ASHOK · 2021 to 2025
$775k
American Heart Association-American Stroke Association 15SDG25890059NHLBI NIH HHS K24 HL109156NHLBI NIH HHS K24HL109156NHLBI NIH HHS K25 HL151912NHLBI NIH HHS K25HL151912NHLBI NIH HHS R01 HL146697NHLBI NIH HHS R01HL146697
6 · The paper itself

Abstract

Upper airway conductance, the ratio of inspiratory airflow to inspiratory effort, quantifies the degree of airway obstruction in hypopneas observed in sleep apnea. We evaluated the ratio of ventilation to noninvasive ventilatory drive as a surrogate of conductance. Furthermore, we developed and tested a refinement of noninvasive drive to incorporate the interactions of inspiratory flow, pressure, and drive to better estimate conductance. Hypopneas were compiled from existing polysomnography studies with esophageal catheterization in 18 patients with known or suspected sleep apnea, totaling 1,517 hypopneas during NREM sleep. For each hypopnea, reference standard conductance was calculated as the ratio of peak inspiratory flow to esophageal pressure change during inspiration. Ventilatory drive was calculated using the algorithm developed by Terrill et al. and then mathematically modified according to the presence or absence of flow limitation to noninvasively estimate esophageal pressure. The ratio of ventilation to ventilatory drive and the ratio of peak inspiratory flow to estimated esophageal pressure were each compared with the reference standard for all hypopneas and for median values from individual patients. Hypopnea ventilation to drive ratios were of limited correlation with the reference standard (

Indexed as

Airway ObstructionSleep Apnea SyndromesAirway ResistanceHumansPolysomnographyRespirationSleepcentral sleep apneahypopneaobstructive sleep apneasleep-disordered breathingventilatory drive

Identifiers

PMID34498947
PMCPMC8616604
OpenAlexW3197550273

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.