Evidence map›Paper›PMID 34738319›Full record

ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing2022

The association between obstructive sleep apnea and the risk of poor delivery events in women: A population-based nested case-control study.

Jui-Chiung Sun, Chia-Ling Lin, Fei-Ling Wu, Chi-Hsiang Chung, Chien-An Sun, Wu-Chien Chien

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2022. 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
0.8field-weighted citation impact, top 27% 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, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. The association between obstructive sleep apnea and the risk of poor delivery events in women: A population-based nested case-control study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2022
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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

6 authors at 4 institutions in 1 country.

Jui-Chiung SunDepartment of Nursing, Chang Gung University of Science and Technology, Gueishan, Taiwan.ORCID 0000-0002-3257-4223
Chia-Ling LinDepartment of Nursing, Chang Gung University of Science and Technology, Gueishan, Taiwan.ORCID 0000-0002-0822-8072
Fei-Ling WuDepartment of Nursing, Chang Gung University of Science and Technology, Gueishan, Taiwan.ORCID 0000-0002-0861-0140
Chi-Hsiang ChungSchool of Public Health, National Defense Medical Center, Taipei, Taiwan.ORCID 0000-0002-4576-9900
Chien-An SunDepartment of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.ORCID 0000-0001-9041-0537
Wu-Chien ChienSchool of Public Health, National Defense Medical Center, Taipei, Taiwan.ORCID 0000-0002-3286-0780
Chang Gung University of Science and Technology · TWFu Jen Catholic University · TWTaiwan Nurses Association · TWTri-Service General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the risk of poor delivery events (PDEs; premature delivery, abortion, and stillbirth) in female subjects with obstructive sleep apnea (OSA).

methodsThe study identified 8346 female subjects with PDEs as cases between January 1, 2000 and December 31, 2015 from the Longitudinal Health Insurance Database 2005 in Taiwan. A total of 33,384 controls were also identified based on frequency matching for age and year of index date. Diagnoses of OSA and PDEs were determined according to the International Classification of Diseases, 9th Revision. The risk of PDEs in female subjects with OSA was estimated with conditional logistic regression analyses.

findingsThe mean age of the 41,730 female subjects was 35.53 years. The overall incidence rate of PDEs was 506.22 per 100,000 person-years for subjects with OSA, which was significantly higher than that for the controls (501.95 per 100,000 person-years). The risk of PDEs was higher in subjects with OSA than in controls (adjusted odds ratio [AOR] = 1.19; 95% confidence interval [CI] [95% CI]: 1.08-1.43), including for premature delivery (AOR = 1.20; 95% CI: 1.16-1.50), and abortion (AOR = 1.19; 95% CI: 1.09-1.47). OSA showed no relation to stillbirth (AOR = 1.04; 95% CI: 0.99-1.31). The findings indicate that the longer a subject has been experiencing OSA, the higher the probability of PDEs.

conclusionsThe risk of PDEs associated with OSA was found in this study. In particular, the longer a subject has OSA, the higher the likelihood of PDEs, exhibiting a dose-response effect. CLINICAL RELEVANCE: To effectively promote maternal health in clinical practice, health providers need to recognize OSA as a risk factor associated with negative pregnancy outcomes. Furthermore, OSA symptoms should be assessed and managed in all pregnant women to enable more comprehensive maternal care.

Indexed as

Sleep Apnea, ObstructiveAdultCase-Control StudiesFemaleHumansOdds RatioPregnancyPregnancy OutcomeRisk Factorsabortionnested case-control studyobstructive sleep apneapoor delivery eventspremature deliverystillbirth

Identifiers

PMID34738319
PMCPMC9298311
OpenAlexW3210454664

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.