Evidence map›Paper›PMID 34872556›Full record

ArticleBMC pulmonary medicine2021

Influence of nocturnal hypoxemia on follow-up course after type B acute aortic syndrome.

Pascal Delsart, Jerome Soquet, Adeline Pierache, Maxime Dedeken, Stephanie Fry, Anne Mallart, François Pontana, Richard Azzaoui, Francis Juthier, Jonathan Sobocinski and 1 more

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Pascal DelsartLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France. delsartpascal@yahoo.fr.
Jerome SoquetLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
Adeline PieracheService d'épidémiologie et de santé publique, University of Lille, CHU Lille, 59000, Lille, France.
Maxime DedekenLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
Stephanie FryLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
Anne MallartLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
François PontanaLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
Richard AzzaouiLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
Francis JuthierLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
Jonathan SobocinskiLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.
Claire Mounier-VehierLille, Institut Cœur Poumon, Bd Pr Leclercq, 59000, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAssociation between sleep nocturnal breathing disorders and acute aortic syndrome (AAS) has been described but mid-term data are scarce.

objectivesWe assessed the prognostic value of sleep apnea parameters and their relationship with aortic morphology after the onset of a type B AAS.

methodsBetween January 2010 and January 2018, sleep apnea screening in post type B AAS was prospectively performed. The association of sleep apnea parameters with aortic morphology and aortic expansion during follow-up was studied.

resultsOver the 8-year-study period, 103 patients were included, with a mean age of 57.8 ± 12.1 years old. Median follow-up was 25.0 months (11.0-51.0). Thirty-two patients (31%) required aortic stenting during the acute phase. In patients treated by aortic stenting, the descending thoracic aortic diameter was positively associated with a higher percentage of nocturnal time of saturation ≤ 90% after adjustment (p = 0.016). During follow-up, the nocturnal time of saturation ≤ 90% in patients treated by medical therapy was the only parameter associated with significant aortic expansion rate (r = 0.26, p = 0.04). Thirty-eight patients started and sustained nocturnal ventilation during follow-up. The association between aortic expansion rate and nocturnal time of saturation ≤ 90% did not persist during follow-up after adjustment on nocturnal ventilation initiation (r = 0.25, p = 0.056).

conclusionsNocturnal hypoxemia parameters are positively associated with the max onset aortic diameter and significant aortic growth after type B AAS. Nocturnal ventilation seems to mitigate aortic expansion during follow-up.

Indexed as

AdultAgedAortic DissectionFemaleFranceHumansHypoxiaMaleMiddle AgedPrognosisProspective StudiesRespiration, ArtificialSleep Apnea SyndromesStentsAortic dissectionNocturnal hypoxemiaPrognosisSleep apnea

Identifiers

PMID34872556
PMCPMC8647351

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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.