Evidence map›Paper›PMID 34873232›Full record

ArticleScientific reports2021

Predictors of changes in cerebral perfusion and oxygenation during obstructive sleep apnea.

Zhongxing Zhang, Ming Qi, Gordana Hügli, Ramin Khatami

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Sleep apnea in REM sleep as an amplifier of vascular contributions to Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
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  7. Article
  8. Review
  9. [An overview on sleep research based on functional near infrared spectroscopy].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2021
    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

4 authors.

Zhongxing ZhangCenter for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid AG, 5017, Barmelweid, Switzerland. zhongxing.zhang@barmelweid.ch.
Ming QiCenter for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid AG, 5017, Barmelweid, Switzerland.
Gordana HügliCenter for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid AG, 5017, Barmelweid, Switzerland.
Ramin KhatamiCenter for Sleep Medicine, Sleep Research and Epileptology, Clinic Barmelweid AG, 5017, Barmelweid, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea syndrome (OSAS) is a common sleep disorder. Severe OSAS defined as apnea-hypopnea index (AHI) ≥ 30/h is a risk factor for developing cerebro-cardiovascular diseases. The mechanisms of how repetitive sleep apneas/hypopneas damage cerebral hemodynamics are still not well understood. In this study, changes in blood volume (BV) and oxygen saturation (StO2) in the left forehead of 29 newly diagnosed severe OSAS patients were measured by frequency-domain near-infrared spectroscopy during an incremental continuous positive airway pressure (CPAP) titration protocol together with polysomnography. The coefficients of variation of BV (CV-BV) and the decreases of StO2 (de-StO2) of more than 2000 respiratory events were predicted using linear mixed-effect models, respectively. We found that longer events and apneas rather than hypopneas induce larger changes in CV-BV and stronger cerebral desaturation. Respiratory events occurring during higher baseline StO2 before their onsets, during rapid-eye-movement sleep and those associated with higher heart rate induce smaller changes in CV-BV and de-StO2. The stepwise increased CPAP pressures can attenuate these changes. These results suggest that in severe OSAS the length and the type of respiratory event rather than widely used AHI may be better parameters to indicate the severity of cerebral hemodynamic changes.

Indexed as

BrainCerebrovascular CirculationContinuous Positive Airway PressureFemaleHeart RateHumansLinear ModelsMaleMiddle AgedOxygen SaturationPerfusionPolysomnographyRespiratory Physiological PhenomenaSleep Apnea, ObstructiveSleep Apnea Syndromes

Identifiers

PMID34873232
PMCPMC8648752

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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.