Evidence map›Paper›PMID 36578669›Full record

ArticleNature and science of sleep2022

Prevalence and Characteristics of Sleep Apnea in Intensive Care Unit Survivors After SARS-CoV-2 Pneumonia.

Ibrahim Traore, Guillaume Eberst, Fréderic Claudé, Lucie Laurent, Aurelia Meurisse, Sophie Paget-Bailly, Pauline Roux-Claudé, Pascale Jacoulet, Cindy Barnig, Rachel Martarello and 11 more

Open access · goldAbstract read
In one paragraph

Article in Nature and science of sleep, 2022. 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
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  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

21 authors at 2 institutions in 2 countries.

Ibrahim TraoreRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Guillaume EberstRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Fréderic ClaudéRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Lucie LaurentRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Aurelia MeurisseMethodology and Quality of Life in Oncology Unit, University Hospital, Besançon, France.
Sophie Paget-BaillyMethodology and Quality of Life in Oncology Unit, University Hospital, Besançon, France.
Pauline Roux-ClaudéRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Pascale JacouletRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Cindy BarnigRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Rachel MartarelloRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Bastien PoirsonDepartment of Geriatrics, University Hospital of Besançon, Besançon, France.ORCID 0000-0001-9383-6824
Kevin BouillerDepartment of Infectious Disease, University Hospital of Besançon, Besançon, France.
Catherine ChirouzeDepartment of Infectious Disease, University Hospital of Besançon, Besançon, France.
Julien BehrDepartment of Radiology, University Hospital of Besançon, Besançon, France.
Franck GrilletDepartment of Radiology, University Hospital of Besançon, Besançon, France.
Ophélie RitterRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Sébastien Pili-FlouryAnesthesia and Intensive Care Unit, University Hospital of Besançon, Besançon, France.
Hadrien WiniszewskiMedical Intensive Care Unit, University Hospital of Besançon, Besançon, France.
Emmanuel SamainAnesthesia and Intensive Care Unit, University Hospital of Besançon, Besançon, France.
Gilles CapellierMedical Intensive Care Unit, University Hospital of Besançon, Besançon, France.
Virginie WesteelRespiratory Medicine Department, University Hospital of Besançon, Besançon, France.
Centre Hospitalier Universitaire de Besançon · FRMethodology and Quality of Life Unit in Oncology · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sleep apnea (SA) was reported as possibly exacerbating symptoms of COVID-19, a disease induced by SARS-CoV-2 virus. The same comorbidities are common with both pathologies. This study aimed to estimate the prevalence, characteristics of SA and variation in AHI three months after severe COVID-19 requiring intensive care unit (ICU) admission. Methods: A prospective cohort of patients admitted to ICU for severe COVID-19 underwent an overnight home polygraphy 3 months after onset of symptoms, as part of a comprehensive follow-up program (pulmonary function tests, 6-minute walk tests and chest CT-scan). Patients with an apnea hypopnea index (AHI) ≥5 were considered as having SA. We performed a comparative descriptive analysis of 2 subgroups according to the existence, severity of SA and indication for effective SA treatment: patients with absent or mild SA (AHI <15) vs patients with moderate to severe SA (AHI ≥15). Results: Among 68 patients included, 62 (91%) had known comorbidities (34 hypertension, 21 obesity, 20 dyslipidemia, 16 type 2 diabetes). It has been observed a preexisting SA for 13 patients (19.1%). At 3 months, 62 patients (91%) had SA with 85.5% of obstructive events. Twenty-four patients had no or a mild SA (AHI <15) and 44 had moderate to severe SA (AHI ≥15). Ischemic heart disease exclusively affected the moderate to severe SA group. Except for thoracic CT-scan which revealed less honeycomb lesions, COVID-19 symptoms were more severe in the group with moderate to severe SA, requiring a longer curarization, more prone position sessions and more frequent tracheotomy. Conclusion: SA involved 91% of patients in our population at 3 months of severe COVID-19 and was mainly obstructive type. Although SA might be a risk factor as well as consequences of ICU care in severe COVID-19 infection, our results underline the importance of sleep explorations after an ICU stay for this disease.

Indexed as

intensive care unitobstructive sleep apnea syndromepneumoniaSARS-CoV-2

Identifiers

PMID36578669
PMCPMC9791936
OpenAlexW4312070225

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.