Evidence map›Paper›PMID 36782347›Full record

ArticleRevista de neurologia2023

Benefits in quality of life following an obstructive sleep apnea screening and treatment program in patients with acute ischemic stroke.

A Domínguez-Mayoral, C Gutiérrez, J Sánchez-Gómez, S Pérez-Sánchez, N Fouz, P Guerrero-Zamora, M Ferrer, M Aguilar, V Galiani, C Albalá and 5 more

Open access · greenAbstract read
In one paragraph

Article in Revista de neurologia, 2023. 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
0.4field-weighted citation impact, top 42% 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

15 authors at 1 institution in 1 country.

A Domínguez-MayoralHospital Universitario Virgen Macarena, 41003 Sevilla, España.
C GutiérrezHospital Universitario Virgen Macarena, 41003 Sevilla, España.
J Sánchez-GómezHospital Universitario Virgen Macarena, 41003 Sevilla, España.
S Pérez-SánchezHospital Universitario Virgen Macarena, 41003 Sevilla, España.
N FouzHospital Universitario Virgen Macarena, 41003 Sevilla, España.
P Guerrero-ZamoraHospital Universitario Virgen Macarena, 41003 Sevilla, España.
M FerrerHospital Universitario Virgen Macarena, 41003 Sevilla, España.
M AguilarHospital Universitario Virgen Macarena, 41003 Sevilla, España.
V GalianiHospital Universitario Virgen Macarena, 41003 Sevilla, España.
C AlbaláHospital Universitario Virgen Macarena, 41003 Sevilla, España.
J MorenoHospital Universitario Virgen Macarena, 41003 Sevilla, España.
M A GameroHospital Universitario Virgen Macarena, 41003 Sevilla, España.
C García-CamposHospital Universitario Virgen Macarena, 41003 Sevilla, España.
S BandaHospital Universitario Virgen Macarena, 41003 Sevilla, España.
J MontanerHospital Universitario Virgen Macarena, 41003 Sevilla, España.
Instituto de Biomedicina de Sevilla · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObstructive sleep apnea (OSA) has been proposed as a factor that worsens stroke prognosis. Our aim was to determine if an OSA intervention could improve quality of life (QOL, first objective) and modified Rankin score (mRS, second objective). PATIENTS AND

methodsThe intervention group of this quasi-experimental study included patients with acute ischemic stroke <72 hours who underwent polygraphy and Continuous Positive Airway Pressure (CPAP) and hygienic-dietary measures if required. The control group followed routine clinical practice. The Short Form 36 Health Survey (SF-36) and mRS were applied at the sixth month after stroke in both groups.

resultsFifty-five vs. sixty-two patients were included in the intervention and control group respectively. In the intervention group, 64.71% of patients accepted the proposed CPAP (16 cases with a good adherence). An improvement in SF-36 items was detected in the intervention group: physical functioning (p = 0.008), role physical (p = 0.002), bodily pain (p = 0.008), general health (p <0.001), vitality (p = 0.001) and role emotional (p = 0.015). In a per-protocol analysis, all these improvements were verified in the group of patients treated with good CPAP adherence (p < 0.05 in all the same SF-36 items). The percentage of patients with physical component summatory = 50 was higher in the intervention group (p = 0.003). There were no differences in the median of mRS (p = 0.262).

conclusionsAlthough more evidence is needed, a significant improvement in QOL was suggested after our OSA intervention, particularly in patients with good CPAP adherence.

Indexed as

Ischemic StrokeSleep Apnea, ObstructiveStrokeContinuous Positive Airway PressureHumansQuality of Life

Identifiers

PMID36782347
PMCPMC10364071
OpenAlexW4320709726

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.