Evidence map›Paper›PMID 37485665›Full record

ArticleStroke2023

Longitudinal Assessment of Sleep Apnea in the Year After Stroke in a Population-Based Study.

Lynda D Lisabeth, Guanghao Zhang, Ronald D Chervin, Xu Shi, Lewis B Morgenstern, Morgan Campbell, Susan Tower, Devin L Brown

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Sleep disorders as both risk factors for, and a consequence of, stroke: A narrative review.International journal of stroke : official journal of the International Stroke Society · 2024
    Review
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Lynda D LisabethDepartment of Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0001-5539-5933
Guanghao ZhangDepartment of Biostatistics (G.Z., X.S.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0002-7615-4415
Ronald D ChervinMichael S Aldrich Sleep Disorders Laboratory (R.D.C.), University of Michigan Health System.ORCID 0000-0002-8227-5133
Xu ShiDepartment of Biostatistics (G.Z., X.S.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0001-8566-9552
Lewis B MorgensternDepartment of Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0002-5787-592X
Morgan CampbellLocal Corpus Christi physician (M.C., S.T.).ORCID 0009-0000-4659-4818
Susan TowerLocal Corpus Christi physician (M.C., S.T.).ORCID 0000-0003-3207-2992
Devin L BrownStroke Program (L.D.L., L.B.M., D.L.B.), University of Michigan Health System.ORCID 0000-0002-9815-3421
University of Michigan · USTexas A&M University – Corpus Christi · USCalifornia Center for Sleep Disorders · USLee Memorial Health System · US

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
Sleep apnea after stroke: Implications for screening and treatmentR01HL126700 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, LISABETH, LYNDA D · 2016 to 2019
$3.0M
NHLBI NIH HHS R01 HL126700NINDS NIH HHS R01 NS038916
6 · The paper itself

Abstract

backgroundThe aim of this study was to characterize change in sleep-disordered breathing severity in the year following stroke, overall, and by ethnicity, within the population-based Brain Attack Surveillance in Corpus Christi Project.

methodsFirst-ever ischemic strokes (n=414) were ascertained by active and passive surveillance and validated by stroke-trained physicians. Patients with stroke were invited to participate in portable sleep apnea testing (ApneaLink Plus) at baseline and 3, 6, and 12 months poststroke. Sleep-disordered breathing severity was assessed by the respiratory event index (apneas and hypopneas/hour of recording). The component obstructive apnea index and central apnea index were also assessed. Time and ethnicity effects on outcomes, as well as ethnic differences in time effects, were analyzed using generalized estimating equations with multivariable adjustment for confounding factors.

resultsMean age (n=414) was 63.9 years (SD=10.9); 68.4% were Mexican American. Baseline mean respiratory event index, obstructive apnea index, and central apnea index were 21.3 (SD=16.6), 8.6 (SD=11.5), and 1.5 (SD=3.2), respectively. There was no time effect on respiratory event index (

conclusionsSleep-disordered breathing severity was significant and stable for most individuals in the year after stroke. These results do not confirm previous reports of diminishing sleep-disordered breathing severity over time after stroke and would support early assessment and treatment where indicated.

Indexed as

Sleep Apnea, CentralSleep Apnea SyndromesStrokeEthnicityHumansMiddle AgedRisk Factorsbrainethnicityischemic strokesleep apnea syndromes

Identifiers

PMID37485665
PMCPMC10527822
OpenAlexW4385186837

What OpenQuestion holds

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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.