Evidence map›Paper›PMID 37909550›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia2023

Sleep parameters in patients with chronic hypersensitivity pneumonitis: a case-control study.

Rafaela Boaventura Martins, Lia Rita Azeredo Bittencourt, André Bezerra Botelho, Ana Carolina Lima Resende, Paula Silva Gomes, Sergio Tufik, Simone Lobo Krupok Matias, Maria Raquel Soares, Carlos Alberto de Castro Pereira

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. Understanding the link between interstitial lung disease and obstructive sleep apnea: is lung volume involved?Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Article
  3. One step forward in understanding sleep in hypersensitivity pneumonitis patients.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Rafaela Boaventura Martins. Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0002-1362-6913
Lia Rita Azeredo Bittencourt. Departamento de Psicobiologia, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0001-7738-0927
André Bezerra Botelho. Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0001-6444-2746
Ana Carolina Lima Resende. Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0001-9250-3374
Paula Silva Gomes. Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0002-0375-9747
Sergio Tufik. Departamento de Psicobiologia, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0002-3804-8865
Simone Lobo Krupok Matias. Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0002-0953-5605
Maria Raquel Soares. Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0002-2242-2533
Carlos Alberto de Castro Pereira. Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP) Brasil.ORCID 0000-0002-0352-9589
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare patients with chronic hypersensitivity pneumonitis (cHP) and controls with normal spirometry in terms of their sleep characteristics, as well as to establish the prevalence of obstructive sleep apnea (OSA) and nocturnal hypoxemia. Secondary objectives were to identify factors associated with OSA and nocturnal hypoxemia; to correlate nocturnal hypoxemia with the apnea-hypopnea index (AHI) and lung function, as well as with resting SpO2, awake SpO2, and SpO2 during exercise; and to evaluate the discriminatory power of sleep questionnaires to predict OSA.

methodsA total of 40 patients with cHP (cases) were matched for sex, age, and BMI with 80 controls, the ratio of controls to cases therefore being = 2:1. The STOP-Bang questionnaire, the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index, the Berlin questionnaire and the Neck circumference, obesity, Snoring, Age, and Sex (NoSAS) score were applied to all cases, and both groups underwent full-night polysomnography.

resultsThe patients with cHP had longer sleep latency, lower sleep efficiency, a lower AHI, a lower respiratory disturbance index, fewer central apneas, fewer mixed apneas, and fewer hypopneas than did the controls. The patients with cHP had significantly lower nocturnal SpO2 values, the percentage of total sleep time spent below an SpO2 of 90% being higher than in controls (median = 4.2; IQR, 0.4-32.1 vs. median = 1.0; IQR, 0.1-5.8; p = 0.01). There were no significant differences between cases with and without OSA regarding the STOP-Bang questionnaire, NoSAS, and ESS scores.

conclusionsThe prevalence of OSA in cHP patients (cases) was high, although not higher than that in controls with normal spirometry. In addition, cases had more hypoxemia during sleep than did controls. Our results suggest that sleep questionnaires do not have sufficient discriminatory power to identify OSA in cHP patients.

Indexed as

Alveolitis, Extrinsic AllergicSleep Apnea, ObstructiveCase-Control StudiesHumansHypoxiaSleepSurveys and Questionnaires

Identifiers

PMID37909550
PMCPMC10759982
OpenAlexW4386452801

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.