Evidence map›Paper›PMID 37923871›Full record

ArticleSleep & breathing = Schlaf & Atmung2024

Brainstem impairment in obstructive sleep apnoea and the effect of CPAP treatment: an electrophysiological blink reflex study.

Claudio Liguori, Mariana Fernandes, Matteo Spanetta, Martina Zanovello, Maria Pia Giambrone, Clementina Lupo, Fabio Placidi, Francesca Izzi, Nicola Biagio Mercuri, Mariangela Pierantozzi

Open access · hybridAbstract read
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2024. 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 38% 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

10 authors at 1 institution in 1 country.

Claudio LiguoriSleep Medicine Centre, University Hospital of Rome 'Tor Vergata', Rome, Italy. dott.claudioliguori@yahoo.it.
Mariana FernandesDepartment of Systems Medicine, University of Rome 'Tor Vergata', Rome, Italy.
Matteo SpanettaDepartment of Systems Medicine, University of Rome 'Tor Vergata', Rome, Italy.
Martina ZanovelloSleep Medicine Centre, University Hospital of Rome 'Tor Vergata', Rome, Italy.
Maria Pia GiambroneSleep Medicine Centre, University Hospital of Rome 'Tor Vergata', Rome, Italy.
Clementina LupoDepartment of Systems Medicine, University of Rome 'Tor Vergata', Rome, Italy.
Fabio PlacidiSleep Medicine Centre, University Hospital of Rome 'Tor Vergata', Rome, Italy.
Francesca IzziSleep Medicine Centre, University Hospital of Rome 'Tor Vergata', Rome, Italy.
Nicola Biagio MercuriSleep Medicine Centre, University Hospital of Rome 'Tor Vergata', Rome, Italy.
Mariangela PierantozziNeurology Unit, University Hospital of Rome 'Tor Vergata', Rome, Italy.
University of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the functionality of the brainstem structures through the blink reflex (BR) test in patients with obstructive sleep apnoea (OSA) and to assess the effects of continuous positive airway pressure (CPAP) treatment on BR responses.

methodsPatients with moderate-severe OSA and controls underwent BR testing. Patients with OSA who were adherent to CPAP therapy repeated BR testing at 6 months follow-up. CPAP adherence was defined as CPAP use for ≥ 4 hour per night on > 5 nights per week with residual apnoea-hypopnea index less than 5 events per hour.

resultsA total of 22 patients with OSA (86% male, mean age 57.8 ± 10.6 years) and 20 controls (60% male, mean age 55.3 ± 9.3 years) were included. Patients with OSA showed longer right and left R1 latency, as well as delayed right ipsilateral and contralateral R2 latencies compared to controls. Patients with OSA who were compliant with CPAP treatment (n = 16; 88% men, mean age 58.8 ± 9.7 years) showed a significant decrease in latency of the right ipsilateral and contralateral R2 responses at 6 months.

conclusionThis study showed an abnormal pattern of BR responses in patients with OSA, consistent with a significant impairment of brainstem functionality in OSA. CPAP treatment partially improved the BR responses, suggesting the importance of treating OSA.

Indexed as

BlinkingBrain StemContinuous Positive Airway PressurePolysomnographySleep Apnea, ObstructiveAdultAgedFemaleHumansMaleMiddle AgedBlink reflexBrainstemNocturnal hypoxiaSleep impairmentTherapy

Identifiers

PMID37923871
PMCPMC11136710
OpenAlexW4388345573

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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.