Evidence map›Paper›PMID 38355150›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2024

REM sleep obstructive sleep apnoea.

Maria R Bonsignore, Emilia Mazzuca, Pierpaolo Baiamonte, Bernard Bouckaert, Wim Verbeke, Dirk A Pevernagie

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
18.3field-weighted citation impact, top 1% 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

57 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Rapid eye movement-related obstructive sleep apnea: a physiological phenotype predicting favorable outcomes following palatal surgery.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Redefining Obstructive Sleep Apnea: Multidimensional Phenotyping Beyond the Apnea-Hypopnea Index.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  17. Article
  18. Article
  19. Article
  20. Sleep-Disordered Breathing in Chung-Jansen Syndrome.International journal of molecular sciences · 2026
    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

6 authors at 4 institutions in 2 countries.

Maria R BonsignorePROMISE Department, University of Palermo, Institute for Biomedical Research and Innovation (IRIB), National Research Council (CNR), Palermo, Italy mariarosaria.bonsignore@unipa.it.ORCID https://orcid.org/0000-0002-4875-7796
Emilia MazzucaDepartment of Respiratory Diseases, Cervello Hospital, AO Villa Sofia-Cervello, Palermo, Italy.
Pierpaolo BaiamonteDepartment of Respiratory Diseases, Cervello Hospital, AO Villa Sofia-Cervello, Palermo, Italy.
Bernard BouckaertDepartment of Respiratory Diseases and Sleep Disorders Centre, AZ Delta, Rumbeke, Belgium.ORCID https://orcid.org/0000-0003-4363-1024
Wim VerbekeDepartment of Respiratory Diseases and Sleep Disorders Centre, AZ Delta, Rumbeke, Belgium.
Dirk A PevernagieDepartment of Respiratory Diseases and Sleep Disorders Centre, AZ Delta, Rumbeke, Belgium.ORCID https://orcid.org/0000-0002-7372-8583
AZ Delta · BEOspedale Vincenzo Cervello · ITGhent University · BEInstitute for Biomedical Research and Innovation · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnoea (OSA) can occur in both rapid eye movement (REM) and non-REM sleep or be limited to REM sleep, when the upper airway is most prone to collapse due to REM sleep atonia. Respiratory events are usually longer and more desaturating in REM than in NREM sleep. The prevalence of REM OSA is higher in women than in men and REM OSA usually occurs in the context of mild-moderate OSA based on the apnoea-hypopnoea index calculated for the entire sleep study. Studies have highlighted some detrimental consequences of REM OSA; for example, its frequent association with systemic hypertension and a degree of excessive daytime sleepiness similar to that found in nonsleep-stage-dependent OSA. Moreover, REM OSA could increase cardiometabolic risk. Continuous positive airway pressure (CPAP) treatment aimed at preventing REM OSA should be longer than the 4 h usually considered as good compliance, since REM sleep occurs mostly during the second half of the night. Unfortunately, patients with REM OSA show poor adherence to CPAP. Alternative non-CPAP treatments might be a good choice for REM OSA, but data are lacking. This review summarises the available data on REM OSA and critically examines the weaknesses and strengths of existing literature.

Indexed as

Sleep Apnea, ObstructiveSleep, REMContinuous Positive Airway PressureFemaleHumansMalePatient CompliancePolysomnography

Identifiers

PMID38355150
PMCPMC10865098
OpenAlexW4391815441

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.