Evidence map›Paper›PMID 38935061›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2024

Age modulates the predictive value of self-reported sleepiness for all-cause mortality risk: insights from a comprehensive national database of veterans.

Arash Maghsoudi, Mehrnaz Azarian, Amir Sharafkhaneh, Melissa B Jones, Hoormehr Nozari, Meir Kryger, Amin Ramezani, Javad Razjouyan

Abstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Mortality in narcolepsy and other sleep clinic patients: a 25-year propensity-matched VA cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  3. Mortality in US veterans with insomnia, sleep apnea, and comorbid insomnia and sleep apnea (COMISA); an exploratory, hypothesis-generating cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  4. Article
  5. Article
  6. Age matters: the differential impact of OSA on metabolic health by age group.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    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

8 authors.

Arash MaghsoudiCenter for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas.
Mehrnaz AzarianCenter for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas.
Amir SharafkhanehDepartment of Medicine, Baylor College of Medicine, Houston, Texas.
Melissa B JonesMental Health Care Line, Michael E. DeBakey VA Medical Center, Houston, Texas.
Hoormehr NozariChildren Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Meir KrygerPulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, Yale University, New Haven, Connecticut.
Amin RamezaniCenter for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas.
Javad RazjouyanCenter for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas.

Funding

Using Large Electronic Health Records and Advanced Analytics to Develop Predictive Frailty Trajectories in Patients with Heart FailureK25HL152006 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI RAZJOUYAN, JAVAD · 2020 to 2024
$719k
Pimavanserin for Insomnia in Veterans with Post-traumatic Stress DisorderIK2CX002363 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI Melissa Beth Jones · 2023 to 2026
–
CSRD VA IK2 CX002363NHLBI NIH HHS K25 HL152006
6 · The paper itself

Abstract

STUDY

objectivesExcessive daytime sleepiness is prevalent and overwhelmingly stems from disturbed sleep. We hypothesized that age modulates the association between excessive daytime sleepiness and increased all-cause mortality.

methodsWe utilized the Veterans' Health Administration data from 1999-2022. We enrolled participants with sleep related

resultsThe first ESS records were extracted from 423,087 veterans with a mean age of 54.8 (± 14.6), mean body mass index of 32.6 (± 6.2), and 90.5% male. The adjusted odds ratio across all ages was 17% higher (1.15, 1.19) in the high-ESS category. The adjusted odds ratio s only became statistically significant for individuals aged ≥ 50 years in the high-ESS compared to the normal-ESS category (< 50 years: 1.02 [0.96, 1.08], 50 to < 65 years 1.13[1.10, 1.16]; ≥ 65 years: 1.25 [1.21, 1.28]).

conclusionsHigh-ESS predicted increased mortality only in participants aged 50 and older. Further research is required to identify this differential behavior in relation to age. CITATION: Maghsoudi A, Azarian M, Sharafkhaneh A, et al. Age modulates the predictive value of self-reported sleepiness for all-cause mortality risk: insights from a comprehensive national database of veterans.

Indexed as

Self ReportVeteransAgedAge FactorsCause of DeathDatabases, FactualDisorders of Excessive SomnolenceFemaleHumansMaleMiddle AgedMortalityPredictive Value of TestsRisk FactorsUnited Statesexcessive daytime sleepinessmortalitynatural language processing

Identifiers

PMID38935061
PMCPMC11530978

What OpenQuestion holds

Textmetadata
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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.