Evidence map›Paper›PMID 39240486›Full record

Trial reportSleep & breathing = Schlaf & Atmung2024

The effect of supplemental oxygen and continuous positive airway pressure withdrawal on endocan levels.

Chris D Turnbull, John R Stradling, Nayia Petousi, Philippe Lassalle

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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
–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

1 citing paper in PubMed.

  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

4 authors.

Chris D TurnbullOxford Centre for Respiratory Medicine, Oxford University Hospitals NHS, Foundation Trust, Oxford, UK. christopher.turnbull@ouh.nhs.uk.ORCID 0000-0001-8942-5424
John R StradlingNuffield Department of Medicine, University of Oxford, Oxford, UK.
Nayia PetousiOxford Centre for Respiratory Medicine, Oxford University Hospitals NHS, Foundation Trust, Oxford, UK.
Philippe LassalleINSERM U1019, Institut Pasteur de Lille, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndocan is a biomarker of endothelial dysfunction, which is a precursor to cardiovascular disease. Obstructive sleep apnoea (OSA) is associated with elevated endocan levels but the effects of treatment on endocan levels in OSA are not fully established. We aimed to determine whether endocan levels could be detected by immunoassay and to determine the effect of supplemental oxygen during continuous positive airway pressure (CPAP) withdrawal on circulating endocan levels.

methodsWe conducted an exploratory analysis from a randomised controlled crossover study which included participants with OSA. Participants stopped their CPAP therapy and were randomised to receive either supplemental oxygen or sham for 14 nights before crossing over. Supplemental oxygen blocked the rise in blood pressure seen in the sham group. We analysed plasma endocan levels by immunoassay at baseline and after 14 nights of intervention in both groups.

resultsTwenty-five participants were included, with a total of 100 samples. Endocan levels were detectable at all time points in 22 participants (88%), and in 93 (93%) samples. Supplemental oxygen had no effect on endocan levels compared to sham (+ 0.52 ng/ml, 95%CI -0.21 to + 1.25, p = 0.16), and there was no significant difference in endocan levels from baseline to follow-up in either the sham (-0.30 ng/ml, 95%CI -0.89 to + 0.30, p = 0.31) or supplemental oxygen (+ 0.22 ng/ml, 95%CI 0.00 to + 0.44, p = 0.05) arm.

conclusionsWe have shown that endocan levels are detectable before and after CPAP withdrawal. However, we found no effect of supplemental oxygen following CPAP withdrawal on circulating endocan levels. TRIAL REGISTRATION AND DATE: ISRCTN 17,987,510 19/02/2015.

Indexed as

Continuous Positive Airway PressureCross-Over StudiesNeoplasm ProteinsProteoglycansSleep Apnea, ObstructiveAdultBiomarkersFemaleHumansMaleMiddle AgedOxygen Inhalation TherapyBiomarkersESM1 protein, humanNeoplasm ProteinsProteoglycansCardiovascular diseaseContinuous positive airway pressureEndocanEndothelial dysfunctionIntermittent hypoxiaObstructive sleep apnoea

Identifiers

PMID39240486
PMCPMC11568007

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.