Evidence map›Paper›PMID 39251407›Full record

Trial reportJournal of sleep research2025

Early sleep apnea treatment in stroke (eSATIS) - a multicentre, randomised controlled, rater-blinded, clinical trial: The association of post-stroke cognition with sleep-disordered breathing and its treatment.

Irina Filchenko, Simone B Duss, Saskia Salzmann, Anne-Kathrin Brill, Lyudmila Korostovtseva, Valeria Amelina, Sébastien Baillieul, Corrado Bernasconi, Markus H Schmidt, Claudio L A Bassetti

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of sleep research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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.

Irina FilchenkoDepartment of Neurology, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland.ORCID 0000-0002-9486-1017
Simone B DussDepartment of Neurology, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland.ORCID 0000-0002-7247-0760
Saskia SalzmannDepartment of Neurology, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland.ORCID 0009-0003-5922-6530
Anne-Kathrin BrillInterdisciplinary Sleep-Wake-Epilepsy Centre, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland.ORCID 0000-0002-6724-8794
Lyudmila KorostovtsevaLaboratory of Somnology, Almazov National Medical Research Centre, Sankt-Peterburg, Russia.ORCID 0000-0001-7585-6012
Valeria AmelinaLaboratory of Somnology, Almazov National Medical Research Centre, Sankt-Peterburg, Russia.ORCID 0000-0002-0047-3428
Sébastien BaillieulUniv. Grenoble Alpes, Inserm, U1300, CHU Grenoble Alpes, Service Universitaire de Pneumologie Physiologie, Grenoble, France.ORCID 0000-0002-2348-6918
Corrado BernasconiDepartment of Neurology, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland.ORCID 0000-0002-1019-5468
Markus H SchmidtDepartment of Neurology, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland.ORCID 0000-0002-3299-1318
Claudio L A BassettiDepartment of Neurology, Bern University Hospital (Inselspital) and University of Bern, Bern, Switzerland.ORCID 0000-0002-4535-0245

Funding

European Stroke Research Foundation 2021Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 320030-149752Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 33IC30-166827
6 · The paper itself

Abstract

Sleep-disordered breathing (SDB) is linked to cognitive dysfunction. Although SDB is common in stroke patients, the impact of SDB and its early treatment on cognitive functioning after stroke remains poorly investigated. Therefore, we explored the association between SDB and post-stroke cognitive functioning, including the impact of early SDB treatment with adaptive servo-ventilation (ASV) on cognitive recovery from acute event to 3 months post-stroke. We used data from two studies, which included ischaemic stroke patients (n = 131) and no-stroke controls (n = 37) without SDB (apnea-hypopnea index, AHI <5/h) and with SDB (AHI≥20/h). Cognitive functioning was assessed within 7 days and 3 months post-stroke in stroke patients, or at study inclusion in no-stroke control group, respectively. Stroke patients with SDB were randomized to ASV treatment (ASV+) or usual care (ASV-). Linear regression adjusted for main confounders assessed the impact of SDB and its treatment on cognitive recovery. The intention-to-treat analysis did not show significant associations of SDB ASV+ (n = 30) versus SDB ASV- (n = 29) with cognitive recovery. In an exploratory subanalysis, compliant SDB ASV+ (n = 14) versus SDB ASV- showed improvements with ASV in visual memory and cognitive flexibility. Combining the stroke and non-stroke datasets, SDB (n = 85) versus no-SDB (n = 83) was associated with deficits in visual memory and response inhibition independently of stroke. SDB ASV- versus no-SDB (n = 51) was associated with less improvement in visual memory. There was no substantial evidence for benefits of intention-to-treat ASV on cognitive recovery. Exploratory analysis indicated that compliant ASV treatment could benefit visual memory and cognitive flexibility, whereas untreated SDB could contribute to a poor recovery of visual memory.

Indexed as

CognitionCognitive DysfunctionSleep Apnea SyndromesStrokeAgedFemaleHumansMaleMiddle AgedTreatment Outcomeadaptive servo‐ventilationcognitionischaemic strokepost‐stroke cognitive dysfunctionsleep‐disordered breathingvisual memory

Identifiers

PMID39251407
PMCPMC11911038

What OpenQuestion holds

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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.