Evidence map›Paper›PMID 40019576›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Risk factors of high inflammatory state in pediatric obstructive sleep apnea.

Yanyu He, Xueyun Xu, Meng Lv, Wenjing Gu, Xinxing Zhang, Huie Zhu, Chuangli Hao, Yuqing Wang

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Intermittent hypoxia and caffeine in infants born preterm: the ICAF Randomized Clinical Trial.Archives of disease in childhood. Fetal and neonatal edition · 2026
    Trial
  2. Article
  3. 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.

Yanyu HeDepartment of Respiratory, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China.
Xueyun XuDepartment of Respiratory, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China.
Meng LvDepartment of Respiratory, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China.
Wenjing GuDepartment of Respiratory, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China.
Xinxing ZhangDepartment of Respiratory, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China.
Huie ZhuDepartment of Otorhinolaryngology, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China.
Chuangli HaoDepartment of Respiratory, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China.
Yuqing WangDepartment of Respiratory, Children's Hospital Affiliated to Soochow University, No. 303, Jingde Road, Suzhou, Jiangsu Province, China. wang_yu_qing@126.com.ORCID 0000-0002-4153-3984

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) may induce chronic systemic inflammation, which may serve as a potential mechanism contributing to multiple complications. The timely identification of high inflammatory status (HIS) in pediatric OSA is crucial for effective clinical diagnosis and management. This study aimed to evaluate influencing factors in hsCRP levels, and further investigated the risk factors associated with HIS in pediatric OSA patients.

methodsChildren aged 3 to 15 years who presented with snoring symptoms and underwent polysomnography (PSG) at the sleep center were included in this study. All participants completed a comprehensive questionnaire, a physical examination, nasopharyngeal X-ray imaging and a blood test. The physical examination included measurements of height, weight, and visual evaluation of tonsillar hypertrophy.

resultsA total of 1,171 children were enrolled, with 562 cases diagnosed with OSA. Utilizing threshold for hsCRP generated via ROC curve, 299 and 872 children exhibited HIS and Low Inflammatory Status, respectively. Compared to the control group, the hsCRP levels in the OSA group were significantly elevated. Pediatric OSA with HIS had higher BMI and a greater proportion of both overweight and obese. Logistic regression analysis demonstrated that HIS was independently positively correlated with BMI and mean time of obstructive apnea, and negatively associated with minimum SpO

conclusionsHsCRP in pediatric OSA patients were notably elevated, whilst identifying BMI, mean time of obstructive apnea, and minimum SpO

Indexed as

C-Reactive ProteinInflammationSleep Apnea, ObstructiveAdolescentBody Mass IndexChildChild, PreschoolFemaleHumansMalePolysomnographyRisk FactorsC-Reactive ProteinHypersensitivity C-reactive proteinPediatric obstructive sleep apneaPolysomnographyRisk factorsSystemic inflammation

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Registered trials

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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.