Evidence map›Paper›PMID 40306956›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2025

Physiological signal entropy in patients with chronic respiratory disease: a systematic review.

Nawal Alotaibi, Maggie Cheung, Amar Shah, John R Hurst, Ali R Mani, Swapna Mandal

Abstract readSystematic Review
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 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. Article
  2. Decrypting network physiology for clinical practice.Frontiers in network physiology · 2026
    Review
  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

6 authors.

Nawal AlotaibiUCL Respiratory, University College London, London, UK n.alotaibi@ucl.ac.uk.ORCID https://orcid.org/0009-0003-3193-2759
Maggie CheungRoyal Free London NHS Foundation Trust, London, UK.
Amar ShahUCL Respiratory, University College London, London, UK.ORCID https://orcid.org/0000-0002-7278-6909
John R HurstUCL Respiratory, University College London, London, UK.ORCID https://orcid.org/0000-0002-7246-6040
Ali R ManiUCL Respiratory, University College London, London, UK.
Swapna MandalUCL Respiratory, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic respiratory diseases (CRDs) such as COPD and asthma have a substantial impact on patients and healthcare systems. Recent research on diagnosing and monitoring CRDs highlights the potential of continuous measurement of physiological parameters using nonlinear measures such as entropy analysis. Entropy measures the irregularity and complexity of physiological signals, reflecting the engagement of physiological control mechanisms. This systematic review examines the current evidence on changes in the entropy of physiological signals in CRDs.

methodsThe review follows Preferred Reporting in Systematic Reviews and Meta-Analyses (PRISMA) guidelines and includes studies from databases such as Scopus, Medline, CINAHL and Embase. Quality assessment was conducted using the Newcastle-Ottawa Scale. Evidence was qualitatively synthesised, taking into account entropy signals, entropy type and results.

results11 studies met the inclusion criteria. Entropy in signals including heart rate variability (HRV), airflow, peripheral oxygen saturation (

conclusionThe review highlights the potential of entropy analysis of physiological signals for early detection of COPD exacerbations and for differentiating between various levels of disease severity in both COPD and asthma. Additionally, it identifies research gaps, particularly in relation to other CRDs such as bronchiectasis and interstitial lung diseases. Further research is needed to facilitate the development of this approach into a fully effective tool for clinical practice.

Indexed as

AsthmaEntropyLungPulmonary Disease, Chronic ObstructiveChronic DiseaseHeart RateHumansOxygen SaturationPredictive Value of TestsPrognosisPulmonary VentilationRespiratory Function TestsSeverity of Illness Index

Identifiers

PMID40306956
PMCPMC12041931

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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.