Evidence map›Paper›PMID 41591093›Full record

ReviewNeurology international2026

Global Prevalence of Sleep-Disordered Breathing in Intracerebral Hemorrhage Survivors: A Meta-Analysis and Systematic Review.

Farhan Ishaq

Abstract readReview
In one paragraph

Review in Neurology international, 2026. 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. Review
  2. Review
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

1 author.

Farhan IshaqCenter for Connected Care, Innovation & Implementation Research, Houston Methodist Academic Institute, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID 0000-0002-2978-860X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleep-disordered breathing (SDB) and intracerebral hemorrhage (ICH) share a bidirectional relationship: SDB may increase ICH risk, while ICH can induce or exacerbate SDB. However, the prevalence and characteristics of post-ICH SDB remain poorly defined.

objectiveTo estimate the prevalence of SDB among ICH survivors and examine associated clinical factors, including the relative burden of obstructive (OSA) versus central sleep apnea (CSA).

methodsA systematic review and meta-analysis were performed across PubMed, Scopus, CINAHL, and ClinicalTrials.gov. Studies assessing SDB in adults with ICH using American Academy of Sleep Medicine (AASM) category 1-4 diagnostic devices were included. Random-effects models estimated pooled prevalence at varying apnea-hypopnea index (AHI) thresholds, with subgroup analyses by setting, timing, geography, and diagnostic factors.

resultsSeventeen studies met inclusion criteria. Pooled SDB prevalence was 85% (95% CI: 80-91%) at AHI > 5, with 49% (95% CI: 42-57%) experiencing moderate SDB (AHI > 15), and 21% (95% CI: 15-27%) experiencing severe SDB (AHI > 30). The prevalence of OSA predominated 73% (95% CI: 64% to 82%),while CSA occurred in 5% (95% CI: 2-9%), corresponding to a pooled RR of 7.44 and OR of 53.08 for OSA versus CSA.

conclusionsSDB-primarily OSA-is highly prevalent following ICH, underscoring the need for early, routine screening and intervention to improve neurological and cardiovascular outcomes.

Indexed as

AHI: apnea–hypopnea indexICH: intracerebral hemorrhageOSA: obstructive sleep apneaPOSA: positional obstructive sleep apneaSDB: sleep-disordered breathing

Identifiers

PMID41591093
PMCPMC12845411

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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.