Evidence map›Paper›PMID 29323933›Full record

ArticleAmerican journal of respiratory and critical care medicine2018

Cardioventilatory Control in Preterm-born Children and the Risk of Obstructive Sleep Apnea.

Keren Armoni Domany, Md Monir Hossain, Leonardo Nava-Guerra, Michael C Khoo, Keith McConnell, John L Carroll, Yuanfang Xu, Mark DiFrancesco, Raouf S Amin

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% of its field
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Normal polysomnography parameters in healthy children: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Craniofacial features in children with obstructive sleep apnea: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Pooled it
  3. Quantitative and Qualitative Changes in Peripheral Chemoreceptor Activity in Preterm Infants.American journal of respiratory and critical care medicine · 2023
    Trial
  4. Review
  5. Sleep-disordered breathing in a multiethnic cohort of preterm adolescents and adults: assessment of neonatal and subsequent risk factors.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  6. Review
  7. Article
  8. Use of facial stereophotogrammetry as a screening tool for pediatric obstructive sleep apnea by dental specialists.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  9. Review
  10. Prematurity as a Risk Factor of Sleep-Disordered Breathing in Children Younger Than Two Years: A Retrospective Case-Control Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Keren Armoni Domany1 Division of Pulmonary Medicine.
Md Monir Hossain3 Division of Biostatistics and Epidemiology, and.
Leonardo Nava-Guerra4 Department of Biomedical Engineering, University of Southern California, Los Angeles, California; and.
Michael C Khoo4 Department of Biomedical Engineering, University of Southern California, Los Angeles, California; and.
Keith McConnell1 Division of Pulmonary Medicine.
John L Carroll5 Division of Pediatric Pulmonary and Sleep Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Yuanfang Xu3 Division of Biostatistics and Epidemiology, and.
Mark DiFrancesco6 Pediatric Neuroimaging Research Consortium, Department of Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0001-8002-0332
Raouf S Amin1 Division of Pulmonary Medicine.
Cancer Research And Biostatistics · USPulmonary Associates · USUniversity of Southern California · USCincinnati Children's Hospital Medical Center · USTel Aviv University · ILUniversity of Arkansas for Medical Sciences · US

Funding

TrainingP41EB001978 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KHOO, MICHAEL C K · 2003 to 2017
$18.1M
NIBIB NIH HHS P41 EB001978
6 · The paper itself

Abstract

rationaleThe contribution of ventilatory control to the pathogenesis of obstructive sleep apnea (OSA) in preterm-born children is unknown.

objectivesTo characterize phenotypes of ventilatory control that are associated with the presence of OSA in preterm-born children during early childhood.

methodsPreterm- and term-born children without comorbid conditions were enrolled. They were categorized into an OSA group and a non-OSA group on the basis of polysomnography. MEASUREMENTS AND MAIN

resultsLoop gain, controller gain, and plant gain, reflecting ventilatory instability, chemoreceptor sensitivity, and blood gas response to a change in ventilation, respectively, were estimated from spontaneous sighs identified during polysomnography. Cardiorespiratory coupling, a measure of brainstem maturation, was estimated by measuring the interval between inspiration and the preceding electrocardiogram R-wave. Cluster analysis was performed to develop phenotypes based on controller gain, plant gain, cardiorespiratory coupling, and gestational age. The study included 92 children, 63 of whom were born preterm (41% OSA) and 29 of whom were born at term (48% OSA). Three phenotypes of ventilatory control were derived with risks for OSA being 8%, 47%, and 77% in clusters 1, 2, and 3, respectively. There was a stepwise decrease in controller gain and an increase in plant gain from clusters 1 to 3. Children in cluster 1 had significantly higher cardiorespiratory coupling and gestational age than clusters 2 and 3. No difference in loop gain was found between clusters.

conclusionsThe risk for OSA could be stratified according to controller gain, plant gain, cardiorespiratory coupling, and gestational age. These findings could guide personalized care for children at risk for OSA.

Indexed as

ChildChild, PreschoolContinuous Positive Airway PressureFemaleHumansInfantInfant, NewbornInfant, PrematureMaleRespiration, ArtificialRisk FactorsSleep Apnea, Obstructivecardiorespiratory couplingcluster analysisloop gainneonatal prematurityobstructive sleep apnea

Identifiers

PMID29323933
PMCPMC6006399
OpenAlexW2782682099

What Socratic holds

Textmetadata
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 Socratic graph.