Evidence map›Paper›PMID 37510754›Full record

ArticleJournal of clinical medicine2023

Determinants of Severe Nocturnal Hypoxemia in Adults with Chronic Thromboembolic Pulmonary Hypertension and Sleep-Related Breathing Disorders.

Caner Çınar, Şehnaz Olgun Yıldızeli, Baran Balcan, Bedrettin Yıldızeli, Bülent Mutlu, Yüksel Peker

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06060366 (Impact of Pulmonary Endarterectomy on Sleep-Related Breathing Disorders and Mortality in Chronic Thromboembolic Pulmonary Hypertension - The IPES Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT06060366 unknown statusnot on this map

Impact of Pulmonary Endarterectomy on Sleep-Related Breathing Disorders and Mortality in Chronic Thromboembolic Pulmonary Hypertension - The IPES Trial: A Prospective, Observational, Cohort Study

TypeobservationalSponsorMarmara UniversityRan2023 to 2024Enrolled100ConditionsSleep-Disordered Breathing, Chronic Thromboembolic Pulmonary Hypertension, Post OperativeArmsPulmonary endarterectomy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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 at 3 institutions in 3 countries.

Caner ÇınarDepartment of Pulmonary Medicine, School of Medicine, Marmara University, Istanbul 34854, Turkey.
Şehnaz Olgun YıldızeliDepartment of Pulmonary Medicine, School of Medicine, Marmara University, Istanbul 34854, Turkey.ORCID 0000-0002-3236-3995
Baran BalcanDepartment of Pulmonary Medicine, School of Medicine, Koç University, Istanbul 34450, Turkey.
Bedrettin YıldızeliDepartment of Thoracic Surgery, School of Medicine, Marmara University, Istanbul 34854, Turkey.
Bülent MutluDepartment of Cardiology, School of Medicine, Marmara University, Istanbul 34854, Turkey.
Yüksel PekerDepartment of Pulmonary Medicine, School of Medicine, Koç University, Istanbul 34450, Turkey.ORCID 0000-0001-9067-6538
Marmara University · TRBrigham and Women's Hospital · USKoç University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to investigate the occurrence of sleep-related breathing disorders (SRBDs) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) and addressed the effect of pulmonary hemodynamics and SRBD indices on the severity of nocturnal hypoxemia (NH).

methodsAn overnight polysomnography (PSG) was conducted in patients with CTEPH, who were eligible for pulmonary endarterectomy. Pulmonary hemodynamics (mean pulmonary arterial pressure (mPAP), pulmonary arterial wedge pressure (PAWP), pulmonary vascular resistance (PVR) measured with right heart catheterization (RHC)), PSG variables (apnea-hypopnea index (AHI)), lung function and carbon monoxide diffusion capacity (DLCO) values, as well as demographics and comorbidities were entered into a logistic regression model to address the determinants of severe NH (nocturnal oxyhemoglobin saturation (SpO

resultsIn all, 50 consecutive patients (34 men and 16 women; mean age 54.0 (SD 15.1) years) were included. The average mPAP was 43.8 (SD 16.8) mmHg. SRBD was observed in 40 (80%) patients, of whom 27 had OSA, 2 CSA-CSR, and 11 ISRH. None had OHS. Severe NH was observed in 31 (62%) patients. Among the variables tested, age (odds ratio (OR) 1.08, 95% confidence interval [CI] 1.01-1.15;

conclusionsSevere NH is highly prevalent in patients with CTEPH. Early screening for SRBDs and intervention with nocturnal supplemental oxygen and/or positive airway pressure as well as pulmonary endarterectomy may reduce adverse outcomes in patients with CTEPH.

Indexed as

CTEPHnocturnal hypoxemiapulmonary endarterectomypulmonary hypertensionsleep-related breathing disorders

Identifiers

PMID37510754
PMCPMC10380264
OpenAlexW4384130941

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.