Evidence map›Paper›PMID 39601924›Full record

SynthesisSleep & breathing = Schlaf & Atmung2024

Sleep apnea prevalence and severity after coronary revascularization versus no intervention: a systematic review & meta-analysis.

Marjo Ajosenpää, Satu Sarin, Tero Vahlberg, Ulla Ahlmen-Laiho, Peker Yüksel, Nea Kalleinen, Jenni Toivonen

Erratum issuedAbstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Marjo AjosenpääDepartment of Pulmonary Diseases and Clinical Allergology, Sleep Research Center, University of Turku, Turku, Finland. marjo.ajosenpaa@fimnet.fi.
Satu SarinDepartment of Pulmonary Diseases and Clinical Allergology, Sleep Research Center, University of Turku, Turku, Finland.
Tero VahlbergDepartment of Biostatistics, University of Turku and Turku University Hospital, Turku, Finland.
Ulla Ahlmen-LaihoDepartment of Anesthesiology and Intensive Care, University of Turku, Turku, Finland.
Peker YükselDepartment of Pulmonary Medicine, Koc University School of Medicine, Istanbul, TR, 34010, Turkey.
Nea KalleinenDepartment of Pulmonary Diseases and Clinical Allergology, Sleep Research Center, University of Turku, Turku, Finland.
Jenni ToivonenDepartment of Pulmonary Diseases and Clinical Allergology, Sleep Research Center, University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) is a common disease in patients with coronary artery disease (CAD). Approximately 40-80% of cardiovascular disease patients have obstructive sleep apnea. The manifestation of it can vary significantly in different types of CAD patients. This systematic review and meta-analysis investigate the prevalence and severity of OSA in patients with acute coronary syndrome (ACS).

methodsThis systematic review was conducted according to PRISMA guidelines. The first inclusion criteria were that a reliable sleep study had to be done after treating the patients' acute coronary incident. All patients in the studies included were adults suffering from an ACS who underwent either coronary artery bypass grafting surgery (CABG), a percutaneous coronary intervention (PCI) or had no invasive coronary intervention done. A search was conducted within four valid databases 27.1.2023 and all suitable articles published after 1.1.2010 were included.

resultsEight studies fulfilled the full inclusion criteria. In five of them, a sleep study had been performed after PCI, in two after no coronary intervention, and in one study after CABG. Mean AHI in no-OSA group after PCI was 9.5 /h (95% CI 5.3-13.7) and in the no intervention group 6.4 /h (95% CI 3.5-9.4). In OSA patients, mean AHI after PCI was 34.9 /h (95% CI 25.9-43.8) vs. 24.1 /h without intervention (95% CI 15.6-32.6).

conclusionsSleep apnea is very common among ACS patients and should be screened for and addressed after the acute coronary intervention. Moreover, we found that OSA is more severe in patients in whom PCI for ACS was indicated as opposed to patients who underwent no coronary intervention.

Indexed as

Percutaneous Coronary InterventionSleep Apnea, ObstructiveAcute Coronary SyndromeCoronary Artery BypassCoronary Artery DiseaseHumansPrevalenceSeverity of Illness IndexCABGCAD, coronary artery diseaseOSA, obstructive sleep apneaPCI

Identifiers

PMID39601924
PMCPMC11602854

What Socratic holds

Textmetadata
LicenceCC BY
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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.