Evidence map›Paper›PMID 41127137›Full record

ArticleNature and science of sleep2025

Association of Novel Hematologic Inflammatory Biomarkers with Cardiovascular Disease in Patients with Obstructive Sleep Apnea.

Yanru Ou, Xiufang Wang, Dandan Zong, Ruoyun Ouyang

Abstract read
In one paragraph

Article in Nature and science of sleep, 2025. 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. Article
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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

4 authors.

Yanru OuDepartment of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, People's Republic of China.
Xiufang WangDepartment of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, People's Republic of China.
Dandan Zong *Department of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, People's Republic of China.ORCID 0000-0003-0904-4854
Ruoyun Ouyang *Department of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, People's Republic of China.ORCID 0000-0001-8997-9574

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heightened inflammatory state is considered a key factor linking obstructive sleep apnea (OSA) with cardiovascular disease (CVD). Objective: This study aimed to assess the level of novel hematologic inflammatory biomarkers including neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), ratio of neutrophil count to HDL level (NHR), ratio of monocyte count to HDL level (MHR), monocyte count multiplied by neutrophil-to-lymphocyte ratio (SIRI) in OSA patients, and explored the relationships between these inflammatory biomarkers and cardiovascular risk. Methods: This study enrolled 974 patients with OSA and all data were collected after admission. Spearman correlation was used to explore the correlations between sleep parameters and inflammatory indices. Logistic regression and receiver operating characteristic (ROC) analysis were employed to assess the association between the novel hematologic inflammatory indices and CVD in OSA patients. Results: Correlation analysis showed that most inflammatory indices were closely related to nocturnal hypoxia in OSA patients. Multivariate logistic regression suggested that NLR (OR=1.085, 95% CI: 1.017-1.158), MLR (OR=3.708, 95% CI: 1.322-10.404), NHR (OR=1.074, 95% CI: 1.020-1.131), MHR (OR=2.116, 95% CI: 1.205-3.715), and SIRI (OR=1.148, 95% CI: 1.035-1.272) were positively correlated with CVD in OSA patients after adjusting all confounding factors. Moreover, the area under the curve (AUC) of NLR, MLR, NHR, MHR, and SIRI for discriminating OSA patients with CVD was 0.734, 0.735, 0.736, 0.734, and 0.735, respectively, after adjusting for all confounders. Conclusion: Inflammatory indices including NLR, MLR, NHR, MHR, and SIRI were promising biomarkers for CVD in OSA patients, which might aid in the early identification of CVD risk in clinical. These easily obtainable markers may facilitate CVD risk stratification in OSA patients.

Indexed as

cardiovascular diseaseMHRMLRNHRNLROSASIRI

Identifiers

PMID41127137
PMCPMC12539413

What Socratic holds

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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 Socratic graph.