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May 1, 2023MedicinaOpen Access

OSA in non-obese patients is linked to higher 10-year cardiovascular risk and comorbidity burden.

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Why the study?

The study aimed to ascertain the comorbidity profile of non-obese patients with newly diagnosed OSA, evaluate their risk for cardiovascular disease and mortality, and establish predictors for OSA severity.

Is obstructive sleep apnea severity associated with increased 10-year cardiovascular risk and comorbidity burden in non-obese patients?

Population

138 newly diagnosed patients undergoing polysomnography (86 males and 52 females)

Comparison

Mild vs moderate vs severe OSA vs controls (AHI < 5)

Design

Observational cross-sectional study

Key result

Non-obese patients with obstructive sleep apnea had significantly higher 10-year cardiovascular risk (SCORE-2, p<0.001) and comorbidity burden (CCI, p=0.001) compared to controls without OSA.

Authors

DIDragana Milicic IvanovskiBSBranka Miličić StanićIKIvan Kopitović

Discussion

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Member takes

Overview

OSA severity links to higher CV risk in non-obese patients; hypothesis-generating and requires prospective trials before practice change.

Study Design

Type

Observational (n=138)

Structured PICO

Is obstructive sleep apnea severity associated with increased 10-year cardiovascular risk and comorbidity burden in non-obese patients?

P
Population
138 non-obese patients who underwent polysomnographic analysis, including newly diagnosed obstructive sleep apnea (OSA) patients and controls (86 males, 52 females).
I
Intervention
Obstructive sleep apnea (stratified into mild, moderate, and severe based on AHI).
C
Comparator
Control group with AHI < 5 (n=41).
O
Outcome
10-year risk for cardiovascular disease assessed using SCORE-2, and mortality risk assessed using the Charlson Comorbidity Index (CCI).surrogate

Main Result

p-value: p=<0.001

In non-obese patients, increasing severity of obstructive sleep apnea is associated with a higher 10-year predicted risk of cardiovascular disease and greater comorbidity burden.

Cite This Study

Ivanovski et al. (2023) conducted an observational in Non-obese obstructive sleep apnea (OSA) (n=138). Obstructive sleep apnea (severity based on AHI) vs. Control group (AHI < 5) was evaluated on 10-year risk for cardiovascular disease (SCORE-2) (p=<0.001). Non-obese patients with obstructive sleep apnea had significantly higher 10-year cardiovascular risk (SCORE-2, p<0.001) and comorbidity burden (CCI, p=0.001) compared to controls without OSA.

synapsesocial.com/papers/6a12c388f7bd4f5c7da6ddfahttps://doi.org/10.3390/medicina59050873
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