Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia.
Department of Medicine, Georgetown University Medical Center, 4000 Reservoir Road, NW, Washington, DC 20057, USA.
Medicina (Kaunas). 2023 May 1;59(5):873. doi: 10.3390/medicina59050873.
Obstructive sleep apnea (OSA) is associated with increased morbidity and mortality. OSA is an independent risk factor for many different conditions, especially cardiovascular diseases. The purpose of this study was to ascertain the comorbidity profile of non-obese patients with newly diagnosed OSA and evaluate the risk for cardiovascular disease and mortality. The present study also aimed to establish predictors for OSA severity. This study included 138 newly diagnosed patients who underwent polysomnographic analysis. The 10-year risk for cardiovascular disease was assessed using a newly validated prediction model: Systematic Coronary Risk Evaluation (SCORE-2). In addition, the Charlson Comorbidity Index (CCI) was assessed as a widely-used example of a mortality comorbidity index. The study population included 138 patients: 86 males and 52 females. Patients were stratified, according to AHI (apnea/hypopnea index), into four groups: 33 patients had mild OSA (5 ≤ AHI < 15), 33 patients had moderate OSA (15 ≤ AHI < 30), 31 patients had severe OSA (AHI ≥ 30), and 41 individuals had AHI < 5, which were a part of the control group. SCORE-2 increased in line with OSA severity and was higher in OSA groups compared to the control group (H = 29.913; DF = 3; < 0.001). Charlson Index was significantly higher in OSA patients compared to controls ( = 0.001), with a higher prevalence of total comorbidities in the OSA group of patients. Furthermore, CCI 10-year survival score was significantly lower in the OSA group, suggesting a shorter survival of those patients with a more severe form of OSA. We also examined the prediction model for OSA severity. Determining the comorbidity profile and estimation of the 10-year risk score of OSA patients could be used to classify these patients into various mortality risk categories and, according to that, provide them with adequate treatment.
阻塞性睡眠呼吸暂停(OSA)与发病率和死亡率的增加有关。OSA 是许多不同疾病的独立危险因素,尤其是心血管疾病。本研究的目的是确定新诊断为 OSA 的非肥胖患者的合并症特征,并评估心血管疾病和死亡率的风险。本研究还旨在确定 OSA 严重程度的预测因素。
本研究纳入了 138 例接受多导睡眠图分析的新诊断患者。心血管疾病的 10 年风险使用新验证的预测模型:系统性冠状动脉风险评估(SCORE-2)进行评估。此外,还评估了 Charlson 合并症指数(CCI)作为死亡率合并症指数的一个广泛应用的例子。
研究人群包括 138 例患者:86 例男性和 52 例女性。根据 AHI(呼吸暂停/低通气指数)将患者分层为四组:33 例患者患有轻度 OSA(5≤AHI<15),33 例患者患有中度 OSA(15≤AHI<30),31 例患者患有重度 OSA(AHI≥30),41 例患者 AHI<5,属于对照组。SCORE-2 随着 OSA 严重程度的增加而增加,并且 OSA 组的 SCORE-2 高于对照组(H=29.913;DF=3;<0.001)。与对照组相比,OSA 患者的 Charlson 指数显著升高(=0.001),OSA 患者的总合并症患病率更高。此外,OSA 组的 CCI 10 年生存率评分显著降低,表明这些患者的生存率较低,且 OSA 更严重。我们还检查了 OSA 严重程度的预测模型。
确定 OSA 患者的合并症特征并估计 10 年风险评分可用于将这些患者分为不同的死亡率风险类别,并根据该类别为他们提供适当的治疗。