Mortality and morbidity in obstructive sleep apnoea–hypopnoea syndrome: results from a 30-year prospective cohort study

Autor: Sophie Dodds, Linda J. Williams, Amber Roguski, Marjorie Vennelle, Neil J. Douglas, Serafeim-Chrysovalantis Kotoulas, Renata L. Riha
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: ERJ Open Research, Vol 6, Iss 3 (2020)
Druh dokumentu: article
ISSN: 2312-0541
23120541
DOI: 10.1183/23120541.00057-2020
Popis: Background Obstructive sleep apnoea–hypopnoea syndrome (OSAHS) carries substantial negative health consequences. This study examines factors affecting mortality and morbidity according to continuous positive airway pressure (CPAP) use and predictors affecting CPAP adherence in a longitudinal cohort of OSAHS patients. Materials and methods This prospective, cohort study comprised 4502 patients who were diagnosed with OSAHS at a tertiary sleep disorders centre between 1982 and 2003. Of these, 1174 patients completed follow-up in 2012. Data collected included anthropometric, sleep and demographic characteristics, including comorbidities, ongoing medications and CPAP adherence. Patients were followed up for an average of 14.8±3.7 years. Results Imputation analysis showed that long-term CPAP users (>5 years) were 5.63 times more likely to be alive at study end than non-CPAP users (95% CI: 4.83–6.58, p
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