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Published on: December 6, 2016
Rising cardiovascular mortality among obstructive sleep apnea patients: United States epidemiological trends
Dua Ali1, Shaheer Qureshi1, Hibah Siddiqui1
1Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Insights
Obstructive sleep apnea (OSA) and cardiovascular disease (CVD) mortality rates have significantly increased, especially among men and Black individuals. Public health interventions are crucial to address disparities in high-risk groups.
Area of Science:
- Public Health
- Cardiology
- Sleep Medicine
Background:
- Obstructive sleep apnea (OSA) prevalence is rising globally, contributing to a significant healthcare burden.
- OSA is a known risk factor for cardiovascular diseases (CVD), including heart failure, stroke, and ischemic heart disease.
- Trends in CVD mortality among OSA patients are not well understood.
Purpose of the Study:
- To analyze trends in mortality rates for obstructive sleep apnea (OSA) and cardiovascular disease (CVD) in the US.
- To investigate variations in OSA-related CVD mortality based on demographics and geographic regions.
Main Methods:
- Utilized CDC WONDER database for mortality data (adults ≥25 with OSA and CVD) from 1999-2019.
- Calculated age-adjusted mortality rates (AAMRs) and annual percent change (APC) with 95% confidence intervals (CIs).
- Stratified analyses by year, sex, race/ethnicity, age, urbanization, and Census regions.
Main Results:
- Recorded 168,111 OSA-related CVD deaths between 1999 and 2019.
- Observed significant increases in overall AAMRs, notably for hypertensive disease (APC: 13.2%).
- Higher AAMRs in men vs. women, highest racial disparities in Black individuals, and highest rates in the Midwest and rural areas.
Conclusions:
- OSA-related CVD mortality has substantially increased, highlighting significant disparities.
- Marked variations in mortality exist across sex, race/ethnicity, and geographic regions.
- Targeted public health interventions are essential to mitigate mortality in vulnerable populations.
Background:
Obstructive sleep apnea (OSA) prevalence has risen significantly, affecting millions globally and posing a major healthcare burden. OSA is strongly associated with cardiovascular diseases (CVD) such as heart failure, stroke, and ischemic heart disease. However, trends in CVD-related mortality among individuals with OSA remain underexplored.
Objective:
This study aims to assess the trends of OSA and CVD related mortality rates and variations in mortality based on demographics and regions in the US.
Methods:
Mortality data for adults aged ≥25 with OSA and CVD were extracted from the CDC WONDER database. Age-adjusted mortality rates (AAMRs) per 100,000 and annual percent change (APC) with 95 % confidence intervals (CIs) were calculated, stratified by year, sex, race/ethnicity, age, urbanization, and Census regions.
Results:
Between 1999 and 2019, 168,111 OSA-related CVD deaths were recorded. Overall AAMRs rose significantly, particularly for hypertensive disease (1999-2006 APC: 13.2 %, 95 % CI: 11.6-15.7). Men consistently had higher AAMRs than women, and Black individuals showed the highest racial disparities. AAMRs varied geographically, with the Midwest recording the highest rates and rural areas showing notable increases. States like Oregon and Montana had rates three times higher than New York and Massachusetts.
Conclusions:
OSA-related CVD mortality has risen substantially, with marked disparities by sex, race, and region. These findings emphasize the need for targeted public health interventions to reduce mortality in high-risk groups.
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