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. 2022 Nov 26;163(4):942–952. doi: 10.1016/j.chest.2022.11.028

Table 3.

Association Between OSA–Hypopnea Index and Incident Hospitalization With Respiratory Infection: The ARIC Study, 1996-1998 Through 2018 (N = 1,563)

OSA Category
P for Trend
Normal
Mild
Moderate
Severe
< 5 Events/h 5-14 Events/h 15-29 Events/h ≥ 30 Events/h
No. 803 467 199 94
Incident hospitalization with respiratory infection, No. 152 103 49 26
Person-y at risk 14,290 7,992 3,389 1,497
Crude respiratory infection incidence rate, per 1,000 person-y 10.6 12.9 14.5 17.4
Model 1 hazard ratio (95% CI) 1 (reference) 1.03 (0.80-1.33) 1.15 (0.83-1.60) 1.40 (0.92-2.13) .13
Model 2 hazard ratio (95% CI) 1 (reference) 1.10 (0.85-1.43) 1.19 (0.85-1.66) 1.47 (0.96-2.25) .07
Model 3 hazard ratio (95% CI) 1 (reference) 1.08 (0.83-1.40) 1.13 (0.80-1.59) 1.34 (0.85-2.11) .21
Model 4 hazard ratio (95% CI) 1 (reference) 1.07 (0.82-1.39) 1.11 (0.78-1.56) 1.33 (0.85-2.10) .25
Model 5 hazard ratio (95% CI) 1 (reference) 1.07 (0.82-1.40) 1.14 (0.80-1.61) 1.26 (0.80-1.99) .27
Model 6 hazard ratio (95% CI) 1 (reference) 1.07 (0.82-1.40) 1.15 (0.81-1.62) 1.26 (0.80-1.97) .27

ARIC = Atherosclerosis Risk in Communities.

Model 1: Cox regression adjusted for age, sex, and center.

Model 2: Model 1 + adjustment for education, sports index, drinking status, and smoking status.

Model 3: Model 2 + adjustment for BMI.

Model 4: Model 3 + adjustment for prevalent asthma and prevalent COPD.

Model 5: Model 4 + adjustment for estimated glomerular filtration rate (eGFR), diabetes, and prevalent cardiovascular disease.

Model 6: Model 5 + adjustment for log(C-reactive protein).