Table 3.
Hazard Ratio (95% Confidence Interval) of Incident Heart Failure by OSA Quartiles
Minimally Adjusted* | MV Adjusted† | MV + WASO Adjusted† | MV + AF Adjusted† | MV + Hypoxemia Adjusted† | MV + Dropping Those with Baseline HF† | MV + Truncating Follow-up to Start of CPAP Use† | |
---|---|---|---|---|---|---|---|
Quartile 1 (OAHI <6) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
Quartile 2 (OAHI 6 to <12.5) | 0.87 (0.53–1.44) | 0.74 (0.44–1.23) | 0.74 (0.44–1.25) | 0.86 (0.51–1.46) | 0.73 (0.43–1.22) | 0.89 (0.52–1.53) | 0.76 (0.45–1.29) |
Quartile 3 (OAHI 12.5 to <23) | 1.42 (0.90–2.25) | 1.34 (0.84–2.13) | 1.35 (0.84–2.15) | 1.35 (0.82–2.22) | 1.30 (0.80–2.14) | 1.40 (0.85–2.31) | 1.21 (0.74–1.97) |
Quartile 4 (OAHI ≥23) | 1.74 (1.12–2.70) | 1.42 (0.90–2.24) | 1.40 (0.88–2.23) | 1.45 (0.88–2.38) | 1.40 (0.83–2.36) | 1.29 (0.78–2.15) | 1.30 (0.79–2.12) |
Definition of abbreviations: AF = atrial fibrillation; CPAP = continuous positive airway pressure; HF = heart failure; MV = multivariable; OAHI = obstructive apnea hypopnea index; OSA = obstructive sleep apnea; WASO = wake after sleep onset.
Adjusted for clinic site, age, race, and history of heart failure.
Adjusted for clinic site, age, race, BMI, history of coronary artery disease (myocardial infarction, angina, bypass surgery, and angioplasty), heart failure, stroke, diabetes, hypertension, smoking, alcohol use, and physical activity.