Table 2: Meta-analyses of Incident Hypertension and Cardiovascular Events in Patients with Obstructive Sleep Apnoea.
Authors | Type of Study | No. Studies | Patients | Groups | Endpoint | Association Pooled RR [95% CI] |
---|---|---|---|---|---|---|
Hypertension | ||||||
Hou et al. 2018[21] | Meta-analysis | 26 studies | 51,623 | Mild OSA (AHI ≥5) Moderate OSA (AHI ≥15) Severe OSA (AHI ≥30) OSA (AHI ≥5) |
New-onset hypertension Resistant hypertension |
1.18 [1.09–1.27] 1.32 [1.20–1.43] 2.84 [1.70–3.98] 2.84 [1.70–3.98] |
Xia et al. 2018[22] | Meta-analysis | 6 prospective and 1 case–control studies | 6,098 | AHI ≥5 versus AHI ≥30 | New-onset hypertension | 1.77 [1.30–2.41] |
Cardiovascular Disease | ||||||
Xie et al. 2017[47] | Meta-analysis | 16 cohort studies (11 studies in primary prevention) | 24,308 | Severe OSA (AHI ≥30) | CHD Stroke Heart failure CV mortality All-cause mortality |
1.63 [1.18–2.26] 2.15 [1.42–3.24] 1.44 [0.94–2.21] 2.96 [1.45–6.01] 1.54 [1.21–1.97] |
Prevention Studies (CPAP) | ||||||
da Silva and Zhang 2019[55] | Meta-analysis | 9 RCTs | 3,314 | CPAP versus control | MI Stroke CV mortality All-cause mortality |
1.11 [0.76–1.62] 0.77 [0.46–1.28] 0.58 [0.19–1.74] 0.86 [0.60–1.23] |
Khan et al. 2018[56] | Meta-analysis | 7 RCTs | 4,268 | CPAP versus control | MACE* MACE*(≥4 h/night of CPAP use) AF/AFl MI Stroke CV mortality All-cause mortality |
0.74 [0.47–1.17] 0.43 [0.23–0.80] 0.87 [0.38–1.97] 0.99 [0.57–1.72] 0.95 [0.72–1.24] 0.70 [0.27–1.80] 0.95 [0.67–1.34] |
Deng et al. 2018[45] | Meta-analysis | 10 studies (3 RCTs) | 1,217 | CPAP versus control | Recurrent AF (after catheter ablation) | 0.60 [0.51–0.70] |
*Non-fatal MI, stroke and cardiovascular mortality. AFl = atrial flutter; AHI = apnoea-hypopnoea index; CPAP = continuous positive airway pressure; CV = cardiovascular; MACE = major adverse cardiovascular events; OSA = obstructive sleep apnoea; RCT = randomised controlled trial; TIA = transient ischaemic attack.