Impact of Sleep-Disordered Breathing on Hospitalization Risk for Diabetes and Heart Disease
Author Information
Author(s): Hlynsson Hlynur Davíð, Ong Jason C., Day Joseph, Kauss Thomas, Montazeri Kristófer, Hertzberg Jeffrey, Wickwire Emerson, Hankla Rebecca M., Finnsson Eysteinn, Ágústsson Jón Skírnir, Riney Heidi, Dichtl Wolfgang
Primary Institution: Nox Health, Inc.
Hypothesis
The findings would support the diagnosis of SDB as a risk factor for hospitalizations related to DM, AD, or either.
Conclusion
Comorbid sleep-disordered breathing increases the risk for hospitalizations related to chronic cardiometabolic conditions.
Supporting Evidence
- 83% of type 2 diabetes patients suffer from undiagnosed sleep apnea.
- Individuals with OSA have a heightened risk of DM onset compared to those without.
- Hospitalization is a frequent metric used to indicate worsening disease progression.
- Post hoc analysis revealed sex differences in the relationship between SDB and future hospitalizations.
- SDB diagnosis was associated with a 30% increased risk of DM-related hospitalizations.
- SDB diagnosis was associated with a 23% increased risk of AD-related hospitalizations.
- Females showed a pattern of significantly elevated risk across all future hospitalization outcomes.
- Males had a significant relationship between SDB diagnosis and future DM hospitalization only.
Takeaway
People with sleep apnea are more likely to end up in the hospital because of diabetes or heart problems.
Methodology
Retrospective cohort analysis using a large medical claims database over 5 years.
Potential Biases
Potential confounding factors not measured, such as treatment adherence and health literacy.
Limitations
Medical claims data may not accurately reflect disease severity and could have coding inaccuracies.
Participant Demographics
Adults aged 18-64, with a mix of males and females, and various comorbid conditions.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI: 1.61–1.67 for DM-related hospitalizations
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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