{"title":"阻塞性睡眠呼吸暂停和心力衰竭的综合患病率：系统回顾和荟萃分析。","authors":"Wisarud Prechaporn, Phasu Hantrakul, Chetta Ngamjarus, Wattana Sukeepaisarnjaroen, Kittisak Sawanyawisuth, Sittichai Khamsai","doi":"10.1007/s10741-024-10399-6","DOIUrl":null,"url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a disease with intermittent hypoxemia during sleep. It has been shown that OSA is related to several cardiovascular diseases including heart failure. Both OSA and heart failure have a close association bidirectionally. This study aimed to estimate the pooled prevalence of OSA in patients with heart failure as well as pooled prevalence of heart failure in patients with OSA. This was a systematic review with a meta-analysis. The inclusion criteria were observational or epidemiological studies conducted in adult patients with heart failure to evaluate the prevalence of OSA and patients with OSA to evaluate the prevalence of heart failure. The outcomes of this study were prevalence of OSA in patients with heart failure and prevalence of heart failure in patients with OSA. Four databases were used for systematic searching including PubMed, Science Direct, Scopus, and CINAHL Plus. Manual searches for related studies were also conducted. Proportion meta-analyses using a random-effects model were conducted to identify pooled proportion (prevalence) of heart failure in patients with OSA and vice versa. Among 3,941 articles from the four databases met the study criteria. Thirty-three studies showed the prevalence of OSA in patients with heart failure, while thirteen studies presented the prevalence of heart failure in patients with OSA. The prevalence of OSA in patients with heart failure was 38.4% (95% CI 31.9 to 45.2; I<sup>2</sup> of 96.1%). Using a diagnostic criterion of OSA of more than 10 events/hr had the highest prevalence of OSA in patients with heart failure at 53.4% (95% CI 42.0 to 64.5). The highest prevalence of OSA in patients with heart failure was 60.1% (95% CI 51.4 to 68.3) in a report from India. The pooled prevalence of heart failure in patients with OSA was 12.8% (95% CI 8.1 to 19.5; I<sup>2</sup> of 94.6%). The prevalence in Romania was highest at 22.6% (95% CI 20.4 to 24.9). The pooled prevalence of OSA in patients with heart failure was higher than the pooled prevalence of heart failure in patients with OSA. 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引用次数: 0
摘要
阻塞性睡眠呼吸暂停（OSA）是一种在睡眠过程中出现间歇性低氧血症的疾病。研究表明，OSA 与包括心力衰竭在内的多种心血管疾病有关。OSA 和心力衰竭在双向上都有密切联系。本研究旨在估算OSA在心力衰竭患者中的总患病率以及OSA在心力衰竭患者中的总患病率。这是一项带有荟萃分析的系统性综述。纳入标准是在成年心力衰竭患者中进行的观察性或流行病学研究，以评估 OSA 的患病率；以及在 OSA 患者中进行的观察性或流行病学研究，以评估心力衰竭的患病率。本研究的结果是心力衰竭患者中 OSA 的患病率和 OSA 患者中心力衰竭的患病率。系统性检索使用了四个数据库，包括 PubMed、Science Direct、Scopus 和 CINAHL Plus。此外，还对相关研究进行了人工检索。使用随机效应模型进行比例荟萃分析，以确定 OSA 患者心衰的汇总比例（患病率），反之亦然。四个数据库中共有 3,941 篇文章符合研究标准。33项研究显示了OSA在心力衰竭患者中的患病率，13项研究显示了OSA患者中心力衰竭的患病率。OSA在心衰患者中的患病率为38.4%（95% CI为31.9-45.2；I2为96.1%）。以每小时超过 10 次为 OSA 诊断标准，心衰患者的 OSA 患病率最高，为 53.4% (95% CI 42.0 至 64.5)。印度的一份报告显示，心力衰竭患者中 OSA 的患病率最高，为 60.1%（95% CI 51.4 至 68.3）。OSA 患者中心力衰竭的合计患病率为 12.8%（95% CI 8.1 至 19.5；I2 为 94.6%）。罗马尼亚的患病率最高，为 22.6%（95% CI 20.4 至 24.9）。心力衰竭患者中 OSA 的汇总患病率高于 OSA 患者中心力衰竭的汇总患病率。在不同的OSA诊断标准和国家中，这些关联的集合患病率各不相同。
Pooled prevalences of obstructive sleep apnea and heart failure: a systematic review and meta-analysis.
Obstructive sleep apnea (OSA) is a disease with intermittent hypoxemia during sleep. It has been shown that OSA is related to several cardiovascular diseases including heart failure. Both OSA and heart failure have a close association bidirectionally. This study aimed to estimate the pooled prevalence of OSA in patients with heart failure as well as pooled prevalence of heart failure in patients with OSA. This was a systematic review with a meta-analysis. The inclusion criteria were observational or epidemiological studies conducted in adult patients with heart failure to evaluate the prevalence of OSA and patients with OSA to evaluate the prevalence of heart failure. The outcomes of this study were prevalence of OSA in patients with heart failure and prevalence of heart failure in patients with OSA. Four databases were used for systematic searching including PubMed, Science Direct, Scopus, and CINAHL Plus. Manual searches for related studies were also conducted. Proportion meta-analyses using a random-effects model were conducted to identify pooled proportion (prevalence) of heart failure in patients with OSA and vice versa. Among 3,941 articles from the four databases met the study criteria. Thirty-three studies showed the prevalence of OSA in patients with heart failure, while thirteen studies presented the prevalence of heart failure in patients with OSA. The prevalence of OSA in patients with heart failure was 38.4% (95% CI 31.9 to 45.2; I2 of 96.1%). Using a diagnostic criterion of OSA of more than 10 events/hr had the highest prevalence of OSA in patients with heart failure at 53.4% (95% CI 42.0 to 64.5). The highest prevalence of OSA in patients with heart failure was 60.1% (95% CI 51.4 to 68.3) in a report from India. The pooled prevalence of heart failure in patients with OSA was 12.8% (95% CI 8.1 to 19.5; I2 of 94.6%). The prevalence in Romania was highest at 22.6% (95% CI 20.4 to 24.9). The pooled prevalence of OSA in patients with heart failure was higher than the pooled prevalence of heart failure in patients with OSA. The pooled prevalence rates of these associations varied among the diagnostic criteria of OSA and countries.
期刊介绍：
Heart Failure Reviews is an international journal which develops links between basic scientists and clinical investigators, creating a unique, interdisciplinary dialogue focused on heart failure, its pathogenesis and treatment. The journal accordingly publishes papers in both basic and clinical research fields. Topics covered include clinical and surgical approaches to therapy, basic pharmacology, biochemistry, molecular biology, pathology, and electrophysiology.
The reviews are comprehensive, expanding the reader''s knowledge base and awareness of current research and new findings in this rapidly growing field of cardiovascular medicine. All reviews are thoroughly peer-reviewed before publication.
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