Sleep Apnea and Incident Unprovoked Venous Thromboembolism: Data from the Pays de la Loire Sleep Cohort

Previous studies have reported inconsistent findings regarding the association between obstructive sleep apnea (OSA) and incident venous thromboembolism (VTE). More specifically, the association between OSA and unprovoked VTE was barely evaluated. We aimed to evaluate whether apnea hypopnea index (A...

Full description

Saved in:

Bibliographic Details
Published in:	Thrombosis and haemostasis Vol. 123; no. 4; p. 393
Main Authors:	Trzepizur, Wojciech, Gervès-Pinquié, Chloé, Heudes, Baptiste, Blanchard, Margaux, Meslier, Nicole, Jouvenot, Marie, Kerbat, Sandrine, Mao, Raphael Le, Magois, Eline, Racineux, Jean-Louis, Sabil, AbdelKebir, Thereaux, Jérémie, Couturaud, Francis, Gagnadoux, Frédéric
Format:	Journal Article
Language:	English
Published:	Germany 01-04-2023
Subjects:	Humans Hypoxia - complications Sleep Sleep Apnea Syndromes - complications Sleep Apnea, Obstructive - complications Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - epidemiology Venous Thromboembolism - complications Venous Thromboembolism - diagnosis Venous Thromboembolism - epidemiology
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Previous studies have reported inconsistent findings regarding the association between obstructive sleep apnea (OSA) and incident venous thromboembolism (VTE). More specifically, the association between OSA and unprovoked VTE was barely evaluated. We aimed to evaluate whether apnea hypopnea index (AHI) and nocturnal hypoxemia markers were associated with unprovoked VTE incidence in patients investigated for OSA. Data from the were linked to the French health administrative data to identify incident unprovoked VTE in patients suspected for OSA and no previous VTE disease. Cox proportional hazards models were used to evaluate the association of unprovoked VTE incidence with AHI and nocturnal hypoxemia markers including the time spent under 90% of saturation (T90), oxygen desaturation index, and hypoxic burden (HB), a more specific marker of respiratory events related to hypoxia. The impact of continuous positive airway pressure (CPAP) was evaluated in the subgroup of patients who were proposed the treatment. After a median [interquartile range] follow-up of 6.3 [4.3-9.0] years, 104 of 7,355 patients developed unprovoked VTE, for an incidence rate of 10.8 per 1,000 patient-years. In a univariate analysis, T90 and HB predicted incident VTE. In the fully adjusted model, T90 was the only independent predictor (hazard ratio: 1.06; 95% confidence interval: [1.01-1.02]; = 0.02). The CPAP treatment has no significant impact on VTE incidence. Patients with more severe nocturnal hypoxia are more likely to have incident unprovoked VTE.
ISSN:	2567-689X
DOI:	10.1055/a-2000-8288