ICU sedation, delirium & recovery

Obstructive Sleep Apnea Among Gravidas With Chronic Hypertension Compared to Matched Controls: A Prospective Cohort Study

Anesth AnalgPublished Prospective cohort study

Authors' conclusion

cHTN and age are important risk factors for OSA in gravidas.

Study context

Population
Adult gravidas at 10–20 weeks of gestation, with and without chronic hypertensioncompleted home sleep test ≥2 h
Participants
100 participants
Exposure
Chronic hypertension vs normotensive gravidas
  • Chronic hypertension (cHTN)n = 50
  • Normotensiven = 50reference
Outcome
Obstructive sleep apnea (OSA) prevalence in gravidas with cHTN vs normotensive gravidas matched for BMI and gestational age
Methodological detailssingle-centre, body mass index (BMI) matched
  • Single-centre
  • BMI matched

Main finding

As reported in the abstract

OSA prevalence
cHTN vs NormotensiveEstimate (95% CI)P value
Prevalence difference P = .009
OR 2.90(1.30–6.65)
P = 0.01
Adjusted for age; no overall association
aOR 2.22(0.92–5.40)
P = 0.076

Observational data: associations, not effects.

Secondary outcomes

Moderate or severe OSA

P = 0.009

OutcomeaOR (95% CI)P value
OSA (subgroup: gravidas older than 25 years)2.64 (1.06–6.71)P = 0.038

Age

P < 0.001

Original publication

Obstructive Sleep Apnea Among Gravidas With Chronic Hypertension Compared to Matched Controls: A Prospective Cohort Study. Anesth Analg. Published 10 November 2022. doi:10.1213/ane.0000000000006223

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