Cardiac arrest & resuscitation

Sleep apnea, the risk of out-of-hospital cardiac arrest, and potential benefits of continuous positive airway pressure therapy: A nationwide study

ResuscitationPublished Nested case-control study

Authors' conclusion

SA not treated with CPAP was associated with OHCA, while no increased risk of OHCA was found for SA patients treated with CPAP.

Study context

Population
General population, nationwide databases: Out-of-hospital cardiac arrest (OHCA) cases of presumed cardiac causes and matched non-OHCA controls46,578 cases
Comparison
Sleep apnea (SA) with or without continuous positive airway pressure (CPAP) vs no SA
Outcome
OHCA
Methodological detailsnationwide, age/sex/OHCA-date matched, conditional logistic regression, Mean age 71 years, 68.8% men
  • Nationwide
  • age/sex/OHCA-date matched
  • Conditional logistic regression
  • Mean age 71 years, 68.8% men

Main finding

As reported in the abstract

Adjusted
Each group vs no SAOdds ratio (95% CI)
SA without CPAP
1.20(1.06–1.36)
SA with CPAP
1.04(0.93–1.36)

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
OHCA, patients with neither ischemic heart disease nor HF (subgroup)SA without CPAP vs No SA1.24 (1.04–1.47)
OHCA, patients with neither ischemic heart disease nor HF (subgroup)SA with CPAP vs No SA1.08 (0.93–1.25)
OHCA, patients without CVD (subgroup)SA without CPAP vs No SA1.33 (1.07–1.65)
OHCA, patients without CVD (subgroup)SA with CPAP vs No SA1.14 (0.94–1.39)

Original publication

Sleep apnea, the risk of out-of-hospital cardiac arrest, and potential benefits of continuous positive airway pressure therapy: A nationwide study. Resuscitation. Published 11 March 2024. doi:10.1016/j.resuscitation.2024.110174

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.