Association between Plaque Score of the Carotid Artery and the Severity of Sleep Apnea Syndrome in Patients with Chronic Kidney Disease

Hasegawa, Daisuke; Tanaka, Akihito; Inaguma, Daijo; Ito, Eri; Kamegai, Naoki; Kato, Akira; Mizutani, Minami; Shimogushi, Hiroya; Shinjo, Hibiki; Otsuka, Yasuhiro; Takeda, Asami

doi:10.1159/000443748

Cited by 7 publications

(3 citation statements)

References 26 publications

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“…Six studies were from the USA, three from Japan, two from Canada, three from Egypt, three from Australia . Three studies were from China and Hong Kong China .…”

Section: Resultsmentioning

confidence: 99%

Prevalence of sleep apnoea in non‐dialysis chronic kidney disease patients: A systematic review and meta‐analysis

et al. 2019

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This is a meta-analysis evaluating the prevalence of sleep apnoea (SA) in patients with chronic kidney disease (CKD). The authors found that SA is commonly seen in both early and advanced nondialysis CKD patients, and the prevalence of SA increases in advanced CKD. And male patients are more likely to be affected by SA than female patients. ABSTRACT:Aim: The prevalence of sleep apnoea (SA) in chronic kidney disease (CKD) varies greatly across preceding studies. The aim of our study was to provide a summary of the prevalence of SA among non-dialysis CKD patients. Method: Medline, Embase, Web of Science, China Knowledge ResourceIntegrated Database, VIP Chinese scientific journal database (VIP) and Wanfang Digital Periodical Full-text database were searched up to September 2018 to identify publications related to the prevalence of SA in non-dialysis CKD patients assessed by sleep questionnaires or sleep respiration monitoring. Random-effects meta-analysis was used to estimate pooled prevalence of SA. And subgroup analysis and meta-regression were conducted as well.Results: The pooled prevalence of SA in the included 26 studies was 38% (95% confidence interval [CI], 21-70%). In subgroup analyses, the pooled prevalence of SA varied using different diagnostic tools. The pooled prevalence of questionnaire-based SA for CKD was 10% (95% CI, 3-27%), while the prevalence of sleep monitoring-based SA was 56% (95% CI, 49-66%). Also, advanced CKD patients had a greater chance to suffer from moderate-to-severe SA than early stage CKD patients. Male patients were more likely to be affected by moderate-to-severe SA than female patients (47% vs 30%, P = 0.018).

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“…Six studies were from the USA, three from Japan, two from Canada, three from Egypt, three from Australia . Three studies were from China and Hong Kong China .…”

Section: Resultsmentioning

confidence: 99%

Prevalence of sleep apnoea in non‐dialysis chronic kidney disease patients: A systematic review and meta‐analysis

et al. 2019

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“…We have previously reported that fluid retention ( 6 ), and atherosclerosis in CKD patients are associated with SAS ( 7 ). These factors would naturally be assumed to have a negative impact on life expectancy and cardiovascular events.…”

Section: Discussionmentioning

confidence: 99%

“…We have previously reported that fluid retention in CKD ( 6 ) and arterial stiffness are associated with SAS ( 7 ). Furthermore, several reports have indicated that the prognosis is worse in OSAS patients with CKD ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Mortality and Cardiovascular Events in Patients With Chronic Kidney Disease and Sleep Apnea Syndrome

Watanabe

Tanaka²,

Furuhashi³

et al. 2022

Front. Med.

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BackgroundThe incidence of sleep apnea syndrome (SAS) is reported to be markedly high in patients with chronic kidney disease (CKD). Therefore, it is extremely important to know whether SAS affects prognosis in patients with CKD. Further, it is imperative to understand the prognostic impact of home continuous positive airway pressure (CPAP) therapy, which is one of the most common treatments for SAS.Materials and MethodsWe used a clinical database to identify patients with CKD using diagnosis codes. We included patients with CKD aged 20 years or more, not on renal replacement therapy, with a known change in renal function for at least 1 year. The propensity score was used to compare event rates for patients with SAS and those without SAS. In addition, the prognostic impact of CPAP therapy was investigated. The primary outcome is a composite of death, initiation of renal replacement therapy, hospitalization for heart failure, ischemic heart disease, and cerebrovascular disease.ResultsFrom the database, 31,294 patients with CKD without SAS and 1,026 with SAS were found to be eligible. Of these, 419 (41%) patients with SAS and 10,713 (34%) patients without SAS (P < 0.01) reached the primary outcome. After adjustment with the propensity score, the SAS group was found to have a similarly poor prognosis (P < 0.01): the hazard ratio for the primary outcome was 1.26 (95% CI, 1.08–1.45, P < 0.01) in the group with SAS compared with the group without SAS. Conversely, in patients with SAS and using CPAP, the hazard ratio was lower and did not differ significantly (HR 0.96, 95% CI: 0.76–1.22, P = 0.76).ConclusionIn patients with CKD and SAS, the risk of death and cardiovascular disease is high. In addition, patients treated with CPAP may have improved life expectancy.

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Comparison of carotid artery ultrasonography findings between acute coronary syndrome and atherothrombotic cerebral infarction

et al. 2017

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Association between Plaque Score of the Carotid Artery and the Severity of Sleep Apnea Syndrome in Patients with Chronic Kidney Disease

Cited by 7 publications

References 26 publications

Prevalence of sleep apnoea in non‐dialysis chronic kidney disease patients: A systematic review and meta‐analysis

Prevalence of sleep apnoea in non‐dialysis chronic kidney disease patients: A systematic review and meta‐analysis

Mortality and Cardiovascular Events in Patients With Chronic Kidney Disease and Sleep Apnea Syndrome

Comparison of carotid artery ultrasonography findings between acute coronary syndrome and atherothrombotic cerebral infarction

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