The Role of Obstructive Sleep Apnea in Vision-Threatening Diabetic Retinopathy-A National Register-Based Study

INTRODUCTION: we investigated the association between OSA and vision-threatening diabetic retinopathy (VTDR).

METHODS: we used three nationwide registers to identify subjects with and without OSA and patients with type 1 (T1DM) or type 2 diabetes mellitus (T2DM). The Danish Civil Registration System was used to link OSA with diabetes diagnosis. The primary outcome was the occurrence of VTDR in diabetic patients with and without OSA. The secondary outcome was the prevalence of diabetes mellitus in patients with and without OSA.

RESULTS: we included 532,828 diabetic subjects comprising 13,279 patients with OSA (2.5%) and 519,549 without OSA (97.5%). Diabetic patients with OSA had a 57% lower risk of VTDR compared to diabetic patients without OSA (OR 0.43, 95% CI 0.38-0.50, p < 0.0001).

CONCLUSIONS: our findings indicate that OSA is associated with a lower risk of VTDR. Since we did not adjust our outcomes for diabetes duration, hypertension control and hemoglobin A1c, future studies are needed to confirm our findings.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of personalized medicine - 13(2023), 11 vom: 25. Okt.

Sprache:

Englisch

Beteiligte Personen:

Ba-Ali, Shakoor [VerfasserIn]
Jennum, Poul Jørgen [VerfasserIn]
Brøndsted, Adam Elias [VerfasserIn]
Heegaard, Steffen [VerfasserIn]
Lund-Andersen, Henrik [VerfasserIn]

Links:

Volltext

Themen:

Continuous positive airway pressure
Diabetic retinopathy
Hypoxia
Journal Article
Obstructive sleep apnea

Anmerkungen:

Date Revised 27.11.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jpm13111529

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364950633