A Systematic Review and Meta-Analysis of Prevalence of Obstructive Sleep Apnea in Iranian Patients with Cardiovascular Disease: Perspective of Prevention, Care and Treatment.

Mahboubeh Farasat, Hero Khwrshid Hassan, Niloufar Mirzaei, Ali Hasanpour Dehkordi, Reza Ghanei Gheshlagh

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Review in Tanaffos, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Mahboubeh FarasatDepartment of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Hero Khwrshid HassanDepartment of English, College of Education, Bayan University, Erbil, Kurdistan, Iraq.

Niloufar MirzaeiShahid Rahimi's Hospital of Khoramabad, Lorestan University of Medical Sciences, Khoramabad, Iran.

Ali Hasanpour DehkordiSocial Determinants of Health Research Center, School of Allied Medical Sciences, Shahrekord University of Medical sciences, Shahrekord, Iran.

Reza Ghanei GheshlaghSpiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) is a chronic breathing disorder during sleep. It is prevalent among patients with cardiovascular disease (CVD) and can increase its severity and mortality. Various studies have reported different results in Iran. This systematic review and meta-analysis aimed to determine the prevalence of OSA in Iranian patients with CVD. MATERIALS AND

methodsIn this study, eight papers published in Persian and English languages were reviewed. The articles were searched using the following keywords and all their possible combinations: "obstructive sleep apnea", "sleep-disordered breathing", "sleep apnea", "OSA", "cardiovascular disease", "hypertension", and "Iran". Scientific databases, including the Scientific Information Database (SID), Magiran, Web of Science, PubMed, and Scopus, were searched with no time limitations. Data were analyzed using a meta-analysis and a random effects model. Besides, heterogeneity was assessed using the I

resultsThe review of eight studies, with a total sample size of 1646 patients, showed that the prevalence of OSA was 59.21% (95% CI: 53.11-65.32) among CVD patients. Also, the prevalence of OSA was higher in men (60.12%; 95% CI: 60.12-82.54) than in women (41.01%; 95% CI: 16.08-65.94). Besides, it was estimated to be higher based on the STOP and STOP-BANG questionnaires (63%; 95% CI: 52.89-73.10) as compared to the Berlin questionnaire (56.63%; 95% CI: 49.20-64.06).

conclusionMore than half of Iranian CVD patients have OSA. Therefore, identifying high-risk patients to reduce the adverse effects of sleep apnea seems necessary.

Indexed as

Cardiovascular diseaseObstructive sleep apneaSystematic review

Identifiers

PMID34394364

PMCPMC8355939

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