@article{ref1,
title="Obstructive sleep apnea and injury events in Taiwanese adults: A retrospective cohort study",
journal="Journal of nursing scholarship",
year="2022",
author="Lin, Chia-Ling and Su, Mei-Chen and Lin, Chun-Ping and Sun, Chien-An and Chung, Chi-Hsiang and Chien, Wu-Chien",
volume="54",
number="1",
pages="38-45",
abstract="PURPOSE: The aim of this study was to examine the association between obstructive sleep apnea (OSA) diagnosis and diverse types of injuries. DESIGN: This population-based retrospective cohort study compared records from 2000 to 2013 in the Taiwan National Health Insurance Research Database. METHODS: 3025 patients identified with OSA were compared against the control cohort consisting of 12,100 age- and sex-matched patients. Cox proportional hazards regression analysis was performed to estimate the effects of OSA on injury risk. FINDINGS: Patients with OSA exhibited a significantly higher overall incidence of injury of 2599 per 100,000 person-years compared to the control cohort (2248 per 100,000 person-years). After the confounding factors were considered, subjects with OSA showed a higher risk of injury than subjects in the control group (adjusted hazard ratio [HR] = 1.78, 95% confidence interval [CI] = 1.64-1.93). The risk of unintentional injury (traffic, poisoning, falls) and intentional injury (suicide) in the group of patients with OSA was higher than that in the controls. CONCLUSIONS: Our study strongly supports the conclusion that adults with OSA are at increased risk of injury. CLINICAL RELEVANCE: The present results indicate the significance of OSA as a predictor of injury risk, which will provide valuable information for clinical practice and injury prevention.<p /><p>Language: en</p>",
language="en",
issn="1527-6546",
doi="10.1111/jnu.12697",
url="http://dx.doi.org/10.1111/jnu.12697"
}