OSA Patients Face Double the Risk of RSV Infection and Severe Complications: Study Finds
Taiwan: Patients with obstructive sleep apnea (OSA) may face a significantly increased risk of contracting respiratory syncytial virus (RSV) and experiencing severe outcomes, according to a large retrospective cohort study conducted using data from the TriNetX US Collaborative Database. The findings were published online in the Journal of Medical Virology on 07 April 2025.
Renin Chang, Division of Medical Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, and colleagues conducted a retrospective cohort study to assess the link between obstructive sleep apnea and the risk of respiratory syncytial virus infection, along with associated complications, utilizing data from the TriNetX US Collaborative Database.
They examined the health records of over 1 million individuals diagnosed with OSA and compared them with a control group of nearly 3.5 million individuals without the condition. To ensure a fair comparison, the groups were matched using propensity score techniques that accounted for 19 different variables, helping to balance their baseline characteristics.
Key Findings:
- Individuals with obstructive sleep apnea were more than twice as likely to contract respiratory syncytial virus compared to those without OSA (0.18% vs. 0.08%).
- The hazard ratio (HR) for RSV infection among OSA patients was 2.194, indicating a significantly increased risk.
- Patients with OSA had a higher likelihood of developing respiratory failure following RSV infection, with an HR of 1.291.
- The risk of hospitalization due to RSV was also elevated in the OSA group, with an HR of 1.114.
- The need for admission to intensive care units was greater among OSA patients with RSV, as reflected by an HR of 1.329.
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