Pneumonia Risk Higher in Sleep Apnea Patients

A new study published in the Canadian Medical Association Journal has found a relation between patients suffering from sleep apnea and a higher risk of pneumonia.

Sleep apnea is characterized by disrupted sleep, caused when the upper airway becomes obstructed by soft tissue, cutting off oxygen. It has been linked to several types of heart disease and cognitive impairment. People with obstructive sleep apnea are at higher risk of aspiration while sleeping.

Obstructive Sleep Apnea - Overview
Obstructive sleep apnea should be suspected in overweight middle aged adults who snore loudly and which can cause interruption of breathing for 10 seconds or more and this results in reduced blood o

To determine whether sleep apnea is linked to the development of pneumonia, Taiwanese researchers followed 34 100 patients (6816 who had sleep apnea and 27 284 controls) for 11 years. They found that pneumonia was more likely to develop in the people with sleep apnea than in the control group (638 [9.36%] v. 2119 [7.77%]). The people with pneumonia were older and had more comorbidities such as heart disease, diabetes, dementia and other diseases.

"This study showed that sleep apnea is an independent risk factor for incident pneumonia," write Dr. Vincent Yi-Fong Su & Dr. Kun-Ta Chou, Department of Chest Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, with coauthors. "Our results also demonstrated an exposure–response relation in that patients with more severe sleep apnea may have a higher risk of pneumonia than patients with sleep apnea of milder severity."

Several studies have explored the link between sleep apnea and pneumonia, although they have been smaller than this large cohort study.

Sleep Disorders in Children - Overview, Types, Diagnosis, Management
Sleep disorders are problems in sleep that meet diagnostic criteria for a disorder. They include insomnia, obstructive sleep apnea, parasomnias and narcolepsy.

The authors suggest that the higher incidence of pneumonia in people with sleep apnea could be because of increased risk of aspirating contents or liquid from the throat.

Source-Eurekalert