Research Article

Association between Plasma Homocysteine Concentrations and the First Ischemic Stroke in Hypertensive Patients with Obstructive Sleep Apnea: A 7-Year Retrospective Cohort Study from China

Table 4

Association between Hcy and the first IS in various subgroups.

Stratification variableNo. of participants.HR (95% CI)95% CI low95% CI high value for interaction

Gender0.63
 Female7441.200.652.220.56
 Male16061.401.131.74<0.01
Diabetes0.51
 No19371.391.121.73<0.01
 Yes4131.160.701.920.57
Arrhythmia0.18
 No23061.241.051.460.01
 Yes4401.411.271.57<0.01
Smoking status0.63
 Never13421.330.941.880.10
 Former2581.781.043.050.04
 Current7501.340.991.800.05
Drinking status0.65
 Never15571.431.121.82<0.01
 Former1661.240.632.460.54
 Current6271.130.721.790.59
Age (years)0.87
 <6019111.361.071.730.01
 ≥604391.420.962.080.08
BMI (kg/m2)0.03
 <242211.130.951.330.16
 ≥24, <289341.461.261.70<0.01
 ≥2811951.461.251.70<0.01
SBP (mmHg)0.41
 <14010841.250.861.820.23
 ≥14012661.511.181.92<0.01
DBP (mmHg)0.04
 <908871.201.021.420.03
 ≥9014631.481.331.65<0.01
AHI (events/hour)0.37
 ≥5, <159341.461.042.070.03
 ≥15, <307221.471.042.090.03
 ≥306941.070.731.560.74
FPG (mmol/L)0.72
 <6.119911.381.231.54<0.01
 ≥6.13591.321.041.660.02
eGFR (mL/min/1.73 m2)0.59
 <909411.421.081.850.01
 ≥9014091.270.931.720.13

Note 1: adjusted for age, gender, smoking status, drinking status, NC, WC, BMI, SBP, DBP, history of arrhythmia, diabetes, AHI, AI, HI, sleep duration, mean SaO2 and lowest SaO2, antidiabetic drugs, antiplatelet drugs, lipid-lowering drugs, regular CPAP treatment, antihypertensive drugs, and TC, TG, HDL-c, LDL-c, FPG, eGFR, Cr, and hs-CRP levels at baseline. Note 2: in each case, the model was not adjusted for hierarchical covariates. Abbreviations are the same as in Table 1.