Risk of new-onset obstructive sleep apnea up to 4.5 years after COVID-19 in the urban population

After OSA onset, hospitalized COVID+ patients had higher risks of heart failure and pulmonary hypertension, while non-hospitalized COVID+ patients had higher risk of obesity vs COVID− patients.
https://www.medrxiv.org/content/10.64898/2026.02.12.26346136v1

#Covid19 #OSA #CovidIsNotOver #WearAMask #GetVaccinated #PublicHealth

Risk of new-onset obstructive sleep apnea up to 4.5 years after COVID-19 in the urban population

Rationale Obstructive sleep apnea (OSA) is linked to cardiovascular, metabolic, and cognitive morbidity. Although COVID-19 has been associated with long-term respiratory and neurological sequelae, its role in precipitating new-onset OSA remains unclear. Objectives To evaluate whether SARS-CoV-2 infection increases risk of developing OSA up to 4.5 years post-infection and how risk varies by hospitalization status, demographics, comorbidities, and vaccination status. Methods This retrospective cohort study used electronic health records from the Montefiore Health System in the Bronx. Adults tested for SARS-CoV-2 between March 1, 2020, and August 17, 2024, were classified as hospitalized COVID+, non-hospitalized COVID+, or COVID−. Patients with prior OSA or inadequate follow-up were excluded. Inverse probability weighting adjusted for demographic, clinical, socioeconomic, and vaccination covariates. New-onset OSA was assessed using weighted Cox proportional hazards models. Secondary outcomes including hypertension, myocardial infarction, heart failure, stroke, arrhythmia, pulmonary hypertension, type 2 diabetes, and obesity were evaluated with Poisson regression. Sensitivity analysis used a pre-pandemic control cohort. Results Among 910,393 eligible patients, hospitalized [HR 1.41 (95% CI 1.14-1.73)] and non-hospitalized [HR 1.33 (95% CI 1.22-1.46)] COVID+ patients had higher adjusted risk of new-onset OSA versus COVID− controls. Similar findings were observed using historical controls (n=621046). After OSA onset, hospitalized COVID+ patients had higher risks of heart failure and pulmonary hypertension, while non-hospitalized COVID+ patients had higher risk of obesity vs COVID− patients. Conclusions SARS-CoV-2 infection is independently associated with increased risk of new-onset OSA. These findings support targeted screening in post-COVID populations. ### Competing Interest Statement The authors have declared no competing interest. ### Funding Statement The author(s) received no specific funding for this work. ### Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: This retrospective cohort study was approved by the Einstein-Montefiore Institutional Review Board (2021-13658), which granted a waiver of obtaining informed consent. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes Data can be provided upon reasonable request. tim.duong{at}einsteinmed.edu

medRxiv

@LornaWoods

Bizar that identificartion requirements are introduced without strong regulation (including integrity checks) of the identification providers. It's the wrong order #OSA

UK people! Online Safety Act.
means you need to confirm your age, government ID or credit card to fully use the latest iPhone and iPad updates!
Check before you update to iPadOS and iOS 26.4
(I don’t have ID or a credit card. Luckily my account was old enough to not need it).
#UK #OSA

Welp, looks like the #OSA has come to #Steam Town...

This appears now when trying to view "adult" games.

I mean my fucking Steam account is 22 years old fgs 😂

Today I visited 4Chan for the first time ever so good work by Ofcom in publicising it.

https://www.bbc.co.uk/news/articles/c624330lg1ko

#OSA

4Chan responds to £520,000 Ofcom fine with AI picture of hamster

The fine includes £450,000 for lack of age checks to prevent children from seeing pornography.

BBC News
@eff
We’re restricting children’s access to the Internet so that TechBros’ platforms can run amok with no regulation.
I think we’re tackling the symptom, not the disease.
#OSA

"British politicians and authorities are working intensively to escalate #censorship and mass #surveillance. When Mullvad tried to address this with the TV ad “And Then?”, it was banned on British television. The outdoor ad campaign meant to criticise the TV ban was also largely halted."

"Here, we bring you the ads that were too much for British television:"

#UKPol #OSA #CWS

https://mullvad.net/en/and-then/uk

And then? And then Mullvad was censored in the UK.

UK ramps up censorship & surveillance. Mullvad's critical TV ad "And Then?" was banned. Watch it here.

Mullvad VPN

@bluetea now 5 years ago you’d say I was a member of the tinfoil-hat wearers if I suggested that the UK #OSA as an extension of the 2010 Digital Economy Act (now 2017 DEA <https://en.wikipedia.org/wiki/Digital_Economy_Act_2017>) was compromised by external influence from foreign actors now being rolled out in many Western democracies.

You would have also dismissed the fact that laws would be passed, compromising citizens of many countries through identity exposure along with their Internet usage. Identity is the key.

Now we see the sponsor of that bill in 2009, an English peer, a traitor, #Mandy,
former member of #HouseOfLords with extensive ties to foreign influence. This individual is now PNG.

It doesn’t take an Einstein to see the shadow influence on Western democracy: <https://en.wikipedia.org/wiki/Peter_Mandelson>

Digital Economy Act 2017 - Wikipedia

I can’t tell if she likes it or not.