Sleep quality assessment using polysomnography in children on regular hemodialysis

Studies examining sleep patterns in children on hemodialysis (HD) are lacking. This cross-sectional, control-matched group study was performed to assess the sleep quality in children on HD. The assessment was made using a subjective sleep assessment and sleep questionnaire and objective analysis was...

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Main Authors: Ahmed M El-Refaey, Riad M ElSayed, Amr Sarhan, Ashraf Bakr, Ayman Hammad, Atef Elmougy, Ahmed Y Aboelyazeed
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2013;volume=24;issue=4;spage=714;epage=718;aulast=El-Refaey
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author Ahmed M El-Refaey
Riad M ElSayed
Amr Sarhan
Ashraf Bakr
Ayman Hammad
Atef Elmougy
Ahmed Y Aboelyazeed
author_facet Ahmed M El-Refaey
Riad M ElSayed
Amr Sarhan
Ashraf Bakr
Ayman Hammad
Atef Elmougy
Ahmed Y Aboelyazeed
author_sort Ahmed M El-Refaey
collection DOAJ
description Studies examining sleep patterns in children on hemodialysis (HD) are lacking. This cross-sectional, control-matched group study was performed to assess the sleep quality in children on HD. The assessment was made using a subjective sleep assessment and sleep questionnaire and objective analysis was made using full night polysomnography. A total of 25 children with end-stage renal disease (ESRD) on HD were compared with 15 age- and sex-matched controls. The average age of the cases was 14 ± 4 years, 52% were males and the mean body mass index was 20 ± 3.8 kg/m². The average duration on dialysis was 2.6 ± 2 years. Analysis of subjective data revealed markedly affected sleep quality in HD patients, as evidenced by excessive day time sleepiness (P <0.005), night awakening (P <0.005), difficult morning arousal (P <0.005) and limb pains (P <0.005). Objective analysis showed differences in sleep architecture, less slow wave sleep in HD children, similar rapid eye movement and non-rapid eye movement, more sleep disordered breathing (P <0.0001) and more periodic limb movement disorders (P <0.0001). Our study suggests that children on regular HD have markedly affected objective as well as subjective quality of sleep.
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spelling doaj.art-76c2a3809c1841808268db1b578169842022-12-21T20:13:00ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422013-01-0124471471810.4103/1319-2442.113862Sleep quality assessment using polysomnography in children on regular hemodialysisAhmed M El-RefaeyRiad M ElSayedAmr SarhanAshraf BakrAyman HammadAtef ElmougyAhmed Y AboelyazeedStudies examining sleep patterns in children on hemodialysis (HD) are lacking. This cross-sectional, control-matched group study was performed to assess the sleep quality in children on HD. The assessment was made using a subjective sleep assessment and sleep questionnaire and objective analysis was made using full night polysomnography. A total of 25 children with end-stage renal disease (ESRD) on HD were compared with 15 age- and sex-matched controls. The average age of the cases was 14 ± 4 years, 52% were males and the mean body mass index was 20 ± 3.8 kg/m². The average duration on dialysis was 2.6 ± 2 years. Analysis of subjective data revealed markedly affected sleep quality in HD patients, as evidenced by excessive day time sleepiness (P <0.005), night awakening (P <0.005), difficult morning arousal (P <0.005) and limb pains (P <0.005). Objective analysis showed differences in sleep architecture, less slow wave sleep in HD children, similar rapid eye movement and non-rapid eye movement, more sleep disordered breathing (P <0.0001) and more periodic limb movement disorders (P <0.0001). Our study suggests that children on regular HD have markedly affected objective as well as subjective quality of sleep.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2013;volume=24;issue=4;spage=714;epage=718;aulast=El-Refaey
spellingShingle Ahmed M El-Refaey
Riad M ElSayed
Amr Sarhan
Ashraf Bakr
Ayman Hammad
Atef Elmougy
Ahmed Y Aboelyazeed
Sleep quality assessment using polysomnography in children on regular hemodialysis
Saudi Journal of Kidney Diseases and Transplantation
title Sleep quality assessment using polysomnography in children on regular hemodialysis
title_full Sleep quality assessment using polysomnography in children on regular hemodialysis
title_fullStr Sleep quality assessment using polysomnography in children on regular hemodialysis
title_full_unstemmed Sleep quality assessment using polysomnography in children on regular hemodialysis
title_short Sleep quality assessment using polysomnography in children on regular hemodialysis
title_sort sleep quality assessment using polysomnography in children on regular hemodialysis
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2013;volume=24;issue=4;spage=714;epage=718;aulast=El-Refaey
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AT ashrafbakr sleepqualityassessmentusingpolysomnographyinchildrenonregularhemodialysis
AT aymanhammad sleepqualityassessmentusingpolysomnographyinchildrenonregularhemodialysis
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