Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience
Shanmuganathan Velu, Arul Rajagopalan, Jegan Arunachalam, Arun Prasath, Rakesh Durai Department of Nephrology, Madurai Medical College, Madurai, Tamil Nadu, IndiaCorrespondence: Jegan Arunachalam, Department of Nephrology, Madurai medical college, Madurai, Tamil Nadu, India, Tel +91 9994373260, Emai...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-03-01
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| Series: | International Journal of Nephrology and Renovascular Disease |
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| Online Access: | https://www.dovepress.com/subjective-assessment-of-sleep-quality-and-excessive-daytime-sleepines-peer-reviewed-fulltext-article-IJNRD |
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| author | Velu S Rajagopalan A Arunachalam J Prasath A DuraiR |
| author_facet | Velu S Rajagopalan A Arunachalam J Prasath A DuraiR |
| author_sort | Velu S |
| collection | DOAJ |
| description | Shanmuganathan Velu, Arul Rajagopalan, Jegan Arunachalam, Arun Prasath, Rakesh Durai Department of Nephrology, Madurai Medical College, Madurai, Tamil Nadu, IndiaCorrespondence: Jegan Arunachalam, Department of Nephrology, Madurai medical college, Madurai, Tamil Nadu, India, Tel +91 9994373260, Email jeganmddm@gmail.comIntroduction: Sleep disturbances are common in patients with end-stage kidney disease on hemodialysis (hemodialysis population: HDP). Higher rates of primary sleep disorders, demographic characteristics, metabolic abnormalities, and the efficacy of treatment place HDP at higher risk. The pattern observed is delayed onset of sleep, frequent awakening episodes, insomnia, sleep apnoea, excessive daytime sleepiness, restless leg syndrome, abnormal limb movements, pain in limbs, confusion, and nightmares. Two commonly used subjective assessment scores are the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and the Epworth Sleepiness Scale (ESS) to assess excessive daytime sleepiness.Objective: Subjective assessment of sleep using PSQI and ESS scores in HDP and correlation with clinical and demographic characteristics.Patients and Methods: A cross-sectional descriptive study of 148 patients with ESKD undergoing in-center hemodialysis. From June 2021 to October 2021 in Madurai medical college, Madurai, India. Subjective assessment with PSQI and ESS scores was done to identify sleep quality and daytime sleepiness, respectively.Results: The median PSQI score was 6 (IQ:4– 10), and as much as 68.24% scored > 5 on the PSQI (poor sleepers). The median ESS score of the study participants was 4 (Iq range 3– 7), and 19.59% had a total ESS score of more than 10 (excessive daytime sleepiness). The mean age of the participants was 44± 14.5. Age more than 60, lower body mass index, unemployment, higher dialysis vintage of more than 2 years, lower hemoglobin, high calcium-phosphorus product are statistically significant for both PSQI and ESS scores.Conclusion: The prevalence of poor sleep quality and excessive daytime sleepiness is high in HDP. Subjective assessment scores (PSQI and ESS) on the bedside are valuable tools in identifying sleep quality and EDS where objective assessment methods are not feasible and will help in the short time identification and management of sleep disturbances.Keywords: sleep quality, excessive daytime sleepiness, PSQI, ESS, hemodialysis population, poor sleepers |
| first_indexed | 2024-12-13T00:23:56Z |
| format | Article |
| id | doaj.art-af657d42587040dfaedd2d5b3dbbfcdf |
| institution | Directory Open Access Journal |
| issn | 1178-7058 |
| language | English |
| last_indexed | 2024-12-13T00:23:56Z |
| publishDate | 2022-03-01 |
| publisher | Dove Medical Press |
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| series | International Journal of Nephrology and Renovascular Disease |
| spelling | doaj.art-af657d42587040dfaedd2d5b3dbbfcdf2022-12-22T00:05:29ZengDove Medical PressInternational Journal of Nephrology and Renovascular Disease1178-70582022-03-01Volume 1510311473675Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center ExperienceVelu SRajagopalan AArunachalam JPrasath ADuraiRShanmuganathan Velu, Arul Rajagopalan, Jegan Arunachalam, Arun Prasath, Rakesh Durai Department of Nephrology, Madurai Medical College, Madurai, Tamil Nadu, IndiaCorrespondence: Jegan Arunachalam, Department of Nephrology, Madurai medical college, Madurai, Tamil Nadu, India, Tel +91 9994373260, Email jeganmddm@gmail.comIntroduction: Sleep disturbances are common in patients with end-stage kidney disease on hemodialysis (hemodialysis population: HDP). Higher rates of primary sleep disorders, demographic characteristics, metabolic abnormalities, and the efficacy of treatment place HDP at higher risk. The pattern observed is delayed onset of sleep, frequent awakening episodes, insomnia, sleep apnoea, excessive daytime sleepiness, restless leg syndrome, abnormal limb movements, pain in limbs, confusion, and nightmares. Two commonly used subjective assessment scores are the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and the Epworth Sleepiness Scale (ESS) to assess excessive daytime sleepiness.Objective: Subjective assessment of sleep using PSQI and ESS scores in HDP and correlation with clinical and demographic characteristics.Patients and Methods: A cross-sectional descriptive study of 148 patients with ESKD undergoing in-center hemodialysis. From June 2021 to October 2021 in Madurai medical college, Madurai, India. Subjective assessment with PSQI and ESS scores was done to identify sleep quality and daytime sleepiness, respectively.Results: The median PSQI score was 6 (IQ:4– 10), and as much as 68.24% scored > 5 on the PSQI (poor sleepers). The median ESS score of the study participants was 4 (Iq range 3– 7), and 19.59% had a total ESS score of more than 10 (excessive daytime sleepiness). The mean age of the participants was 44± 14.5. Age more than 60, lower body mass index, unemployment, higher dialysis vintage of more than 2 years, lower hemoglobin, high calcium-phosphorus product are statistically significant for both PSQI and ESS scores.Conclusion: The prevalence of poor sleep quality and excessive daytime sleepiness is high in HDP. Subjective assessment scores (PSQI and ESS) on the bedside are valuable tools in identifying sleep quality and EDS where objective assessment methods are not feasible and will help in the short time identification and management of sleep disturbances.Keywords: sleep quality, excessive daytime sleepiness, PSQI, ESS, hemodialysis population, poor sleepershttps://www.dovepress.com/subjective-assessment-of-sleep-quality-and-excessive-daytime-sleepines-peer-reviewed-fulltext-article-IJNRDsleep qualityexcessive daytime sleepinesspsqiesshemodialysis populationpoor sleepers. |
| spellingShingle | Velu S Rajagopalan A Arunachalam J Prasath A DuraiR Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience International Journal of Nephrology and Renovascular Disease sleep quality excessive daytime sleepiness psqi ess hemodialysis population poor sleepers. |
| title | Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience |
| title_full | Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience |
| title_fullStr | Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience |
| title_full_unstemmed | Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience |
| title_short | Subjective Assessment of Sleep Quality and Excessive Daytime Sleepiness in Conventional Hemodialysis Population: A Single-Center Experience |
| title_sort | subjective assessment of sleep quality and excessive daytime sleepiness in conventional hemodialysis population a single center experience |
| topic | sleep quality excessive daytime sleepiness psqi ess hemodialysis population poor sleepers. |
| url | https://www.dovepress.com/subjective-assessment-of-sleep-quality-and-excessive-daytime-sleepines-peer-reviewed-fulltext-article-IJNRD |
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