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Prevalence and Predictors of Poor Sleep Quality in Patients on Maintenance Hemodialysis

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Abstract

Purpose

Majority of patients on maintenance hemodialysis complain of poor quality of sleep. Earlier studies show controversial findings with regard to the prevalence and predictors of poor quality of sleep in this group. Hence, the present study was planned.

Methods

Adult subjects undergoing maintenance hemodialysis were included in this study. Their demographic data, history regarding chronic kidney disease, co-morbidities, and details related to hemodialysis were recorded. Sleep quality was assessed using Pittsburg Sleep Quality Index. A total of 201 patients were included in this study.

Results

Average age of the subjects was 54.7 ± 15.1 years and duration of kidney disease was 37.1 ± 19.8 years. 40.3% subjects were women and 50.7% of sample complained of poor quality sleep. Poor sleepers had less than 3/week dialysis (68.6% among poor sleepers vs. 21.2% among good sleepers; P < 0.001), nighttime dialysis shift (52.9 vs. 20.2% among good sleepers; P < 0.001), diabetes mellitus (56.9 vs. 39.4% among good sleepers; P = 0.01), and hypnotic use (P < 0.001). Similarly, subjects with poor sleep quality were older (57.3 ± 14.3 vs. 52.1 ± 15.4 years among good sleepers; P = 0.01). Binomial logistic regression showed that less than thrice a week dialysis and schedule of maintenance hemodialysis predicted the poor sleep quality. Less than 3/week dialysis increased the odds for poor sleep by 6.6 (P < 0.001) and afternoon and nighttime maintenance hemodialysis shift by 3.2 (P < 0.001) and 4.6 (P < 0.001), respectively.

Conclusion

Poor sleep is a common complaint in patients on hemodialysis. We found that the evening or night shift of hemodialysis and twice weekly hemodialysis worsened the quality of sleep.

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Authors and Affiliations

  1. Department of Medicine, Himalayan Institute of Medical Sciences, Swami Ram Himalayan University, Swami Ram Nagar, Jolly Grant, Dehradun, 248016, India

    Nitik Bathla, Shahbaj Ahmad & Sohaib Ahmad

  2. Department of Psychiatry and Sleep Clinic, Himalayan Institute of Medical Sciences, Swami Ram Himalayan University, Dehradun, 248016, India

    Ravi Gupta

Authors
  1. Nitik Bathla
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  2. Shahbaj Ahmad
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  3. Ravi Gupta
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  4. Sohaib Ahmad
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Correspondence to Sohaib Ahmad.

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Funding

This study was not funded by any agency/institute.

Conflict of interest

None to disclose related to this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Bathla, N., Ahmad, S., Gupta, R. et al. Prevalence and Predictors of Poor Sleep Quality in Patients on Maintenance Hemodialysis. Sleep Vigilance 1, 31–36 (2017). https://doi.org/10.1007/s41782-017-0007-8

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  • DOI: https://doi.org/10.1007/s41782-017-0007-8

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