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The prevalence of poor sleep quality and its association with the risk of obstructive sleep apnea and restless legs syndrome in diabetic patients treated with cyanoacrylate glue for varicose veins

  • Epidemiology • Original Article
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Abstract

Purpose

This study aimed to assess the prevalence of poor sleep quality and to describe its predictors in diabetic patients having chronic venous insufficiency and varicose veins treated with cyanoacrylate glue.

Methods

This single-center, prospective cohort study was conducted between March 2018 and March 2021. A total of 103 patients with diabetes mellitus and chronic venous insufficiency (CEAP classification at stages C3–C6) treated with cyanoacrylate glue for varicose veins were recruited. A questionnaire form, Pittsburg Sleep Quality Index, Berlin Questionnaire, and Diagnostic Criteria for Restless Legs Syndrome were used for data collection. A Doppler USG assessment was performed in the first clinical examination.

Results

Almost half of the participants had had diabetes mellitus for 10 years or more, and 52% had good glucose control. Among the study sample, 61% were poor sleepers, 47% of the participants were RLS positive, and 51% had a high risk of sleep apnea. RLS, HbA1c, and dressing at home had positive associations with poor sleep quality (p < 0.05) on the fifth day after the peripheral embolization. One month after the operation, participants had better sleep quality; however, there were no statistically significant differences between the assessments of RLS and the risk of OSA compared to the fifth day after the operation (p > 0.05).

Conclusions

This prospective study showed that restless legs syndrome, a high level of HbA1c, and dressed injection area of the skin are associated with poor sleep quality in patients with diabetes having chronic venous insufficiency and varicose veins treated with cyanoacrylate glue. Additionally, participants had better sleep quality 1 month after the peripheral embolization compared to the fifth day after the operation.

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Data availability

Data available from the authors upon request.

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Acknowledgements

The authors sincerely thank all participants in the study.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Gazi University, Ankara, Turkey

    Hüseyin Demirtaş

  2. Department of Nursing, Faculty of Health Science, Bartın University, Faculty Street, 2nd Floor, No. 201, Ağdacı Campus, 74100, Bartın, Turkey

    İlknur Dolu

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  1. Hüseyin Demirtaş
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Correspondence to İlknur Dolu.

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

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

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This study was presented at ICN Congress 2021 – Nursing Around the World, 2–4 November 2021 (Online).

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Demirtaş, H., Dolu, İ. The prevalence of poor sleep quality and its association with the risk of obstructive sleep apnea and restless legs syndrome in diabetic patients treated with cyanoacrylate glue for varicose veins. Sleep Breath 27, 745–755 (2023). https://doi.org/10.1007/s11325-022-02676-1

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  • DOI: https://doi.org/10.1007/s11325-022-02676-1

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