Quality of sleep in patients with chronic kidney disease

Iliescu, Eduard A.; Yeates, Karen; Holland, David C

doi:10.1093/ndt/gfg423

Cited by 144 publications

(116 citation statements)

References 15 publications

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“…Using the PSQI as a measure of perception of disturbed sleep, they reported that 63 of 120 patients (57.5%) had poor sleep, as defined by a global PSQI score of Ͼ5 (47). There was no association between the global PSQI score and blood urea nitrogen, serum creatinine, or calculated creatinine clearance, similar to our findings (47 CKD using a 26-item self-administered questionnaire. They found an 80.7% prevalence of sleep disturbance in patients with early stages of CKD (51).…”

Section: Discussionsupporting

confidence: 87%

“…Ilieuscu et al (47) studied the prevalence of sleep disturbance in patients who had CKD and did not yet require renal replacement therapy. Using the PSQI as a measure of perception of disturbed sleep, they reported that 63 of 120 patients (57.5%) had poor sleep, as defined by a global PSQI score of Ͼ5 (47).…”

Section: Discussionmentioning

confidence: 99%

“…A global Pittsburgh Sleep Quality Index (PSQI) score Ͼ5 has an 89.6% sensitivity and 86.5% specificity for determining disturbance in sleep (46). The PSQ has previously been used in both patients with ESRD and CKD (47,48).…”

Section: Methodsmentioning

confidence: 99%

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Pain, Sleep Disturbance, and Quality of Life in Patients with Chronic Kidney Disease

Cohen

Patel

Khetpal

et al. 2007

Clinical Journal of the American Society of Nephrology

137

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Results: With the exception of expected differences in serum creatinine, estimated GFR, Karnofsky score, albumin, and hemoglobin, there were no significant differences between groups. A total of 69% of patients with chronic kidney disease experienced pain; 55.2% had disordered sleep. Pain was associated with quality-of-life indicators, including depression, burden of illness, and life satisfaction. Disordered sleep correlated with depression, illness burden, social support, and pain frequency. There were no differences in perception of pain or sleep disturbance between patients with chronic kidney disease and control patients.Conclusions: Pain is common in patients with early-stage chronic kidney disease and is associated with patients' perception of lower quality of life. The prevalence of pain, sleep disturbance, and abnormal psychologic status of patients with chronic kidney disease may be similar to outpatients with other chronic medical illnesses.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Pain, Sleep Disturbance, and Quality of Life in Patients with Chronic Kidney Disease

Cohen

Patel

Khetpal

et al. 2007

Clinical Journal of the American Society of Nephrology

137

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“…[29,30] In another study conducted by Iliescu et al a history of depression was found to be an independent predictor of 'poor sleep'. [21] The results of this study should be interpreted with this limitation in mind that due to economic constraints, unwillingness of patients and various technical reasons the adequacy of dialysis could not be maintained in all patients of group D.…”

Section: Discussionmentioning

confidence: 84%

“…53% patients had 'poor sleep' defined as a global PSQI score ≥5. [21] The effect of laboratory and socio-demographic parameters were also studied to evaluate their role in mental health and sleep quality. Patients in our study with hemoglobin < 9.0 g/dl, unemployed, those living in urban area and belonging to low income group had significantly higher scores and prevalence of anxiety, depression and insomnia (p<0.001).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

Aggarwal

Jain

Dabas

et al. 2017

Prilozi

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Background: Chronic kidney disease (CKD) is an emerging health problem in both developed and developing countries. Depression, anxiety and sleep disturbances are highly prevalent in patients with chronic disease, but remain undertreated despite significant negative consequences on patients' health. Assessment of key components of mental health early in disease course will help to identify high risk subjects in whom modifying these predictors will help in providing active and healthy life in CKD patients. Methods: We did a cross sectional study in 200 patients of CKD stage III to V-D fulfilling the eligibility criteria who were on follow up in a single tertiary care center in the state of Haryana, India. We assessed the prevalence of anxiety, depression and insomnia and their correlation with demographic variables in these patients. The structured questionnaire used in this study gathered information on respondent demographic and disease characteristics, and information obtained from the HADS and PSQI questionnaire. Factors associated with anxiety, depression and insomnia were examined by a multiple logistic regression analysis. results: The prevalence of anxiety, depression and insomnia were found to be 71%, 69% and 86.5% respectively. As the CKD stage advanced, the prevalence as well as severity of these parameters increased. Anxiety, depression and sleep quality were found to be significantly correlated to unemployment, low income, low education, urban residence and presence of co-morbidities. The anxiety, depression and insomnia scores were found to have a strong negative correlation with eGFR, hemoglobin, serum calcium (p <0.01) and a positive correlation with TLC, blood urea, serum creatinine and serum phosphate (p <0.05). conclusion: We observed a high prevalence of anxiety, depression and insomnia in CKD patients. There is a need to develop strategies to accurately identify "high risk" subjects who may benefit from preventive measures before complications occur. By identifying CKD patients with high risk of developing these mental health related issues, healthcare provider may be better able to ensure the provision of appropriate rehabilitation to this population.

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Sleep Disturbances in Children and Adolescents With Non–Dialysis-Dependent Chronic Kidney Disease

Sinha¹,

Davis²,

Matsuda‐Abedini³

2009

Arch Pediatr Adolesc Med

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Quality of sleep in patients with chronic kidney disease

Cited by 144 publications

References 15 publications

Pain, Sleep Disturbance, and Quality of Life in Patients with Chronic Kidney Disease

Pain, Sleep Disturbance, and Quality of Life in Patients with Chronic Kidney Disease

Prevalence of Depression, Anxiety and Insomnia in Chronic Kidney Disease Patients and their Co-Relation with the Demographic Variables

Sleep Disturbances in Children and Adolescents With Non–Dialysis-Dependent Chronic Kidney Disease

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