Insomnia in chronic renal patients on dialysis in Saudi Arabia

Abstract

BackgroundStudies have shown that insomnia is a common sleep disorder among patients with end-stage renal disease (ESRD). This study aimed to assess the prevalence of insomnia in Saudi patients with ESRD who are on maintenance dialysis.MethodsThis was an observational cross-sectional study carried out over a period of five months in two hemodialysis centers in Saudi Arabia. To assess the prevalence of insomnia, we used the ICSD-2 definition. We also examined the association between insomnia and other sleep disorders, the underlying causes of renal failure, dialysis duration, dialysis shift, and other demographic data.ResultsOut of 227 enrolled patients, insomnia was reported by 60.8%. The mean patient age was 55.7 ± 17.2 years; 53.7% were male and 46.3% were female. Insomnia was significantly associated with female gender, afternoon hemodialysis, Restless Legs Syndrome, high risk for obstructive Sleep Apnea Syndrome and excessive daytime sleepiness (P-values: 0.05, 0.01, < 0.0001, < 0.0001, and < 0.0001, respectively). No significant association was found between insomnia and other variables, including BMI, smoking habits, underlying etiology of renal failure, dialysis duration, association with hemoglobin, ferritin, and phosphorus or dialysis adequacy as measured by the Kt/V index.ConclusionInsomnia is common in dialysis patients and was significantly associated with other sleep disorders. Greater attention needs to be given to the care of dialysis patients with regard to the diagnosis and management of insomnia and associated sleep disorders.

Insomnia severity in chronic kidney disease patients with various therapies

“…There was no significant association. Some investigations reported that smoking and alcohol intake can be associated with sleep disorders [8], while other studies found no significant association [10,23,24]. In our study, we also found that these habits did not contribute to the insomnia severity score.…”

“…Patients in our study reported high frequency insomnia problems. Values obtained correspond with the results of previous researches [5,7,9,10,23,24]. However, the main aim of our study was to assess whether there is a difference in frequency and severity of insomnia among various dialysis therapies.…”

“…The relationship between age and sleep quality is controversial in chronic renal failure patients [6,7,10,24]. The prevalence of insomnia increases with age.…”

Relating Factors of Insomnia among Haemodialysis Patients

“…This condition happens because there is a reduction of central nervous system function which cause the loss of reaction towards extrinsic, biorhythm, and decrease of relation substance (Ohayon & Roth, 2003). However, some previous studies showed that age was not related to insomnia (Al-Jahdali et al, 2010;Chen et al, 2006;Mucsi et al, 2004;Rosdiana, 2011). Furthermore, gender can also be a factor that contributes to insomnia (Al-Jahdali et al, 2010;Elder et al, 2008;Pai et al, 2007;Paparigopoulus et al, 2010).…”

Hemodialysis Patient Care in Renal Dialysis Unit among Selected Hospitals in the Sultanate of Oman

“…The results signify that indeed insomnia is common in dialysis patients and is significantly associated with other sleep disorders. Greater attention needs to be given to the care of dialysis patients with regard to the diagnosis and management of insomnia and associated sleep disorders [17].…”