Quality of sleep in renal transplant recipients and patients on hemodialysis

Liaveri, Paraskevi G.; Dikeos, Dimitris; Ilias, Ιoannis; Lygkoni, Eirini P.; Boletis, Ioannis; Skalioti, Chrysanthi; Paparrigopoulos, Thomas

doi:10.1016/j.jpsychores.2016.12.013

Cited by 38 publications

(35 citation statements)

References 54 publications

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“…Although there is a growing evidence show the importance of sleep quality on kTx recipients [2,3,6,24] , most of them only focused on patients from outpatient or clinic with some subjective sleep questionnaires. Few studies investigated the sleep quality of kTx recipients who stayed in postoperative ICU, especially rarely used objective sleep assessment tool.…”

Section: Discussionmentioning

confidence: 99%

“…Sleep disorder is one of the most common comobidities in patients with end-stage renal disease (ERDS), and the prevalence rate is gradually increasing. It causes abnormal sleep and poor sleep quality, which could generate some undesirable health consequences, such as fatigue [1] , depression [2] , decreased quality of life [3] , premature mortality [4] as well as major economic consequences [5] .…”

Section: Introductionmentioning

confidence: 99%

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Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

Long

Liu

Yan

et al. 2019

Preprint

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Background Although evidences showed that sleep disorder is common in patient with end stage renal disease (ESRD), less is known about their sleep quality after early post-kidney transplantation (kTx) especially in Intensive Care Unite (ICU). Thus, the purpose of this study is to investigate sleep quality of kTx recipients in ICU and explore factors related poor sleep, second, to measure the correlation of subjective sleep quality and sleep architecture assessed by PSG in kTx recipients. Methods This study recruited participants from ESRD patients registered in transplantation waiting list at the third xiangya hospital of central south university in China. Participants required to complete the Pittsburgh sleep quality index(PSQI) and demographic questionnaire as baseline data and received one night of Polysomnography (PSG) in the ICU within 96 hours of surgery, during which time sound and light data were monitored. After that Richards Campbell sleep questionnaires (RCSQ) also need completed.Results 26 participants self-reported sleep quality and sleep efficiency based on RCSQ was at middle level (49.2 ± 25.6mm), and 14/26(53.8%) kTx recipients in ICU were poor sleepers defined by RCSQ <50. PSG showed that most kTx recipients in ICU had shallow sleep with mainly stage 2 sleep time (80.90 ±70.10 min), lower total sleep time (136.50 ±86.41 min), higher awakening frequency after sleep onset (8.87 ±5.92 times) and long awaken time (94.67 ±75.09 min) when a sleep disruption occured. multiple linear regression analysis showed that self-reported noise and pain were the significant factor affecting sleep(P < 0.05).Conclusion Subjective sleep quality based on RCSQ scored better than objective one measured by PSG in kTx recipients, sleep disruption always remained a substantial problem and affected by selfreported noise and pain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

Long

Liu

Yan

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…While there is a growing literature about the importance of subjective sleep quality among kTx recipients [3,4,12,57], only limited information has been published about the objectively measured sleep characteristics in this population. Three prospective studies have reported on the change of sleep disordered breathing before and after kidney transplantation [16][17][18].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Several studies suggest that 50-80% of patients with end-stage kidney disease (ESKD) may have sleep-related problems, including insomnia [1][2][3][4], restless legs syndrome [5][6][7], periodic limb movements in sleep [2,[5][6][7] and obstructive sleep apnea [8][9][10]. Successful kidney transplantation might alleviate some sleep problems [3,11], but the prevalence of poor sleep remains remarkably high among these patients: 52.5% among kidney transplant (kTx) recipients were poor sleeper in a cohort study [12].…”

Section: Introductionmentioning

confidence: 99%

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Association of symptoms of insomnia and sleep parameters among kidney transplant recipients

Rónai

Szentkirályi

Lázár

et al. 2017

Journal of Psychosomatic Research

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Association between negative psychology and sleep quality in dialysis patients during the COVID‐19 pandemic

et al. 2023

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Aims and Objectives:The aim of this study was to assess the sleep quality in dialysis patients during the COVID-19 epidemic and explore the association between negative psychology (including depression, anxiety, and stress) and sleep quality in this population. Design: A cross-sectional study including three centres. Methods (Patients or Public Contribution): This cross-sectional study included 378 dialysis patients from April to May 2022 in three dialysis centres in Shanghai. Methods. Depression, anxiety, stress, and sleep quality were measured by the Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale-14 (PSS-14), and Pittsburgh sleep quality index (PSQI), respectively. With a threshold of 5 to classify participants into good and poor sleep quality, with HADS/PSS-14 scores as independent variables (per standard deviation (SD) increment), respectively and binary Logistic regression model was constructed to explore the association between the three negative psychological aspects of depression, anxiety, and stress and sleep quality. Results:The median PSQI score was 11.0 (mean ± SD: 11.8 ± 4.8). Among them, poor sleep quality (i.e., PSQI >5) was reported by 90.2% of participants. After adjusting for sociodemographic and disease-related information, HADS-depression was associated with a significant 49% (odds ratio (OR): 1.49; 95% CI 1.02-2.18) increase in the risk of poor sleep quality for each additional SD (2.4). Correspondingly, for each SD (7.1) increase in PSS-14, the risk of poor sleep quality was significantly increased by 95% (OR: 1.95; 95% CI 1.35-2.82). Conclusion:During the COVID-19 pandemic, there was a significant negative association between negative psychology, such as depression and stress, and sleep quality in dialysis patients, and this relationship was independent of the dialysis modality.Relevance to Clinical Practice: In the context of the rampant COVID-19, the vast majority of dialysis-dependent chronic kidney disease presents with severe sleep quality problems, and negative psychology is a potential influencing factor.

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Quality of sleep in renal transplant recipients and patients on hemodialysis

Cited by 38 publications

References 54 publications

Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

Association of symptoms of insomnia and sleep parameters among kidney transplant recipients

Association between negative psychology and sleep quality in dialysis patients during the COVID‐19 pandemic

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