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Text
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<a href="http://doi.org/10.1016/j.sleep.2019.11.1243" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.sleep.2019.11.1243</a>
Pages
106-110
Volume
70
ISSN
1878-5506 1389-9457
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Update Year & Number
June 2020 Update I
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Family & Community Medicine
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Title
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Non-respiratory complaints are main reasons for disturbed sleep post lung transplant.
Publisher
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Sleep medicine
Date
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2019
2019-11-27
Subject
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Insomnia; Poor sleep; Sleep apnea
Creator
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Sawhney Vishal; Seethamraju Harish; Bourguet Claire; Hirshkowitz Max; Bandi Venketa; Sharafkhaneh Amir
Description
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BACKGROUND: Poor sleep is prevalent in lung transplant recipients and affects quality of life negatively. To improve quality of sleep, it's important to identify the causes of poor sleep. We conducted a survey to identify the reasons for poor sleep quality in the recipients. METHODS: We surveyed lung transplant recipients (2003-2010) at Baylor College of Medicine/The Methodist Hospital lung transplant center. We used a compilation of questionnaires, including the Pittsburgh Sleep Quality Index (PSQI), Berlin Questionnaire, Epworth Sleepiness Scale (ESS) and Short Form 36 (SF36). Descriptive analysis was performed on the responses. RESULTS: Of the 167 participants, 54 responded (32.3%) with mean age 60.6 years (SD 9.8), 48% male, and a mean post-transplant body mass index (BMI) of 27 (SD 4.7). The responders reported a long mean sleep latency of 33.2 min (SD 32.5), poor sleep quality (74% with PSQI score > 5), excessive daytime sleepiness (ESS > 9 in 29%), poor physical QOL with SF36 mean score of 41.3 (SD 9.4), and high risk for OSA (48.2%). About 30% and 72% reported sleep initiation and maintenance insomnia, respectively. The poor sleep quality was due to "getup to go to bathroom" (85%), "cough or snore loudly" (33%), "have pain" (27.8%), and "feel too cold" (27.8%). Furthermore, 5% reported "Can't breathe comfortably" as reason for poor sleep. CONCLUSIONS: The recipients reported poor sleep and quality of life. The non-respiratory complaints were important factors for poor sleep. Attention to these factors may help to outline better management strategies to improve sleep in lung transplant recipients.
Identifier
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<a href="http://doi.org/10.1016/j.sleep.2019.11.1243" target="_blank" rel="noreferrer noopener">10.1016/j.sleep.2019.11.1243</a>
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journalArticle
2019
Bandi Venketa
Bourguet Claire
Department of Family & Community Medicine
Hirshkowitz Max
INSOMNIA
Journal Article
journalArticle
June 2020 Update I
NEOMED College of Medicine
Poor sleep
Sawhney Vishal
Seethamraju Harish
Sharafkhaneh Amir
Sleep apnea
Sleep medicine