Open AccessSleep quality assessment using polysomnography in children on regular hemodialysis
Author(s) -
Ahmed M El-Refaey,
Riad M Elsayed,
Amr Sarhan,
Ashraf Bakr,
Ayman Hammad,
Atef Elmougy,
Ahmed Y Aboelyazeed
Publication year - 2013
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.113862
Subject(s) - medicine , polysomnography , morning , sleep (system call) , hemodialysis , sleep quality , physical therapy , rapid eye movement sleep , restless legs syndrome , sleep stages , slow wave sleep , arousal , cross sectional study , audiology , pediatrics , eye movement , insomnia , apnea , psychology , psychiatry , ophthalmology , pathology , electroencephalography , computer science , operating system , neuroscience
Studies examining sleep patterns in children on hemodialysis (HD) are lacking. This cross-sectional, control-matched group study was performed to assess the sleep quality in children on HD. The assessment was made using a subjective sleep assessment and sleep questionnaire and objective analysis was made using full night polysomnography. A total of 25 children with end-stage renal disease (ESRD) on HD were compared with 15 age- and sex-matched controls. The average age of the cases was 14 ± 4 years, 52% were males and the mean body mass index was 20 ± 3.8 kg/m². The average duration on dialysis was 2.6 ± 2 years. Analysis of subjective data revealed markedly affected sleep quality in HD patients, as evidenced by excessive day time sleepiness (P <0.005), night awakening (P <0.005), difficult morning arousal (P <0.005) and limb pains (P <0.005). Objective analysis showed differences in sleep architecture, less slow wave sleep in HD children, similar rapid eye movement and non-rapid eye movement, more sleep disordered breathing (P <0.0001) and more periodic limb movement disorders (P <0.0001). Our study suggests that children on regular HD have markedly affected objective as well as subjective quality of sleep.