TY - JOUR
T1 - Non-respiratory complaints are main reasons for disturbed sleep post lung transplant
AU - Sawhney, Vishal
AU - Seethamraju, Harish
AU - Bourguet, Claire
AU - Hirshkowitz, Max
AU - Bandi, Venketa
AU - Sharafkhaneh, Amir
N1 - Publisher Copyright:
© 2019
PY - 2020/6
Y1 - 2020/6
N2 - 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.
AB - 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.
KW - Insomnia
KW - Poor sleep
KW - Sleep apnea
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U2 - 10.1016/j.sleep.2019.11.1243
DO - 10.1016/j.sleep.2019.11.1243
M3 - Article
C2 - 32334187
AN - SCOPUS:85083464281
SN - 1389-9457
VL - 70
SP - 106
EP - 110
JO - Sleep Medicine
JF - Sleep Medicine
ER -