scholarly journals Improvement in Polysomnographic Objective Sleep Quality in Adults with Pectus Excavatum After the Nuss Procedure

2019 ◽  
Vol 44 (4) ◽  
pp. 1316-1322
Author(s):  
Mei-Chen Yang ◽  
Chou-Chin Lan ◽  
Yao-Kuang Wu ◽  
Min-Shiau Hsieh ◽  
Bo-Chun Wei ◽  
...  

Abstract Background Patients with pectus excavatum have a poorer subjective sleep quality and quality of life than the general population. The Nuss procedure has been shown to improve these patients’ quality of life, but data regarding their postoperative sleep quality are lacking. We aimed to evaluate the objective sleep quality of adults with pectus excavatum before and after the Nuss procedure. Methods Twenty-eight participants completed this study. Epworth Sleepiness Scale (ESS) scores for daytime sleepiness, Pittsburgh Sleep Quality Index (PSQI) scores for subjective sleep quality, and overnight polysomnography for objective sleep quality were evaluated before and 6 months after the Nuss procedure. Results Subjective sleep quality improved after the Nuss procedure. The median PSQI score decreased from 7 [interquartile range (IQR): 5; 9] to 5 (IQR: 4; 7, p = 0.029); the median percentage of poor PSQI sleep quality decreased from 64.3 to 35.7% (p = 0.048). The median percentage of rapid eye movement sleep significantly increased after surgery [15.6% (IQR: 12.2%; 19.8%) vs. 20.4% (IQR: 14.5%; 24.9%), p = 0.016]. Sleep interruptions also improved, with the median arousal index decreasing from 9.5 (IQR: 4.8; 18.2) to 8.2 (IQR: 4.3; 12.1; p = 0.045). However, there was no significant change in ESS scores after surgery (p = 0.955). Conclusions Pectus excavatum may be associated with poor subjective and objective sleep quality in adults, and the condition may improve after the Nuss procedure. For adults with pectus excavatum who report poor subjective sleep quality, polysomnography should be considered to assess their preoperative and postoperative sleep condition.

Author(s):  
Bulent Devrim Akcay ◽  
◽  
Vahit Onur Gul ◽  
Serhat Ozer ◽  
Duygu Akcay ◽  
...  

Author(s):  
Keivan Kakabaraee ◽  
Habibolah Khazaie ◽  
Azita Chehri ◽  
Maryam Seidy

Background: Subjective sleep quality plays a pivotal role in health, quality of life, and efficient performance. Objectives: The present study aimed to investigate the epidemiology of subjective sleep quality in the citizens of Kermanshah, Iran. Methods: This cross-sectional, descriptive study was conducted on all the citizens of Kermanshah in 2017. In total, 450 subjects were selected via multistage random sampling. Based on the inclusion criteria, 416 were evaluated using a self-report questionnaire of demographic characteristics and Petersburg sleep quality index (PSQI; Baisi et al., 1989). Results: In 79% of the participants, the mean score of PSQI was above the cutoff point (m = 6.64). The analysis of the questionnaires indicated the highest frequency of sleep disorders to be in the components of subjective sleep quality from the perspective of the respondents, delayed sleep, sleep disorders, and daily functional disorders. In addition, 10.6% of the subjects used very high doses of sedatives, while 10.3% used relatively high doses of these pills. Minimal sleep disorders were reported as well. Poor sleep quality was less common in women, and significant correlations were observed between age and sleep latency, sleep duration, sleep medication use, and daytime dysfunction due to sleepiness. Conclusions: According to the results, subjective sleep quality was favorable in the citizens of Kermanshah. Considering the significant effects of sleep quality on performance and quality of life, attention must be paid to this aspect of health by healthcare planners and managers.


2012 ◽  
Vol 24 (11) ◽  
pp. 1827-1835 ◽  
Author(s):  
Chiara Cupidi ◽  
Sabrina Realmuto ◽  
Gianluca Lo Coco ◽  
Antonio Cinturino ◽  
Simona Talamanca ◽  
...  

ABSTRACTBackground: Knowledge about sleep complaints of caregivers of patients with Alzheimer's disease (AD) and Parkinson's disease (PD) is limited, and we lack information about the relationship between caregivers’ sleep problems and their quality of life (QoL).Methods: We evaluated subjective sleep quality and its relationship to QoL in a group of 80 caregivers of patients with AD (ADCG, n = 40) and PD (PDCG, n = 40), and in 150 controls. Information about night-time complaints was collected using the Pittsburgh Sleep Quality Index (PSQI). QoL was measured using the McGill QoL Questionnaire.Results: Eighteen ADCG (45%), 22 PDCG (55%), and 45 (30%) controls reported poor sleep quality. Mean global PSQI score of PDCG (6.25 ± 3.9) was not significantly different from that of ADCG (5.8 ± 3.5; p = 0.67). However, both PDCG and ADCG scored significantly higher than control group (4.3 ± 3.1; p < 0.01). ADCG frequently reported difficulties falling asleep (72.5%) and disturbed sleep (100%). PDCG reported reduced subjective sleep quality (80%) and increased sleep disturbances (100%). Poor sleep quality was associated with depressive symptoms and correlated with QoL in caregivers of both groups, particularly the psychological symptoms domain.Conclusions: Among caregivers of patients with AD and PD, poor sleep quality is frequent and significantly linked to QoL and depressive symptoms. Identifying the nature of sleep disturbances not only in patients but also in their caregivers is important as appropriate treatment may lead to a better management of the needs of families coping with these patients.


2020 ◽  
Author(s):  
Li Ran ◽  
Xuyu Chen ◽  
Mengying Li ◽  
Qi Chen ◽  
Yupeng Zhang ◽  
...  

Abstract Background: Hypertension is one of the most common and easy paroxysm diseases. Inadequately controlled hypertension has been related to poor sleep quality, which would be associated with worsening quality of life.Methods: A descriptive analyses was conducted to describe social demographic factors, while ANOVA and t-test were carried out to compare scores between different groups. The total score of life quality (MCS and PCS) was used as the dependent variable (Y), and the dimensions of sleep quality were used as the independent variable (X) for multiple line regression analysis (Stepwise) to evaluate the correlation between sleep quality and life quality.Results: The results of group comparison showed that the total PSQI score was significant at people’s residence (P<0.01). Correlation analysis indicated that subjective sleep quality, sleep disturbance, daytime dysfunction, age, concomitant diseases, and years of diagnosed hypertension had a significant association with the PCS scores (P<0.05 for all). Subjective sleep quality, sleep disturbance, daytime dysfunction, and monthly income had a significant association with the MCS scores (P<0.05 for all). Conclusion: The correlation analysis shows that sleep quality of hypertensive patients is related to quality of life. Considering the close relation among hypertension, sleep quality, and life quality, possible interventions like sleep hygiene was appealed to relieve hypertensive symptoms, promote sleep quality, and increase life quality.Trial registration: 2018-1602000-03-02


Author(s):  
Kentaro Matsui ◽  
Takuya Yoshiike ◽  
Kentaro Nagao ◽  
Tomohiro Utsumi ◽  
Ayumi Tsuru ◽  
...  

This study aimed to determine whether both subjective sleep quality and sleep duration are directly associated with quality of life (QOL), as well as indirectly associated with QOL through insomnia symptoms. Individuals aged 20–69 years without mental illness (n = 9305) were enrolled in this web-based cross-sectional survey. The Short Form-8 was used to assess physical and mental QOL. We used the Pittsburgh Sleep Quality Index (PSQI) and extracted items related to subjective sleep quality and sleep duration. Insomnia symptoms were also extracted from the PSQI. The hypothesized models were tested using structural equation modeling. Worse sleep quality, but not shorter sleep duration, was related to worse physical QOL. Both worse sleep quality and shorter sleep duration were related to worse mental QOL. Insomnia symptoms mediated these relationships. Subgroup analyses revealed a U-shaped relationship between sleep duration and physical/mental QOL. However, the relationship between sleep quality and physical/mental QOL was consistent regardless of sleep duration. The results suggest that subjective sleep quality has a more coherent association with QOL than subjective sleep duration. Because of its high feasibility, a questionnaire on overall sleep quality could be a useful indicator in future epidemiological studies of strategies for improving QOL.


SLEEP ◽  
2007 ◽  
Vol 30 (6) ◽  
pp. 737-742 ◽  
Author(s):  
Kyriaki Mystakidou ◽  
Efi Parpa ◽  
Eleni Tsilika ◽  
Maria Pathiaki ◽  
Kostas Gennatas ◽  
...  

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