Author/Authors :
El-Refaey, Ahmed M. Mansoura University Children’s Hospital - Pediatric Nephrology Unit, Egypt , ElSayed, Riad M. Mansoura University Children s Hospital - Pediatric Neurology Unit, Pediatric Department, Egypt , Sarhan, Amr Mansoura University Children’s Hospital - Pediatric Nephrology Unit, Egypt , Bakr, Ashraf Mansoura University Children’s Hospital - Pediatric Nephrology Unit, Egypt , Hammad, Ayman Mansoura University Children’s Hospital - Pediatric Nephrology Unit, Egypt , Elmougy, Atef Mansoura University Children’s Hospital - Pediatric Nephrology Unit, Egypt , Aboelyazeed, Ahmed Y. Mansoura University Children s Hospital - Community Medicine Department, Egypt
Abstract :
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.
