Association of Poor Sleep Quality With Adverse Outcomes in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis.

IF 2.3 3区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Diseases Pub Date : 2024-11-01 Epub Date: 2025-02-09 DOI:10.1111/1751-2980.13328

Tian Yun Xu, Yue Zhang, Shu Liang Zhao

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引用次数: 0

Abstract

Objectives: Inflammatory bowel disease (IBD) is a group of chronic diseases with adverse events such as disease flare, progression, drug escalation, hospitalization, and surgery. Meanwhile, patients with IBD often have sleep disorders. We performed this systematic review and meta-analysis aiming to investigate the relationship between sleep quality of patients with IBD and their prognosis.

Methods: MEDLINE and Web of Science Core Collection databases were searched for articles published up to November 2024. We pooled the hazard ratio (HR) and odds ratio (OR) with the corresponding 95% confidence interval (CI) for adverse outcome events during the follow-up period in patients with poor sleep quality at baseline compared with those with normal sleep quality.

Results: Five studies were included with a total of 2333 patients with IBD. Poor sleep quality in patients with IBD was significantly correlated with the occurrence of adverse outcome events at follow-up (OR 1.63, 95% CI 1.14-2.33). Patients with Crohn's disease (CD) with poor sleep quality had a significantly higher risk of adverse outcome events at follow-up (OR 1.58, 95% CI 1.26-1.99), whereas those with ulcerative colitis (UC) did not (OR 1.10, 95% CI 0.76-1.60).

Conclusion: Early identification of poor sleep quality in patients with IBD, especially CD, has a predictive effect on their prognosis.

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炎症性肠病患者睡眠质量差与不良结局的关联：系统回顾和荟萃分析

目的：炎症性肠病（IBD）是一组具有不良事件的慢性疾病，如疾病发作、进展、药物升级、住院和手术。同时，IBD患者通常有睡眠障碍。我们进行了这项系统综述和荟萃分析，旨在调查IBD患者睡眠质量与其预后之间的关系。方法：检索MEDLINE和Web of Science Core Collection数据库中截止到2024年11月发表的文章。我们将基线睡眠质量差的患者与睡眠质量正常的患者随访期间不良结局事件的风险比（HR）、优势比（OR）及相应的95%可信区间（CI）进行汇总。结果：纳入5项研究，共2333例IBD患者。IBD患者睡眠质量差与随访不良结局事件的发生显著相关（OR 1.63, 95% CI 1.14-2.33）。睡眠质量差的克罗恩病（CD）患者在随访中出现不良结局事件的风险显著较高（OR 1.58, 95% CI 1.26-1.99），而溃疡性结肠炎（UC）患者则没有（OR 1.10, 95% CI 0.76-1.60）。结论：早期发现IBD尤其是CD患者睡眠质量差对其预后有预测作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Digestive Diseases 医学-胃肠肝病学

CiteScore

5.40

自引率

2.90%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Digestive Diseases is the official English-language journal of the Chinese Society of Gastroenterology. The journal is published twelve times per year and includes peer-reviewed original papers, review articles and commentaries concerned with research relating to the esophagus, stomach, small intestine, colon, liver, biliary tract and pancreas.