H. T. Hashim, J. Varney, M. A. Ramadhan, A. Sarfraz, Z. Sarfraz, K. Murry, Jaffer Shah, Br, on Watkins, Zanyar Qais, Shoaib Ahmad, M. Y. Essar, Asghar Shah, H. Aiash
{"title":"Insomnia Among Recovered COVID-19 Patients","authors":"H. T. Hashim, J. Varney, M. A. Ramadhan, A. Sarfraz, Z. Sarfraz, K. Murry, Jaffer Shah, Br, on Watkins, Zanyar Qais, Shoaib Ahmad, M. Y. Essar, Asghar Shah, H. Aiash","doi":"10.35248/2167-0277.21.10.328","DOIUrl":"https://doi.org/10.35248/2167-0277.21.10.328","url":null,"abstract":"Background: Insomnia is a sleeping disorder where individuals have difficulty initiating or maintaining sleep, resulting in nonrefreshing sleep. It may be difficult for patients to fall asleep or remain asleep for the periods recommended for rest. Daytime sleepiness, low energy, irritability, and a depressed mood are usually accompanied by insomnia. Some studies showed that COVID-19 patients could have insomnia during their infection period, and insomnia has been attributed to the stress and depression experienced by the patients during the disease. Methodology: This is a cross-sectional study that includes 1,215 participants from 15 countries. The inclusion criteria were a recovered patient from COVID-19 with no history of psychological disorders of depression, anxiety, stress, insomnia, or any sleep disorder prior to becoming infected. Athena’s Insomnia Scale was used in the diagnosis of insomnia with a score of ≥ 6. Results: The insomnia score of the participants was with a mean and standard deviation of 7.04 ± 4.9. Of the 1215 participants, 943 (77.6%) had a score ≥ of 6 representing insomnia, while 272 (22.4%) did not. One-third of the participants visited a doctor because of their sleep quality, and 352 (29%) took medications to help them take enough sleep. Significant differences across patient characteristics were found across countries. Regression analysis found several patient-level aspects predicting insomnia incidence. The odds ratio (OR) symptomatic headache were OR 1.74 (95% CI 1.17, 2.60; P=.006) and OR 1.79 (95% CI 1.19, 2.72; P=.005), for univariate and multivariate regression, respectively. Country and age were also found to be significant predictors of insomnia incidence in both models. Conclusion: Insomnia can occur after COVID-19 infection. It is typically mild but has the possibly of requiring treatment and follow-up. People from countries with poor healthcare and the elderly have an increased risk of having insomnia after a COVID-19 infection. The present study investigated the characteristics of those presenting with insomnia after COVID-19 infection in a large sample. We also determined that age, country, and symptomatic headache significantly predict insomnia status.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"40 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69990168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pittsburgh Sleep Quality Index Impact in COVID-19","authors":"Amedeo Xu","doi":"10.35248/2167-0277.21.10.E101","DOIUrl":"https://doi.org/10.35248/2167-0277.21.10.E101","url":null,"abstract":"","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"10 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69990762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Note on Neurology and Psychiatric Infections","authors":"Zang Wang","doi":"10.35248/2167-0277.21.10.E112","DOIUrl":"https://doi.org/10.35248/2167-0277.21.10.E112","url":null,"abstract":"","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"10 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69990778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression and its Side Effects","authors":"Ravi Gupta","doi":"10.35248/2167-0277.21.10.344","DOIUrl":"https://doi.org/10.35248/2167-0277.21.10.344","url":null,"abstract":"","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"10 1","pages":"344-344"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69990519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Obstructive Sleep Apnea by Amedeoxu","authors":"Amedeo Xu","doi":"10.35248/2167-0277.21.10.E105","DOIUrl":"https://doi.org/10.35248/2167-0277.21.10.E105","url":null,"abstract":"Sleep disorders that involve difficulty breathing during sleep are clssified as sleep related breathing disorders. Obstructive sleep apnea is the most common disorder of this type; however there are a number of variations of sleep apnea. Sleep and Breathing reflects the international state of the science and practice of sleep medicine. Thejournalis founded on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. Sleep and Breathing presents timely and original peerreviewed studies on the management of the upper airway during sleep","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"10 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69990723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John B Nelson, Neeley Remmers, Michael W. Anderson
{"title":"Chronic Sleep Deprivation in a 75-year-old Female Leading to Increased Falls and a Daytime Microsleeps","authors":"John B Nelson, Neeley Remmers, Michael W. Anderson","doi":"10.35248/2167-0277.21.10.329","DOIUrl":"https://doi.org/10.35248/2167-0277.21.10.329","url":null,"abstract":"Falls in the elderly is an ongoing problem and is one of the leading causes for trips to the emergency room, hospitalizations, serious injuries, and expensive health care costs. However, many times the relationship between sleep quality and falls oftentimes is overlooked. Here we present a case of a 75-year-old female admitted for sustaining 4-5 falls per day for many years that was ultimately found to be due to chronic sleep deprivation. She was treated with non-invasive positive pressure ventilation (NIPPV) for her complex sleep apnea and hypercarbia. Subsequent follow-up revealed significant decrease in her number of daily falls down to <1 per day. This case further adds to the data showing a link between treating sleep apnea in the elderly and a reduction in falls. Abbreviations : CT – computed tomography ; CPAP – continuous positive airway pressure ; EPAP – expiratory positive airway pressure ; Lpm – liters per minute ; MSLT – multi-sleep latency test ; NIPPV – non-invasive positive pressure ventilation ; OSA – obstructive sleep apnea ; PFTs – pulmonary function tests ; Pmax – pressure max ; REI – respiratory event index ; REM – rapid eye movement ; SpO2 – oxygen saturation","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"10 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69990171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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