Sleep disturbance among Malaysian patients with end-stage renal disease with pruritus View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Inayat Ur Rehman, Pauline Siew Mei Lai, Soo Kun Lim, Learn Han Lee, Tahir Mehmood Khan

ABSTRACT

BACKGROUND: Chronic kidney disease-associated pruritus (CKD-aP) is a well-recognized, frequent and compromising complication among patients on hemodialysis. Despite advancement in basic medical sciences, CKD-aP is still a major complication and a challenge for both physicians and patients to manage. The aim of this study was to estimate the prevalence of CKD-aP among hemodialysis patients in Malaysia, to determine the impact of CKD-aP on sleep quality and any factors associated with CKD-aP. METHOD: A multi-centered, cross-sectional study design was conducted from February 2017 to September 2017 at a tertiary hospital and its affiliated dialysis centers, in Kuala Lumpur, Malaysia. Included were patients > 18 years of age who were undergoing hemodialysis and could understand Malay. Participants were asked to fill the Malay 5D-itch scale and the Malay Pittsburgh sleep quality index (PSQI) upon recruitment. RESULTS: A total of 334/334 patients were recruited (response rate = 100%). The majority were male (59.6%) and Chinese (61.7%). A total of 61.3% had pruritus, of which most patients (63.4%) reported that their pruritus was mild. More than half (54.1%) reported that they slept > 6 h, and 93.2% experienced no sleep disturbances during the night. However; the overall PSQI median score [IQR] was 6.0 [5.0-9.0]. No significant association was found between demographic and clinical characteristics of patients with the severity of pruritus. Patients with moderate to severe pruritus were found to be 5.47 times more likely to experience poor sleep quality as compared to patients with mild or no pruritus. CONCLUSION: In Malaysia, the prevalence of CKD-aP was 61.3%, of which the majority reported that their pruritus was mild. Patients with moderate to severe pruritus were found to be 5.47 times more likely to experience poor sleep quality as compared to patients with mild or no pruritus. More... »

PAGES

102

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12882-019-1294-1

DOI

http://dx.doi.org/10.1186/s12882-019-1294-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112985416

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30909887


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251 School of Pharmacy, Monash University, Jalan Lagoon Selatan, 47500, Bandar Sunway, Selangor Darul Ehsan, Malaysia
252 rdf:type schema:Organization
253 https://www.grid.ac/institutes/grid.412996.1 schema:alternateName University of Phayao
254 schema:name Center of Health Outcomes Research and Therapeutic Safety (Cohorts), School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand
255 Institute of Biomedical and Pharmaceutical Sciences, Guangdong University of Technology, 510006, Guangzhou, People’s Republic of China
256 Novel Bacteria and Drug Discovery Research Group, Microbiome and Bioresource Research Strength, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, 47500, Bandar Sunway, Selangor Darul Ehsan, Malaysia
257 School of Pharmacy, Monash University, Jalan Lagoon Selatan, 47500, Bandar Sunway, Selangor Darul Ehsan, Malaysia
258 rdf:type schema:Organization
259 https://www.grid.ac/institutes/grid.440522.5 schema:alternateName Abdul Wali Khan University Mardan
260 schema:name Department of Pharmacy, Abdul Wali Khan University Mardan, Mardan, Pakistan
261 School of Pharmacy, Monash University, Jalan Lagoon Selatan, 47500, Bandar Sunway, Selangor Darul Ehsan, Malaysia
262 rdf:type schema:Organization
 




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