دورية أكاديمية
The Effect of Sleep Disorder Diagnosis on Mortality in End-Stage Renal Disease Patients
| العنوان: | The Effect of Sleep Disorder Diagnosis on Mortality in End-Stage Renal Disease Patients |
|---|---|
| المؤلفون: | Andrew Mixson, Jennifer L. Waller, Wendy B. Bollag, Varsha Taskar, Stephanie L. Baer, Sandeep Padala, William J. Healy |
| المصدر: | Applied Sciences, Vol 13, Iss 9, p 5354 (2023) |
| بيانات النشر: | MDPI AG, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Technology LCC:Engineering (General). Civil engineering (General) LCC:Biology (General) LCC:Physics LCC:Chemistry |
| مصطلحات موضوعية: | humans, restless leg syndrome, kidney failure, chronic, sleep apnea, obstructive, Technology, Engineering (General). Civil engineering (General), TA1-2040, Biology (General), QH301-705.5, Physics, QC1-999, Chemistry, QD1-999 |
| الوصف: | Increased risk of all-cause mortality not accounted for by traditional cardiovascular risk factors has been linked to chronic kidney disease. This study tested the hypothesis that mortality may be greater in patients with end-stage renal disease (ESRD) and a sleep disorder diagnosis. The United States Renal Data System database was queried to determine the effect of sleep disorder diagnoses on mortality in ESRD patients enrolled between 2004 and 2015. Sleep disorders were identified using International Classification of Diseases-9 and -10 codes. Mortality risk associated with sleep disorders was examined using Cox proportional hazards (CPH) modeling. In the final CPH model, sleep disorder diagnoses were associated with decreased risk of mortality, with hazard ratios (and 95% confidence intervals) for insomnia, hypersomnolence, restless leg syndrome, and obstructive/central sleep apnea of 0.76 (0.75–0.76), 0.81 (0.78–0.84), 0.79 (0.77–0.80), and 0.82 (0.81–0.82), respectively. Black or other race and Hispanic ethnicity, and to a small extent, female sex and increasing Charlson comorbidity index, were also associated with decreased risk, whereas increasing age, hemodialysis (versus peritoneal dialysis) and catheter or graft access type were associated with increased risk. This study suggests that the diagnosis of a sleep disorder may be associated with improved survival in ESRD patients. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2076-3417 |
| العلاقة: | https://www.mdpi.com/2076-3417/13/9/5354Test; https://doaj.org/toc/2076-3417Test |
| DOI: | 10.3390/app13095354 |
| الوصول الحر: | https://doaj.org/article/164a8c0020fd42a786945e58113bd000Test |
| رقم الانضمام: | edsdoj.164a8c0020fd42a786945e58113bd000 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20763417 |
|---|---|
| DOI: | 10.3390/app13095354 |