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Sleep Disturbances in Long COVID: A Cohort Prospective Study

Purpose We aimed to determine the incidence of tardive sleep disturbances among patients hospitalized for COVID-19 infection, and to analyze their predictive factors. Methods It was a prospective cohort study, conducted in the department of respiratory diseases and Allergy, at Hedi Chaker University...

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Published in:Sleep and vigilance 2024-12, Vol.8 (2), p.291-305
Main Authors: Turki, Mariem, Bouattour, Nadia, Ben Ayed, Houda, Msaad, Sameh, Chaari, Imen, Messedi, Neila, Gargouri, Rahma, kamoun, Samy, Yaich, Sourour, Aribi, Lobna, Halouani, Najla, Ellouze, Sahar, Aloulou, Jihen
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container_title Sleep and vigilance
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creator Turki, Mariem
Bouattour, Nadia
Ben Ayed, Houda
Msaad, Sameh
Chaari, Imen
Messedi, Neila
Gargouri, Rahma
kamoun, Samy
Yaich, Sourour
Aribi, Lobna
Halouani, Najla
Ellouze, Sahar
Aloulou, Jihen
description Purpose We aimed to determine the incidence of tardive sleep disturbances among patients hospitalized for COVID-19 infection, and to analyze their predictive factors. Methods It was a prospective cohort study, conducted in the department of respiratory diseases and Allergy, at Hedi Chaker University Hospital (Sfax-Tunisia). It included inpatients with laboratory-confirmed SARS-CoV-2 infection, who were discharged alive from hospital. The study protocol included 2 steps. First, patients were evaluated during their hospitalization. Then, each eligible patient was assessed 6–9 months after discharge. We thus asked them about fatigability, cognitive impairment and the following scales: the Pittsburgh Sleep Quality Index (PSQI) to assess sleep disturbances; the visual analog scale (VAS) to assess pain; the modified British Medical Research Council (mMRC scale) to evaluate dyspnea; the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms and the Euroqol 5 Dimensions 3 Levels Questionnaire (EQ-5D-3L) to assess the quality of life. Results The median age of the participants was 59 years [IQR (53–68)]. Among them, 51.2% were females. According to PSQI, the incidence of sleep disturbances after COVID was 48.8%. In multivariate analysis, predictive factors of sleep disturbances were: VAS score ( β  = 0.35; p  = 0.007); fatigability ( β  = 1.78; p  = 0.016); anxiety/depression ( β  = 4.25; p  
doi_str_mv 10.1007/s41782-024-00288-1
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Methods It was a prospective cohort study, conducted in the department of respiratory diseases and Allergy, at Hedi Chaker University Hospital (Sfax-Tunisia). It included inpatients with laboratory-confirmed SARS-CoV-2 infection, who were discharged alive from hospital. The study protocol included 2 steps. First, patients were evaluated during their hospitalization. Then, each eligible patient was assessed 6–9 months after discharge. We thus asked them about fatigability, cognitive impairment and the following scales: the Pittsburgh Sleep Quality Index (PSQI) to assess sleep disturbances; the visual analog scale (VAS) to assess pain; the modified British Medical Research Council (mMRC scale) to evaluate dyspnea; the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms and the Euroqol 5 Dimensions 3 Levels Questionnaire (EQ-5D-3L) to assess the quality of life. Results The median age of the participants was 59 years [IQR (53–68)]. Among them, 51.2% were females. According to PSQI, the incidence of sleep disturbances after COVID was 48.8%. In multivariate analysis, predictive factors of sleep disturbances were: VAS score ( β  = 0.35; p  = 0.007); fatigability ( β  = 1.78; p  = 0.016); anxiety/depression ( β  = 4.25; p  &lt; 0.001) and unmarried status ( β  = − 2.56; p  = 0.044). Conclusion Our study highlighted the burden of sleep disturbances in COVID-19 survivors. Screening for these disorders in long haulers helps to maintain a good quality of life, and to prevent ulterior physical or mental complications, in order to promote good health and well-being on physical, psychological and social aspects.</description><identifier>ISSN: 2510-2265</identifier><identifier>EISSN: 2510-2265</identifier><identifier>DOI: 10.1007/s41782-024-00288-1</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Biomedical and Life Sciences ; Biomedicine ; Body mass index ; COVID-19 ; Dyspnea ; Hospitalization ; Hospitals ; Infections ; Long COVID ; Medical records ; Medical research ; Medicine/Public Health ; Neurology ; Neurosciences ; Original Article ; Pain ; Patients ; Psychiatry ; Questionnaires ; Severe acute respiratory syndrome coronavirus 2 ; Sleep ; Sociodemographics ; Well being</subject><ispartof>Sleep and vigilance, 2024-12, Vol.8 (2), p.291-305</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd. 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1151-6c40b5c5426c4ba1cd189af3c2ff2c3e7a63ecafbd9c7c6ccee4180211c135f23</cites><orcidid>0000-0001-9400-4819</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Turki, Mariem</creatorcontrib><creatorcontrib>Bouattour, Nadia</creatorcontrib><creatorcontrib>Ben Ayed, Houda</creatorcontrib><creatorcontrib>Msaad, Sameh</creatorcontrib><creatorcontrib>Chaari, Imen</creatorcontrib><creatorcontrib>Messedi, Neila</creatorcontrib><creatorcontrib>Gargouri, Rahma</creatorcontrib><creatorcontrib>kamoun, Samy</creatorcontrib><creatorcontrib>Yaich, Sourour</creatorcontrib><creatorcontrib>Aribi, Lobna</creatorcontrib><creatorcontrib>Halouani, Najla</creatorcontrib><creatorcontrib>Ellouze, Sahar</creatorcontrib><creatorcontrib>Aloulou, Jihen</creatorcontrib><title>Sleep Disturbances in Long COVID: A Cohort Prospective Study</title><title>Sleep and vigilance</title><addtitle>Sleep Vigilance</addtitle><description>Purpose We aimed to determine the incidence of tardive sleep disturbances among patients hospitalized for COVID-19 infection, and to analyze their predictive factors. Methods It was a prospective cohort study, conducted in the department of respiratory diseases and Allergy, at Hedi Chaker University Hospital (Sfax-Tunisia). It included inpatients with laboratory-confirmed SARS-CoV-2 infection, who were discharged alive from hospital. The study protocol included 2 steps. First, patients were evaluated during their hospitalization. Then, each eligible patient was assessed 6–9 months after discharge. We thus asked them about fatigability, cognitive impairment and the following scales: the Pittsburgh Sleep Quality Index (PSQI) to assess sleep disturbances; the visual analog scale (VAS) to assess pain; the modified British Medical Research Council (mMRC scale) to evaluate dyspnea; the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms and the Euroqol 5 Dimensions 3 Levels Questionnaire (EQ-5D-3L) to assess the quality of life. Results The median age of the participants was 59 years [IQR (53–68)]. Among them, 51.2% were females. According to PSQI, the incidence of sleep disturbances after COVID was 48.8%. In multivariate analysis, predictive factors of sleep disturbances were: VAS score ( β  = 0.35; p  = 0.007); fatigability ( β  = 1.78; p  = 0.016); anxiety/depression ( β  = 4.25; p  &lt; 0.001) and unmarried status ( β  = − 2.56; p  = 0.044). Conclusion Our study highlighted the burden of sleep disturbances in COVID-19 survivors. Screening for these disorders in long haulers helps to maintain a good quality of life, and to prevent ulterior physical or mental complications, in order to promote good health and well-being on physical, psychological and social aspects.</description><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Body mass index</subject><subject>COVID-19</subject><subject>Dyspnea</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Long COVID</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medicine/Public Health</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Original Article</subject><subject>Pain</subject><subject>Patients</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Sleep</subject><subject>Sociodemographics</subject><subject>Well being</subject><issn>2510-2265</issn><issn>2510-2265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kF1LwzAUhoMoOHR_wKuA19GcpE0z8WZ0fgwGE6behvQsmR2zrUkr7N_bWUGvvDrvxftxeAi5AH4FnGfXMYFMC8ZFwjgXWjM4IiORAmdCqPT4jz4l4xi3nHPQSmrFR-R2tXOuobMytl0obIUu0rKii7ra0Hz5Op_d0CnN67c6tPQp1LFx2Jafjq7abr0_Jyfe7qIb_9wz8nJ_95w_ssXyYZ5PFwwBUmAKE16kmCaiV4UFXIOeWC9ReC9Quswq6dD6Yj3BDBWicwloLgAQZOqFPCOXQ28T6o_OxdZs6y5U_aSRIKWScqIOLjG4sP8zBudNE8p3G_YGuDmAMgMo04My36AM9CE5hGJvrjYu_Fb_k_oCrhdpfQ</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Turki, Mariem</creator><creator>Bouattour, Nadia</creator><creator>Ben Ayed, Houda</creator><creator>Msaad, Sameh</creator><creator>Chaari, Imen</creator><creator>Messedi, Neila</creator><creator>Gargouri, Rahma</creator><creator>kamoun, Samy</creator><creator>Yaich, Sourour</creator><creator>Aribi, Lobna</creator><creator>Halouani, Najla</creator><creator>Ellouze, Sahar</creator><creator>Aloulou, Jihen</creator><general>Springer Nature Singapore</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0001-9400-4819</orcidid></search><sort><creationdate>20241201</creationdate><title>Sleep Disturbances in Long COVID: A Cohort Prospective Study</title><author>Turki, Mariem ; 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According to PSQI, the incidence of sleep disturbances after COVID was 48.8%. In multivariate analysis, predictive factors of sleep disturbances were: VAS score ( β  = 0.35; p  = 0.007); fatigability ( β  = 1.78; p  = 0.016); anxiety/depression ( β  = 4.25; p  &lt; 0.001) and unmarried status ( β  = − 2.56; p  = 0.044). Conclusion Our study highlighted the burden of sleep disturbances in COVID-19 survivors. Screening for these disorders in long haulers helps to maintain a good quality of life, and to prevent ulterior physical or mental complications, in order to promote good health and well-being on physical, psychological and social aspects.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><doi>10.1007/s41782-024-00288-1</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0001-9400-4819</orcidid></addata></record>
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subjects Biomedical and Life Sciences
Biomedicine
Body mass index
COVID-19
Dyspnea
Hospitalization
Hospitals
Infections
Long COVID
Medical records
Medical research
Medicine/Public Health
Neurology
Neurosciences
Original Article
Pain
Patients
Psychiatry
Questionnaires
Severe acute respiratory syndrome coronavirus 2
Sleep
Sociodemographics
Well being
title Sleep Disturbances in Long COVID: A Cohort Prospective Study
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