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Cardiovascular Risk Factors for the Diagnosis of Insomnia in End-Stage Renal Disease.
Kim, Kiana; Smaha, Katlyn; Waller, Jennifer L; Bollag, Wendy B; Baer, Stephanie L; Taskar, Varsha; Arora, Vishal; Healy, William.
Afiliación
  • Kim K; Medical College of Georgia at Augusta University, Augusta, GA 30912.
  • Smaha K; Medical College of Georgia at Augusta University, Augusta, GA 30912.
  • Waller JL; Department of Family and Community Medicine, Medical College of Georgia at Augusta University, Augusta, GA 30912.
  • Bollag WB; Department of Medicine, Medical College of Georgia at Augusta University, Augusta, GA 30912; Department of Physiology, Medical College of Georgia at Augusta University, Augusta, GA 30912; Charlie Norwood VA Medical Center, Augusta, GA 30904.
  • Baer SL; Department of Medicine, Medical College of Georgia at Augusta University, Augusta, GA 30912; Charlie Norwood VA Medical Center, Augusta, GA 30904.
  • Taskar V; Department of Medicine, Medical College of Georgia at Augusta University, Augusta, GA 30912.
  • Arora V; Department of Medicine, Medical College of Georgia at Augusta University, Augusta, GA 30912.
  • Healy W; Department of Medicine, Medical College of Georgia at Augusta University, Augusta, GA 30912. Electronic address: wihealy@augusta.edu.
Am J Med Sci ; 2024 Aug 27.
Article en En | MEDLINE | ID: mdl-39209259
ABSTRACT

BACKGROUND:

Insomnia, a known cardiovascular risk factor, is common in end-stage renal disease (ESRD) patients. There is growing acknowledgment of a potential bidirectional relationship between cardiovascular diseases and sleep disorders. We previously assessed the risk factors for common sleep disorders in ESRD patients. This follow-up study assesses the demographic and clinical cardiovascular-related risk factors for insomnia diagnosis in ESRD patients, given their increased cardiovascular burden.

METHODS:

This study is a retrospective analysis of the United States Renal Data System to evaluate risk factors for insomnia diagnosis. All patients in the USRDS who started dialysis between 2005 and 2019 were eligible for inclusion. Demographic risk factors analyzed were age, race, sex, ethnicity, dialysis modality, and access type. Cardiovascular risk factors, including obstructive sleep apnea (OSA) and central sleep apnea (CSA), were also evaluated.

RESULTS:

Female sex, OSA, CSA, myocardial infarction, congestive heart failure, peripheral vascular disease, cerebrovascular disease, diabetes, chronic obstructive pulmonary disease, obesity, and hypertension were associated with an increased risk of insomnia. Increasing age, non-white race, Hispanic ethnicity, and catheter or other/peritoneal dialysis access type were associated with a decreased risk of an insomnia diagnosis.

CONCLUSION:

Various cardiovascular diseases were independent risk factors for an insomnia diagnosis in this retrospective cohort. Further study is indicated to investigate potential mechanisms underlying this connection.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Med Sci Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Med Sci Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos