Assessment of sleep quality in severe covid-19 hospitalized patients

Authors

  • Nida Zeb Abbasi Pakistan Institute of Medical Sciences, PIMS
  • Kainaat Baig Department of Internal Medicine, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Muhammad Hassan Department of Neurology, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Fibhaa Syed Department of General Medicine, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan
  • Muhammad Anas Waheed Jami Department of Internal Medicine, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan https://orcid.org/0000-0002-1353-4162
  • Muhammad Usman Department of Internal Medicine, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

DOI:

https://doi.org/10.47391/JPMA.7704

Keywords:

Sleep condition, Covid-19, PSQI

Abstract

Objectives: To evaluate the quality of sleep in patients hospitalised with coronavirus disease-2019, and its impact on hospitalisation duration, need for intensive care unit admission and mortality.

Methods: The cross-sectional study was conducted at the Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from May 2, 2021 to April 30, 2022, and comprised hospitalised coronavirus disease-2019 patients. Data was gathered using the Pittsburgh Sleep Quality Index questionnaire, including demographics, comorbidities, length of hospital stay, need for intensive care unit admission, C-reactive protein and D-dimer values at admission, and the outcome. The patients were divided into group A having good sleep quality score >5 and group B having poor sleep quality score <5. Data was analysed using SPSS 25.

Results: Of the 1,250 patients, 559(44.7%) were males and 691(55.3%) were females. There were 560(44.8%) patients in group A with mean age 53.80±14.85 years, and 690(55.2%) patients in group B with mean age 53.71±14.32 years. There were no significant intergroup differences in terms of age and high-resolution computed tomography scan (p>0.05). The difference was significant with respect to gender, comorbid conditions, education status as well C-reactive protein and D-dimer levels (p<0.001). Group B patients had a longer duration of hospitalisation (p<0.001) and a higher need for intensive care unit admission (p<0.001) compared to group A. The outcome was death in 166(13.28%) patients in group B compared to 40(3.2%) in group A (p<0.001).

Conclusion: Poor sleep quality was found to be associated with longer hospital stay, increased need for mechanical ventilation, and higher mortality rate in coronavirus disease-2019 patients.

Key Words: Sleep condition, Covid-19, PSQI.

Published

2024-02-11

How to Cite

Abbasi, N. Z., Baig, K., Muhammad Hassan, Syed, F., Waheed Jami, M. A., & Usman, M. (2024). Assessment of sleep quality in severe covid-19 hospitalized patients. Journal of the Pakistan Medical Association, 74(3), 445–449. https://doi.org/10.47391/JPMA.7704

Issue

Section

RESEARCH ARTICLE

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