SLEEP DISTURBANCES IN CHILDREN AND ITS RELATIONSHIP TO SEVERITY OF CHRONIC KIDNEY DISEASE
Achmad Rafli,Hartono Gunardi,Sudung Oloan Pardede
Department of Child Health Faculty of Medicine University Indonesia Ciptomangunkusumo General Hospital Jakarta Indonesia Social Pediatric Division Department of Child Health Faculty of Medicine University Indonesia Ciptomangunkusumo General Hospital Jakarta Indonesia Nephrology Division Department of Child Health Faculty of Medicine University Indonesia Ciptomangunkusumo General Hospital Jakarta Indonesia
Background : Sleep disturbances are common in adults with chronic kidney disease (CKD). Despite the fact that sleep disorders are common in children suffering from chronic disease, sleep problems in children with CKD have been assessed in only a limited number of studies and it is little known about the prevalence of sleep problems in children with CKD. This study aimed to assess sleep disorders among children with CKD as well as its relationship with severity of CKD.
Material : A questionnaire-based cross-sectional study was conducted during July 2016 to May 2017. Minimum sample size calculation was 95 subjects. CKD children age 2-18 years old were recruited through consecutive sampling in Pediatric Nephrology Outpatient Clinic and Ward, Dr. Cipto Mangunkusumo General Hospital, Jakarta. CKD was categorized according to classification severity of CKD based on KDIGO 2012. Subjects were asked to fill out the The Sleep Disturbance Scale for Children (SDSC) questionnaire. Parents or legal guardians were allowed to assist the child to obtain proper answers when age appropriate.
Results : There were 112 study participants, 60 males (53.6%) and 52 females (46.7%). Twenty-six (23.2%) children with CKD had sleep disturbances. Twelve of 46 (26.1%) children with severity of CKD G1-G3 and 14 of 66 children (21.2%) CKD G4-G5 had sleep problems. Despite sleep disorders were more common (14/26, 53.8%) in the children with severely decreased of kidney function (G4) and renal failure (G5), there was no significant relationship between severity of CKD and sleep disturbances (p= 0.082).
Conclusions : The prevalence of sleep problems among CKD children was 23%. Sleep problems were not related significantly to the severity of CKD. Multicenter studies are still needed to explore the contributing risk factors of sleep problems in children with CKD. Early identification followed with appropriate intervention and monitoring may lead to an improvement in the sleep of life of children with CKD.
Keywords: chronic kidney disease children sleep disturbances SDSC
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