Poor Sleep Quality: A wake up call for the elderly at a tertiary care centre in Islamabad, Pakistan (P1.108)

2018 
Objective: To assess the burden of sleep disorders in the elderly and the effects of various co-morbidities on sleep quality. Background: Sleep disturbance is a common complaint among patients of all ages; but research suggests that older adults are particularly vulnerable. Design/Methods: Patients were recruited from a tertiary care hospital in Islamabad, Pakistan. Pittsburgh Sleep Quality Index (PSQI) and ESS sleepiness scale (ESS) to measure the quality and patterns of sleep and daytime sleepiness in the elderly. Results: The survey included 1000 elderly with a mean age of 66.96 (±7.05), among which 63.8% were males, and 36.2%were females. Our survey revealed 26.5% of the study participants having an ESS score more than 10 while on PSQI score 51.6% had a score greater than 5. A female preponderance 57.89% in contrast to 47.89% among males of sleep quality on PSQI score was found to be statistically significant. Conclusions: In our survey, there was a significant burden of sleep related disorders identified. Presence of renal disease, dementia and being a smoker increased the odds of having sleep disorders. Most of the other associations when tested in more robust logistic regression model did not hold up completely and failed to satisfy the level of statistical significance. We recommend employing tools like PSQI and ESS as these disorders if remain undiagnosed contribute to poor quality of life in the elderly. Disclosure: Dr. Siddiqui has nothing to disclose. Dr. Farooq has nothing to disclose. Dr. Mansoor has nothing to disclose. Dr. Siddiqui has nothing to disclose. Dr. Saadat has nothing to disclose. Dr. Ahmad Javed has nothing to disclose. Dr. Fatimah Shah has nothing to disclose.
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