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Increased risk for sleep disorders in burn patients: A 14-year nationwide, population-based cohort study.
Liang, Chun-Yu; Chen, Chien-Chang; Wang, Kwua-Yun; Chung, Chi-Hsiang; Chang, Nai-Wen; Chien, Wu-Chien.
Afiliação
  • Liang CY; School of Nursing, National Defense Medical Center, 4F., No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, Taiwan. Electronic address: yu0716@ndmctsgh.edu.tw.
  • Chen CC; Department of Nursing, Tri-Service General Hospital, No.325, Section 2, Cheng-Kung Road, Neihu District, Taipei City, Taiwan. Electronic address: andyuj2001@yahoo.com.tw.
  • Wang KY; School of Nursing, National Defense Medical Center, 4F., No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, Taiwan; Department of Nursing, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Beitou District, Taipei City, Taiwan. Electronic address: w6688@mail.ndmctsgh.edu.tw.
  • Chung CH; School of Public Health, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, Taiwan; Taiwanese Injury Prevention and Safety Promotion Association, Room 4112, No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, Taiwan. Electronic address: g694810042@gmail.
  • Chang NW; School of Nursing, National Defense Medical Center, 4F., No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, Taiwan. Electronic address: purple-vivian@yahoo.com.tw.
  • Chien WC; School of Public Health, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, Taiwan; Department of Medical Research, Tri-Service General Hospital, No.325, Section 2, Cheng-Kung Road, Neihu District, Taipei City, Taiwan; Graduate Institute of Life Sciences, Nati
Burns ; 47(6): 1408-1415, 2021 09.
Article em En | MEDLINE | ID: mdl-33941399
ABSTRACT

BACKGROUND:

Burn is a major trauma that causes physical and psychosocial impairments, leading to sleep disorders. However, the data about risks for sleep disorders in patients over 3 years following burn injury are limited.

AIM:

To investigate the long-term risks for sleep disorders in patients after burn injury and identify the high-risk population.

METHODS:

A 14-year population-based cohort study was performed using data from the 2000-2013 Taiwan National Health Insurance Research Database (NHIRD) which was a valid representative sample of the total population. All diagnoses of medical records in NHIRD were made by physicians and coded according to the ICD-9-CM. Cases diagnosed with burns (ICD-9 CM N-code 940-949 and E-code 890-899) were included. The control group (non-burn injury group) was comprised quadruple the number of cases matched by index date, sex and age.

RESULTS:

In 2000-2013, among the 10,289 burn patients included and followed-up after the index year, burn injury significantly increased the risks for sleep disorders (Hazard Ratio; HR = 1.36, p = 0.044), including insomnia (HR = 1.41, p = 0.036), sleep disturbance (HR = 2.39, p = 0.005) and sleep apnoea (HR = 1.38, p = 0.029). Compared with the control group, those who were women (HR = 1.73, p = 0.021), adolescents (HR = 5.45, p < 0.001), aged 19-24 years (HR = 1.36, p = 0.034), aged 25-44 years (HR = 1.67, p = 0.007), had low income (HR = 2.14, p = 0.001), and without a history of mental disorders (HR = 1.41, p = 0.024) had significantly higher risks for developing sleep disorders when suffered burn injury.

CONCLUSION:

Burn had long-term negative effects on sleep during both the first year of burn injury and the subsequent follow-up 14 years. It is important for physicians to long-term assess the sleep quality of burn patients regardless of the number of years after burn injury.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos do Sono-Vigília / Queimaduras / Qualidade do Sono Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos do Sono-Vigília / Queimaduras / Qualidade do Sono Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2021 Tipo de documento: Article