ESPN 50th Annual Meeting

ESPN 2017


 
Sleep disorders in children with Chronic Kidney Disease
STELLA STABOULI 1 NIKOLETA PRINTZA 1 DIMOS GIDARIS 1 JOHN DOTIS 1 ELENI PAPADIMITRIOU 1 FOTIOS PAPACHRISTOU 1

1- 1ST DEPARTMENT PAEDIATRICS, ARISTOTLE UNIVERSITY THESSALONIKI
 
Introduction:

Chronic Kidney Disease (CKD) in children has been associated with sleep disorders. However, only a few papers have been published on this is subject in pediatric patients. The aim of present study was assess the presence of sleep disorders in pediatric CKD patients.

Material and methods:

The present study evaluated children and adolescents with CKD and healthy children and adolescents aged 5-19 years. Parents completed the Pediatric Sleep Questionnaire from November 2015 to October2016. Scores greater than 0.33 in the subscales of sleep disorders were considered to be diagnostic.

Results:

The study population included 46 pediatric patients with CKD (10 dialysis depedent, all in peritoneal dialysis) and 68 controls. Children with CKD had higher scores in the subscale of sleep disordered breathing (SDB), but the incidence of SDB was not statistically different to that of the control group. Pediatric patients with CKD had higher frequency of insomnia (20% vs. 3% controls, P <0.01), excessive daytime sleepiness (26.7% vs. 1.5% in controls, P <0.001) and nocturnal awakenings (21.4% vs. 1.5% in controls, P<0.001). Among patients with CKD, dialysis dependent patients presented higher scores in restless legs syndrome scale compared to patients with CKD non-dialysis dependent (P <0.05), but not in other scales’ scores (figure 1).

Conclusions:

Children with CKD have sleep disorders more frequently than healthy children. Therefore, clinicians caring for these children should always bear this in mind, in order to improve quality of medical care.