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• W4387247812 abstract "SESSION TITLE: Lung Transplantation: Controversies and Challenges SESSION TYPE: Rapid Fire Original Inv PRESENTED ON: 10/09/2023 12:00 pm - 12:45 pm PURPOSE: Poor sleep is associated with emotional and physical illness. Significant gaps exist in our understanding of sleep quality (SQ) after lung transplantation. The purpose of this study was to determine the prevalence of poor SQ after lung transplantation; to identify factors associated with SQ in lung transplant recipients; and to describe the impact of poor sleep on mental and/or physical components of HRQoL. METHODS: In this cross-sectional, single center cohort study, 158 lung transplant recipients were invited to complete an anonymous REDCap survey. Sleep quality (SQ) was measured with the Pittsburgh Sleep Quality Index (PSQI) with scores dichotomized to poor versus good sleepers based on PSQI cutoff >8. Additional self-report data on potential factors for poor SQ included demographic and transplant related information; co-morbidities; anxiety and depression assessed with the Hospital Anxiety (A) and Depression (D) Scale (HADS); stressors of hospitalization, treatment of rejection, and illness of family members in the preceding 30 days. HRQoL was measured with the Short Form-12 (SF-12) with its mental and physical component scores (MCS and PCS). SPSS 28.0 was used for data analysis which was conducted in three phases: descriptive, bivariate, and multivariate analyses. Relationships between variables were examined via chi-square analysis, Pearson’s r zero-correlations, independent-samples t-test or a One-Way ANOVA. Multivariate analyses included binary logistic and multiple linear regressions models. RESULTS: Survey response rate was 38.4% (61/158) and 52.5% of the sample (32/61) evidenced poor subjective SQ. Poor SQ was significantly related to stressors of: hospitalization with 78.6% of poor sleepers among those with a history of recent hospitalization relative to 44.7% in those who were not hospitalized (p<.05); treatment of rejection, with a higher percentage of poor SQ (100%) in those treated for acute rejection relative to those who were not (49.1%) (p<.05); higher HADS-D scores among study participants with poor SQ (M=3.81) relative to those without (M=2.14) (p<.01); higher HADS-A scores among study participants with poor SQ (M=6.Q69) relative to those without (M=3.41) (p<0.01). On the multivariate level, only higher HADS-A predicted likelihood of poor sleep (OR=1.34; p<.05). SF-12 MCS scores were significantly related to poor SQ on the bivariate level with lower SF-12 MCS scores among participants with poor SQ (M=49.43) relative to those without (M=56.21) (p<.01). Poor SQ was not significantly related to the mental or physical components of HRQoL at the multivariate level. CONCLUSIONS: Poor subjective SQ remains prevalent yet under-studied health problem after lung transplantation. Recipients who have symptoms of anxiety are at a greater risk for poor sleep. Poor SQ was associated with lower SF-12 MCS of HRQoL but was not significantly related to the mental or physical components of HRQoL at the multivariate level. CLINICAL IMPLICATIONS: Further research is needed with standardized measures, larger cohorts and longitudinal studies to improve understanding of poor sleep, its related factors and its impact on HRQoL to optimize health and outcomes after lung transplant. Better understanding of the effect of these factors may guide future interventions especially for those at higher risk for poor sleep. DISCLOSURES: No relevant relationships by Lisa Allenspach No relevant relationships by Domingo Franco-Palacios No disclosure on file for Hassan Nemeh No relevant relationships by Kaitlin Olexsey No relevant relationships by Julio Cesar Pinto Corrales No relevant relationships by Jody Ralph No relevant relationships by Jane Simanovski No relevant relationships by Lisa Stagner" @default.
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• W4387247812 date "2023-10-01" @default.
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• W4387247812 title "PREVALENCE OF POOR SLEEP, FACTORS AFFECTING SLEEP QUALITY, AND ITS IMPACT ON HRQOL AFTER LUNG TRANSPLANTATION" @default.
• W4387247812 doi "https://doi.org/10.1016/j.chest.2023.07.4136" @default.
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