Frontiers in Neurology (Jan 2023)

Sleep disturbance in post COVID-19 conditions: Prevalence and quality of life

  • Rimawati Tedjasukmana,
  • Astri Budikayanti,
  • Astri Budikayanti,
  • Wardah Rahmatul Islamiyah,
  • Wardah Rahmatul Islamiyah,
  • Anastasia Melissa Ayu Larasati Witjaksono,
  • Anastasia Melissa Ayu Larasati Witjaksono,
  • Manfaluthy Hakim,
  • Manfaluthy Hakim

DOI
https://doi.org/10.3389/fneur.2022.1095606
Journal volume & issue
Vol. 13

Abstract

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Post COVID-19 conditions are complaints and symptoms in patients with a history of probable or confirmed COVID-19 after 3 months of the onset of COVID-19 and last at least 2 months. About 10–20% of people may experience post COVID-19 conditions, one of which is sleep disturbance. There is a wide range of prevalence of sleep disturbances from 6% to more than 70%. An online survey of the post COVID-19 conditions in various countries showed that 78.58% of subjects had sleep disturbances, including insomnia, sleep-disordered breathing, central disorders of hypersomnolence, circadian rhythm sleep-wake disorders, parasomnias, and sleep-related movement disorders. Sleep disturbance can be found starting from 2 weeks until 48 weeks or more after discharge or after having a negative COVID-19 test results. Women aged < 50 years old with severe COVID-19 infection reported a worse outcome. Several mechanisms may cause sleep disturbance in post COVID-19 condition, namely persistent viral infection and inflammation, immunity dysregulation, and mitochondrial dysfunction. Several studies discovered sleep disturbance was a major problem that affected different domains of QoL in post COVID-19 conditions. Significant correlation was found between several dimensions of SF-36 with moderate-to-severe insomnia in post COVID-19 conditions. Therefore, sleep disturbance is a major problem in post COVID-19 conditions and may affect patients' QoL, and the existence of sleep disturbance should be a concern in post COVID-19 conditions period. Further research is required to determine the prevalence based on agreed definition as well as methods to assess this condition and its impact on QoL.

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