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Title: Perceived sleep problems after spinal cord injury: Results from a community-based survey in Switzerland.
Austin Authors: Buzzell, Anne;Chamberlain, Jonviea D;Schubert, Martin;Mueller, Gabi;Berlowitz, David J ;Brinkhof, Martin W G
Affiliation: France Inserm, CIC1401-EC, Bordeaux, France
Swiss Paraplegic Research, Nottwil, Switzerland
University of Lucerne, Department of Health Sciences and Medicine, Lucerne, Switzerland
The University of Melbourne, Melbourne, Australia
University of Lucerne, Department of Health Sciences and Medicine, Lucerne, Switzerland
University of Bordeaux, Inserm, Bordeaux Population Health Research Center, Team VINTAGE, UMR1219, Bordeaux, France
Balgrist University Hospital, Zürich, Switzerland
Swiss Paraplegic Centre, Nottwil, Switzerland
Swiss Paraplegic Research, Nottwil, Switzerland
Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Nov-2021 2020-01-24
Publication information: The journal of spinal cord medicine 2021; 44(6): 910-919
Abstract: Objective: To investigate the burden of sleep problems within the Spinal Cord injured (SCI) community with respect to the general population (GP) in Switzerland. The study further explored potential predictors for receiving treatment for sleep problems after SCI.Design: Cross-sectional study.Setting: SCI community in Switzerland.Participants: Individuals diagnosed with an SCI, aged 16 years or older that permanently reside in Switzerland (N = 1549).Interventions: Not applicable.Outcome measures: Perceived sleep problems within the SCI community and GP. For those with sleep problems and SCI, an indicator for having received treatment was measured.Results: 58.8% of survey participants indicated having a sleep problem; 69.4% of those with a sleep problem did not indicate receiving treatment. Amongst people living with an SCI, individuals between the ages of 46-60 years (adjusted Odds Ratio, OR = 3.07; 95% CI 1.54-6.16), participants reporting severe financial hardship (OR = 2.90; 95% CI) 1.69-4.96, and those that indicated having pain (OR = 5.62; 95% CI 3.52-8.98) were more likely to have a chronic sleep problem. In comparison to the Swiss GP, the prevalence of having a sleep problem was 18% higher among persons with SCI, with the largest discrepancy for males with paraplegia between the ages of 46-60 years (Prevalence ratio, PR = 1.28; 95% CI, 1.21-1.36).Conclusion: Individuals with SCI experience more sleep problems compared to the Swiss GP. Findings from this study suggest that clinical screening for sleep issues targeting high risk groups is needed to reduce the large prevalence of non-treatment in individuals with SCI.
DOI: 10.1080/10790268.2019.1710938
ORCID: 0000-0002-3405-4782
PubMed URL: 31977291
Type: Journal Article
Subjects: Benchmarking
Risk factors
Spinal cord injury
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