Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26095
Title: Sleeping-related distress in a palliative care population: A national, prospective, consecutive cohort.
Austin Authors: Currow, David C;Davis, Walter;Connolly, Alanna;Krishnan, Anu;Wong, Aaron ;Webster, Andrew;Barnes-Harris, Matilda Mm;Daveson, Barb;Ekström, Magnus
Affiliation: Department of Clinical Sciences Lund, Respiratory Medicine and Allergology, Faculty of Medicine, Lund University, Lund, Sweden..
IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia
Department of Pulmonary Physiology and Sleep Medicine, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
Department of Palliative Care, Austin Health, Heidelberg, VIC, Australia
Department of Palliative Care, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
Palliative Care, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
Walt Centre for Applied Statistics in Health, Australian Health Services Research Institute, NSW, Australia
York Teaching Hospital NHS Foundation Trust, York, UK
Wolfson Palliative Care Research Centre, University of Hull, Hull, UK
Palliative Care Outcomes Collaboration (PCOC), Australian Health Services Research Institute (AHSRI), University of Wollongong, NSW, Australia
Issue Date: 2021
Date: 2021-03-17
Publication information: Palliative medicine 2021-10; 35(9): 1663-1670
Abstract: Sleep, a multi-dimensional experience, is essential for optimal physical and mental wellbeing. Poor sleep is associated with worse wellbeing but data are scarce from multi-site studies on sleeping-related distress in palliative care populations. To evaluate patient-reported distress related to sleep and explore key demographic and symptom distress related to pain, breathing or fatigue. Australian national, consecutive cohort study with prospectively collected point-of-care data using symptoms from the Symptom Assessment Scale (SAS). People (n = 118,117; 475,298 phases of care) who died while being seen by specialist palliative care services (n = 152) 2013-2019. Settings: inpatient (direct care, consultative); community (outpatient clinics, home, residential aged care). Moderate/severe levels of sleeping-related distress were reported in 11.9% of assessments, more frequently by males (12.7% vs 10.9% females); people aged <50 years (16.2% vs 11.5%); and people with cancer (12.3% vs 10.0% for other diagnoses). Sleeping-related distress peaked with mid-range Australia-modified Karnofsky Performance Status scores (40-60).Strong associations existed between pain-, breathing- and fatigue-related distress in people who identified moderate/severe sleeping-related distress, adjusted for age, sex and functional status. Those reporting moderate/severe sleeping-related distress were also more likely to experience severe pain-related distress (adjusted odds ratios [OR] 6.6; 95% confidence interval (CI) 6.3, 6.9); breathing-related distress (OR 6.2; 95% CI 5.8, 6.6); and fatigue-related distress (OR 10.4; 95% CI 9.99-10.8). This large, representative study of palliative care patients shows high prevalence of sleeping-related distress, with strong associations shown to distress from other symptoms including pain, breathlessness and fatigue.
URI: https://ahro.austin.org.au/austinjspui/handle/1/26095
DOI: 10.1177/0269216321998558
ORCID: 0000-0003-1988-1250
0000-0001-9713-9188
0000-0001-8039-8749
Journal: Palliative Medicine
PubMed URL: 33726609
Type: Journal Article
Subjects: Palliative care
prospective cohort study
sleep
symptom cluster
symptom control
Appears in Collections:Journal articles

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