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Subject Area

Family Medicine

Article Type

Original Study

Abstract

Objectives To assess the effect of coronavirus disease 2019 (COVID-19) on sleep quality and its relation to disease severity. Background Many medical complications associated with COVID-19 have received significant attention, increasingly, studies are reporting sleep complications as well. Patients and methods A prospective cohort study was conducted in Menoufia University Hospitals during the period from January 2021 to March 2022. A total of 110 patients who were tested positive to coronavirus, were evaluated clinically and by using Pittsburgh Sleep Quality Index after 2 months and 1 year after COVID-19 infection. Results After 2 months of COVID-19, the sleep quality was poor in 85% and good in 15% of the studied group. The more severe the dyspnea attack and the longer the mean duration of the COVID-19 attack (P = 0.02), the poorer sleep quality was. Having severe symptoms of COVID-19 [odds ratio (OR) 4.9, P < 0.001], then being in the fourth stage of dyspnea (OR 5.1, P = 0.005), then suffering from moderate symptoms (OR 3.6, P = 0.01), and then suffering from third stage of dyspnea (OR 2.4, P = 0.02) were the most influencing factors arranged ordinally. Conclusion COVID-19 infection affects sleep quality significantly in early period of infection and that effect mostly wanes by time.

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