Around 40% of Long COVID Patients Face Sleep Issues, a New Report Shows | The Lifesciences Magazine

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Long COVID Patients Face Sleep Issues, with Black patients being up to three times more likely to suffer from these disturbances, according to a new study conducted by Cleveland Clinic’s ReCOver Clinic.

Healthcare

Around 40% of Long COVID
Patients Face Sleep Issues, a New
Report Shows
Long COVID Patients Face Sleep Issues, with Black patients being up to three times more likely
to suffer from these disturbances, according to a new study conducted by Cleveland Clinic’s
ReCOver Clinic. The research, which was published in the Journal of Internal Medicine, analyzed
the sleep patterns of 962 long COVID patients between February 2021 and April 2022. Of these
patients, 41.3% reported moderate to severe sleep disturbances, while more than two-thirds
reported moderate to severe fatigue.
Important Study Factors
The study’s authors emphasized the importance of identifying and addressing sleep disturbance in
long COVID patients, as it can significantly impact their quality of life and medical health status.
They also pointed out the persistent inequities seen throughout the COVID-19 pandemic, with
Black patients being disproportionately affected by COVID Patients Face Sleep Issues.
Dr. Reena Mehra, director of Sleep Disorders Research at Cleveland Clinic and senior author of
the report, highlighted the need to understand the neurobiological mechanisms or pathways
behind the association of sleep disturbances with long COVID and investigate the reasons for the
increased vulnerability of PASC-related sleep disturbance in the Black population. By doing so,
researchers can develop race-specific interventions to overcome disparities.

The authors also noted that patients with greater anxiety severity were at a higher risk of
experiencing sleep disturbances. They emphasized the need for multidisciplinary clinical settings
to ensure that all patients, especially those from minority and lower socioeconomic backgrounds,
have access to the best clinical care for their post-COVID complications.
Dr. Pena Orbea, a researcher at the ReCOver Clinic, said, “Our findings not only emphasize the
importance of identification of sleep disturbance in long COVID but they also draw attention to
the persistent inequities seen throughout the COVID-19 pandemic.”
Researchers Find 40% of Long COVID Patients Face Sleep Issues
To Conclude
Long COVID has been a significant issue for many patients, and this study highlights the
importance of identifying and addressing sleep disturbances in these patients. By doing so,
healthcare providers can improve the quality of life and medical health status of long COVID
patients, especially those from minority and lower socioeconomic backgrounds. The study’s
authors are calling for further research to better understand the underlying mechanisms of sleep
disturbances in long COVID and to develop targeted interventions to address the disparities seen
in Black patients.
Also Read: Not Getting Enough Sleep Could Make Vaccines Ineffective

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Nasal congestion is the most common symptom of pregnancy rhinitis, which disappears once the baby is born. Pregnant patients with rhinitis report symptoms in 18 to 30 percent of cases. As a result, pregnant rhinitis may have a negative impact on the pregnancy and may result in obstructive sleep apnea, which may have an adverse effect on the outcome of the pregnancy. Previous studies on the prevalence of pregnant rhinitis at various stages of pregnancy have come up with conflicting results. The purpose of this study was to investigate the prevalence of rhinosinusitis during various stages of pregnancy. At a private hospital in the Kurdistan area of Iraq, a cross-sectional observation study of patients in the second and third trimesters of pregnancy was undertaken using the 22-item Sino-Nasal Outcome Test (SNOT-22). The participants were women in their second and third trimesters of pregnancy. The study comprised 76 patients who were considered to be at low risk of becoming pregnant. Thirty-two patients were in their second trimester of pregnancy and 44 patients were in their third trimester of pregnancy when the study was conducted. When comparing the third trimester to the second trimester, the average item scores for the complete questionnaire were considerably higher (P value =0.041), indicating a more severe deterioration of cognitive function. In both the second and third trimesters, a comparison between women with and without preexisting allergic rhinitis reveals that the allergic group has significantly higher SNOT-22 scores (P value =0.007). In individuals with rhinosinusitis, the risk of miscarriage was reduced in the third trimester (P value =0.011). Rhinosinusitis is less common in the third trimester of pregnancy when compared to the second trimester, as well as when compared to patients who do not have rhinosinusitis in the first place.

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JONA Volume 47, Number 1, pp 41-49 Copyright B 2017 Wolters Kluwer Health, Inc. All rights reserved. T H E J O U R N A L O F N U R S I N G A D M I N I S T R A T I O N The Effect of Reported Sleep, Perceived Fatigue, and Sleepiness on Cognitive Performance in a Sample of Emergency Nurses Lisa A. Wolf, PhD, RN, CEN, FAEN Cydne Perhats, MPH Altair Delao, MPH Zoran Martinovich, PhD OBJECTIVE: The aim of this study is to explore the relationship between reported sleep, perceived fatigue and sleepiness, and cognitive performance. BACKGROUND: Although evidence suggests that fatigue and sleepiness affect the provision of care in inpatient units, there is a lack of research on the sleep patterns of emergency nurses and the effects of dis- turbed sleep and fatigue on their cognitive abilities and susceptibility to medical errors. METHODS: A quantitative correlational design was used in this study; in each of 7 different statistical models, zero-order relationships between predictors and the dependent variable were examined with appropriate inferential tests. RESULTS: Participants reported high levels of sleepiness and chronic fatigue that impeded full functioning both at work and at home. CONCLUSIONS: Although high levels of self-reported fatigue did not show any effects on cognitive function, other factors in the environment may contribute to delayed, missed, or inappropriate care. Further research is indicated. Studies of worker fatigue in the military and com- mercial trucking industries1,2 suggest that long hours, especially extending into overnight, can be hazardous in terms of the potential for errors due to sleepiness and reduced vigilance. Medical providers, both nurses and physicians, are at risk because of the need for around-the-clock coverage and the number and type of decisions they must make in a given time span; in 1989, the Bell Commission Report cited sleep depri- vation in medical house officers as a major contrib- utor to the 1984 death of Libby Zion, an 18-year-old who died at New York Hospital, leading to a restruc- turing of the hours involved in medical residencies.3 The long (up to 36 hour) shifts of the medical residents in charge of her care and the consequences of their fatigue on the decisions that were made were cited as factors in her death. As a result of their inves- tigation of the case, the Bell commission recommended limiting the work hours of medical residents to less than 80 hours a week and no more than 24 hours in a row, and subsequent research has led to similar recommendations for the nursing workforce.4,5 Emergency care settings are chaotic environ- ments, where there is high patient turnover, constantly changing priorities and frequent changes in patient condition. High demand work settings are associated with increased fatigue, which can impair nurses_ at- tentiveness and ability not only to recognize potential errors they might commit but also to recognize and mitigate the errors of others, inc ...

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Kathryn Maitland describes the challenges faced with oxygen therapy as an emergency intervention in critical illness in African children. Where Kathryn works, in East Africa, there is no access to intensive care. Caring for critically ill children is all done in the Emergency Department. 70% of the global burden of disease and deaths from pneumonia occurs in Southeast Asia and Sub-Saharan Africa. The WHO has published guidelines as to what classifies as pneumonia, severe pneumonia, and very severe pneumonia. These classifications rely on clinical signs. However, Kathryn in her research has discovered that these classifications are rarely correlated with the actual underlying disease process. Clinical signs are non-specific for the diagnosis of pneumonia. Oxygen is recommended for severe and very severe pneumonia. This has led to calls to prioritise oxygen delivery in African hospitals. However, it has not led to change from a health department or funding viewpoint. There are also oxygen delivery practicalities to consider. Often there is only one source of oxygen on a ward (if at all) with patients clustered around it. The production of Oxygen may only happen in a few places. Poor cylinder quality leads to leaks and therefore, low supply. Concentrators are useful however they need regular servicing. They also rely on power, and in a region that experiences regular power outages, this can be problematic. When the power goes off, there is no oxygen available. Kathryn asks – do all children actually need oxygen? There is still however a hidden burden of hypoxia. Outside of Africa, Kathryn discusses the current state of equipoise on oxygen therapy. Moreover, oxygen can be harmful if given inappropriately. This leads to concerns more broadly on the harms of oxygen therapy. Kathryn concludes her talk by looking to the future. She discusses ongoing research and the implications for future practice in resource poor settings, and indeed the world.

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The 2019–20 coronavirus pandemic is an ongoing pandemic of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).[4] The outbreak was first identified in Wuhan, Hubei, China, in December 2019, and was recognized as a pandemic by the World Health Organization (WHO) on 11 March 2020.[5] As of 25 March, more than 422,000 cases of COVID-19 have been reported in more than 190 countries and territories, resulting in more than 18,900 deaths and more than 109,000 recoveries.

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