Influencing factors of excessive daytime sleepiness in patients with chronic diseases:a Meta-analysis
FAN Yinyin
XU Xiuqun
Abstract：Objective:To systematically evaluate the influencing factors of excessive daytime sleepiness in patients with chronic diseases.Methods:The case-control studies on influencing factors of excessive daytime sleepiness in patients with chronic diseases were retrieved from PubMed,EMbase,Web of Science,the Cochrane Library,CNKI,VIP,WanFang,and CBM.The search time limit was from database establishment to December 1,2023.Two researchers independently performed literature screening,data extraction,and literature quality evaluation.The RevMan 5.3 software was used for Meta-analysis.Results:A total of 15 articles were included in this study,involving 2 453 patients.Meta-analysis results showed that the influencing factors of excessive daytime sleepiness in patients with chronic diseases included higher body mass index(BMI)(OR=1.19,95％CI 1.03-1.38,P=0.02),apnea-hypopnea index(AHI)(OR=1.90,95％CI 1.06-3.41,P=0.03),male(OR=3.92,95％CI 2.03-7.56,P＜0.000 1),Pittsburgh Sleep Quality Index(PSQI)(OR=1.09,95％CI 1.04-1.15,P=0.000 3),Hamilton Depression Scale(H AMD)(OR=1.14,95％CI 1.06-1.23,P=0.000 4),percentage of oxygen saturation below 90％(CT90％)(OR=2.67,95％CI 1.58-4.53,P=0.000 3),and Hoehn-Yahr staging score(H-Y staging)(OR=2.08,95％CI 1.26-3.44,P=0.000 4).Conclusions:Existing evidence show,that BMI,AHI,male,PSQI,HAMD,CT90％,and H-Y staging influence excessive daytime sleepiness in patients with chronic diseases.
Keywords：chronic diseaseexcessive daytime sleepinessinfluencing factorsMeta-analysisevidence-based nursing
Publication Date：2024-09-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 3079-3084 )