Effect of Sedative-Hypnotic Medicines on Mortality in Peritoneal Dialysis Patients with Sleep Disorders: A Retrospective Cohort Study

Blood Purif. 2018;45(1-3):95-101. doi: 10.1159/000484922. Epub 2017 Dec 12.

Abstract

Background: Sedative-hypnotic medication is widely used among continuous ambulatory peritoneal dialysis (CAPD) patients with sleep disorders; however, its effect on mortality has rarely been investigated.

Methods: Logistic regression was employed to identify factors associated with sedative-hypnotic medication, whose effect on mortality was evaluated by Cox proportional hazards models.

Results: A total of 146 CAPD patients with sleep disorders were recruited, of which 46 patients (31.5%) used either benzodiazepines or zolpidem. Sedative-hypnotic medication was more frequently used by older patients and those with longer duration of CAPD therapy and there was no significant association between sedative-hypnotic medicines and all-cause mortality after adjusting for age, gender, diabetes, cardiovascular disease, and duration of CAPD.

Conclusion: Sedative-hypnotic medication was more often used by older patients and patients with a longer duration of CAPD. There was no association between these agents and all-cause mortality in CAPD patients with sleep disorders.

Keywords: End-stage renal disease; Mortality; Peritoneal dialysis; Sedative-hypnotic medicines; Sleep disorders; Uremic complication.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Benzodiazepines / administration & dosage
  • Benzodiazepines / adverse effects*
  • Cardiovascular Diseases / mortality*
  • Cardiovascular Diseases / therapy
  • Diabetes Mellitus / mortality*
  • Diabetes Mellitus / therapy
  • Humans
  • Hypnotics and Sedatives / administration & dosage
  • Hypnotics and Sedatives / adverse effects*
  • Middle Aged
  • Peritoneal Dialysis*
  • Retrospective Studies
  • Risk Factors
  • Sex Factors
  • Sleep Wake Disorders / drug therapy
  • Sleep Wake Disorders / mortality*
  • Zolpidem / administration & dosage
  • Zolpidem / adverse effects*

Substances

  • Hypnotics and Sedatives
  • Benzodiazepines
  • Zolpidem