However, prevalence of insomnia in health care workers was significantly higher in the studies presented, averaging about 35% to 40%. “And you can see that it pretty rough averages about 25% or 30% of the population describe insomnia during the COVID-19 pandemic, which is not so far off from what population estimates for insomnia usually are,” he said. Prevalence estimates of insomnia during the COVID-19 pandemic were presented by Buysse, who compiled the data from various meta-analyses and studies. A nationwide uptick in searches for insomnia during the pandemic clued researchers into looking at the potential link between the 2 disorders. Buysse, MD, UPMC Endowed Chair in Sleep Medicine at the University of Pittsburgh, presented information on the link between insomnia and PASC. Insomnia’s Correlation With Long COVID-19ĭaniel J. “One of the realities is we need to conclude by being very upfront about how much we don’t know, how much the biology is very uncertain to us, and approach this that way,” he said. However, Maas said that there is still a lot that scientists don’t know about this link. Fatigue (94.9%), brain fog (89.7%), and insomnia (74.4%) were often reported. Studies have found that individuals who report hypersomnia after COVID-19 often have other neurological disorders, with the median number of discrete neurologic symptoms attributed to PASC found to be 6, with 87% reporting 4 or more symptoms, according to data from a study presented by Maas. Hypersomnia has proven to be one of the more persistent features of long COVID-19. Illnesses rarely stay in a single organ system, and treating just the initial illness rarely restores the patient to baseline, according to Maas. “And one of the classic outcomes of this is that persistent sleep disturbance, fatigue, daytime hypersomnia.” “And then as people emerge from these illnesses and come out the other side into recovery…the outcomes that come out of that are this mixed set of changes to their functional abilities and quality of life,” he said. This was especially true in patients who contracted COVID-19, said Maas.Īctivity was found to be low and less rhythmic in “normal” alertness patients who were sick compared with healthy patients, according to Maas. “If any of you ever had a severe acute illness and found yourself wallowing in your bed languishing, not moving around, not sleeping…you’re not alone, worms have this problem too,” Maas joked to start his presentation, calling attention to how sick animals of all kinds go into hypersomnic states when injured or ill. Maas, MD, MS, chief of hospital neurology in the Department of Neurology at Northwestern. This was made evident through evidence of PASC’s association with hypersomnia, presented by Matthew B. Changes in sleep patterns were reported during the COVID-19 pandemic, which has prompted researchers to investigate the effects long term.Īccording to Parthasarathy, sleep disturbances and sleep apnea were strongly associated with PASC, with greater risk of PASC seen for people who had multiple infections and more virulent strains of the virus. The effect of long COVID-19 on neurological disorders, including sleep, is being studied, and current data were presented during this panel.Īn estimated 6% (95% CI, 5.3-5.9) of adults in the United States are currently experiencing symptoms of long COVID-19, according to data presented by Sairam Parthasarathy, MD, professor of medicine at University of Arizona, Tucson. Hypersomnia, insomnia, and circadian rhythms were among the sleep disorders discussed in a panel at SLEEP 2023 as having an association with postacute sequelae of COVID-19 (PASC), which is defined as “the condition that occurs in individuals with a history of probable or confirmed infection, usually 3 months from the onset of COVID-19, with symptoms that last at least 2 months and cannot be explained by an alternative diagnosis,” according to the World Health Organization.
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