Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy

Merlino, Giovanni; Piani, Antonella; Dolso, Pierluigi; Adorati, M.; Cancelli, Iacopo; Valente, Mariarosaria; Gigli, Gian Luigi

doi:10.1093/ndt/gfi144

Cited by 260 publications

(241 citation statements)

References 15 publications

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“…É provável que a etiologia dos TS nesses pacientes tenha origem multifatorial. 18 Aspectos ligados à atividade laboral e social (restritas nesses indivíduos submetidos à hemodiá-lise), fatores genéticos, psicológicos e hábitos de vida podem interferir no sono. 19,20 Entretanto, outros fatores pouco avaliados nos estudos podem estar também relacionados aos TS nesses pacientes, como a anemia, os níveis de ureia e toxinas urêmicas no sangue, doenças cardiovasculares, hipertensão arterial, diabetes melito, idade avançada, tempo em hemodiálise, abuso de álcool e tabaco, depressão, e outros.…”

Section: Discussionunclassified

Perfil do sono de pacientes idosos submetidos à hemodiálise

Allemand¹,

Nóbrega²,

Lauar³

et al. 2017

Geriatr., Gerontol. Aging

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Section: Discussionunclassified

Perfil do sono de pacientes idosos submetidos à hemodiálise

Allemand¹,

Nóbrega²,

Lauar³

et al. 2017

Geriatr., Gerontol. Aging

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“…Sleep disturbances and altered day/night rhythm have been frequently documented in dialysis patients (81). Adverse cardiac events show significant diurnal variations (82), and mortality is higher for people whose professions expose them to frequent disruption of the biorhythm (e.g., flight crews, shift workers) (83).…”

Section: Disrupted Biorhythmmentioning

confidence: 99%

Cardiovascular Problems on Hemodialysis

Ritz

Bommer

2009

Clinical Journal of the American Society of Nephrology

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“…The most frequently reported complaints are insomnia, restless leg syndrome (RLS), sleep-disordered breathing and excessive daytime sleepiness (EDS). 1 The prevalence of sleep apnea (SA) in ESRD and dialysis patients has been reported in (13-70%), 1 which is much higher than the general population (2-4%). 2 This large variation in the prevalence of SA in dialysis patients is probably due to different populations being studied, the method of diagnosis [whether it is based on questionnaires or polysomnography (PSG)] and the definition used to diagnose SA.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of sleep disorders among ESRD patients

Ezzat

Mohab

2015

Renal Failure

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Sleep disorders are common among the patients undergoing dialysis in end stage renal disease (ESRD). Although variable, their prevalence has been reported to be higher when compared to the general population. The most frequently reported complaints are insomnia, restless leg syndrome (RLS), sleep-disordered breathing and excessive daytime sleepiness (EDS). The aim of this study was to assess the prevalence of sleep disorders in end stage renal disease patients on regular hemodialysis (group I with 30 patients) and CKD patients (group II with 30 patients) in comparison to 30 normal population (control group). In addition to laboratory investigations which included creatinine clearance using Cockroft and Gault formula, hemoglobin level (Hb), blood urea, serum creatinine, serum albumin, serum calcium and phosphorus and lipid profile, all subjects underwent one night of laboratory-based polysomnography (PSG) consisting of a standard montage of electroencephalography (EEG) (C3/A1 and O2/C3 or O1/C4), monopolar left and right electrooculography (EOG) referenced to the opposite mastoid, surface mentalis electromyography (EMG), respiratory airflow (measured by thermistor) and effort (piezoelectric sensors), electrocardiography (ECG), anterior tibialis EMG and pulse oximetry. For hemodialysis subjects, this study was performed on a night immediately following hemodialysis treatment. The results showed that patients on hemodialysis have sleep disorders, and that sleep disorders are common in group I and II than control group. The percentage of sleep disorders in hemodialysis patients were as follows: insomnia (69%), followed by obstructive sleep apnea syndrome OSAS (24%), RLS and periodic limb movement PLM (18%), nightmares (13%), EDS (12%), sleepwalking (2%), possible rapid eye movement behavior disorders RED (2%), possible narcolepsy (1.4%). While the percentage of sleep disorders in CKD patients were as follows: insomnia (54%), followed by RLS (19%), PLM (12%), OSAS (16%), nightmares (15%), EDS (15%), sleepwalking (4%), possible RBD (3%), possible narcolepsy (1%). There was inverse correlation between sleep disorders and Hb, albumin and creatinine clearance; also there was positive correlation between sleep disorder and phosphorus. We concluded that the sleep disorders are common in CKD patients either on conservative management or on regular hemodialysis. Treatment of anemia, hyperphosphatemia and hypoalbuminemia may improve sleep disorders among those patients.

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Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy

Cited by 260 publications

References 15 publications

Perfil do sono de pacientes idosos submetidos à hemodiálise

Perfil do sono de pacientes idosos submetidos à hemodiálise

Cardiovascular Problems on Hemodialysis

Prevalence of sleep disorders among ESRD patients

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