Prevalence of sleep disturbances in Chinese patients with end-stage renal failure on continuous ambulatory peritoneal dialysis

Hui, David; Wong, Teresa Yuk‐Hwa; Ko, Fanny W.S.; Li, Thomas S.T.; Choy, D.; Wong, Kwok Keung; Szeto, Cheuk‐Chun; Lui, Siu Fai; Li, Philip K.T.

doi:10.1053/ajkd.2000.17664

Cited by 145 publications

(117 citation statements)

References 33 publications

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“…SRBD is common in patients with end-stage renal disease (ESRD) (22,23). However, few epidemiologic studies have examined the prevalence of CKD (stage 3 and stage 4) in SRBD patients.…”

Section: Discussionmentioning

confidence: 99%

High Prevalence of Chronic Kidney Disease among Patients with Sleep Related Breathing Disorder (SRBD)

et al. 2008

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“…SRBD is common in patients with end-stage renal disease (ESRD) (22,23). However, few epidemiologic studies have examined the prevalence of CKD (stage 3 and stage 4) in SRBD patients.…”

Section: Discussionmentioning

confidence: 99%

High Prevalence of Chronic Kidney Disease among Patients with Sleep Related Breathing Disorder (SRBD)

et al. 2008

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“…The slight difference we found between white and non-white populations, although not statistically significant, can also have played a role in this question, as the prevalence found in whites was closer to that described by ColladoSeidel et al 1 . Hui et al 2 found a much higher prevalence, and it is uncertain if this can be attributed to ethnic variability, difficulty in classifying patients based on clinical subjective criteria, or smaller number of subjects using benzodiazepines. We decided not to investigate the current therapy of our patients, as many of them did not know to inform reliably about their medications.…”

Section: Discussionmentioning

confidence: 99%

Restless legs syndrome in patients on chronic hemodialysis in a Brazilian city: frequency, biochemical findings and comorbidities

Filho

Gorini

Purysko

et al. 2003

Arq. Neuro-Psiquiatr.

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-Objective: To evaluate the frequency of restless legs syndrome (RLS) in patients with chronic renal failure (CRF) in Petrópolis, Brazil, and investigate associations between the syndrome and: demographic characteristics, biochemical variables and comorbidities. Method: A cross-sectional study in which we interviewed 176 patients on dialytic therapy based on criteria elaborated by the International Restless Legs Syndrome Study Group, and compared data of patients with and without RLS. Results: The frequency was 14.8 %. There were no significant differences between the two groups in demographic and biochemical variables investigated (iron, creatinine, intact parathyroid hormone, hemoglobin, calcium, phosphate). We found no association between RLS and the most common comorbidities, except for chronic glomerulonephritis (CGN) (OR = 3.84, p < 0.01). Conclusion: In the studied population RLS is a common disorder, and is not associated with the investigated biochemical abnormalities. A higher frequency of RLS in subjects with CGN is a finding that needs further investigation.KEY WORDS: restless legs syndrome, chronic renal failure, chronic glomerulonephritis.Síndrome das pernas inquietas em pacientes em programa de hemodiálise em P índrome das pernas inquietas em pacientes em programa de hemodiálise em P índrome das pernas inquietas em pacientes em programa de hemodiálise em P índrome das pernas inquietas em pacientes em programa de hemodiálise em P índrome das pernas inquietas em pacientes em programa de hemodiálise em Petrópolis, RJ: frequência, etrópolis, RJ: frequência, etrópolis, RJ: frequência, etrópolis, RJ: frequência, etrópolis, RJ: frequência, aspectos laboratoriais e comorbidades. aspectos laboratoriais e comorbidades. aspectos laboratoriais e comorbidades. aspectos laboratoriais e comorbidades. aspectos laboratoriais e comorbidades. RESUMO -Objetivo: Determinar a frequência de síndrome das pernas inquietas (SPI) em pacientes com insuficiência renal crônica (IRC) em Petrópolis, Brasil, e investigar associação entre a síndrome e: dados demográficos, achados bioquímicos e comorbidades. Método: Estudo transversal no qual entrevistamos 176 pacientes em terapia dialítica a partir de critérios definidos pelo International Restless Legs Syndrome Study Group, e comparamos dados de pacientes com e sem SPI. Resultado: A frequência foi 14,8 %. Não houve diferença significativa entre os 2 grupos nas variáveis demográficas e bioquímicas (ferro, cretinina, paratormônio, hemoglobina, cálcio, fósforo) investigadas. Não houve associação entre SPI e as principais comorbidades, exceto glomerulonefrite crônica (GNC) (OR = 3,84, p < 0,01). Conclusão: SPI é condição comum na população estudada, e não é associada com as alterações bioquímicas investigadas. O achado de maior frequência de SPI em pacientes com GNC merece investigações mais detalhadas. The frequency of restless legs syndrome (RLS) is higher in patients with end-stage renal disease than in the general population, and previous studies have reported it to vary...

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“…1 Several studies have shown that the prevalence of subjective sleep problems ranges from 50% to 88.5% among these patients. [2][3][4][5][6] Taiwan-based studies showed a high prevalence of insomnia (66.6%) and poor sleep quality (74.4%) in ESRD patients. 7,8 Many conditions may cause sleep disturbances in these patients, including constraints in life, metabolic abnormalities, dietary restrictions, dyspnea, fatigue, nocturnal cramps, advanced age, hypocapnia accompanied by metabolic acidosis, neuropathic pain, and emotional problems.…”

Section: Introductionmentioning

confidence: 99%

The Subjective Sleep Quality and Heart Rate Variability in Hemodialysis Patients

Wei

Chung

et al. 2011

Renal Failure

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Introduction: Sleep disturbances and cardiovascular autonomic dysfunction are major complications of hemodialysis (HD). The goal of this study is to identify clinical, heart rate variability (HRV) or laboratory parameters that are independently associated with subjective sleep quality. Patient and methods: Forty-six stable HD patients filled out sleep questionnaires -Pittsburgh sleep quality index (PSQI), Athens insomnia scale (AIS), and Epworth sleepiness scale (ESS). In addition, they received analyses of 5-minute HRV twice, in lying posture before and after HD. We also recruited 50 healthy subjects who received 5-min HRV. Results: The patients with end-stage renal disease have a high rate of poor sleep quality according to PSQI, AIS, and ESS. The activities of total power (0-0.5 Hz), high-frequency power (HF, 0.15-0.40 Hz), low-frequency power (0.04-0.15 Hz), and very-low-frequency power (0.003-0.04 Hz) in HD patients are obviously lower than that in the healthy people. The poor sleepers (PSQI > 5) show lower heart rate, higher HF and variance before HD, but did not show a significant difference after HD. There is no significant difference between HRV and global score of AIS, but the insomnia group (AIS > 5) has higher BMI. These patients with sleepiness (ESS > 9) only reveal lower hemoglobin, although the global score of ESS reveals no significant relationship with HRV. Conclusion: HD patients have a high rate of poor sleep quality and autonomic dysfunction. Greater attention for the evaluation of sleep quality is needed for the better care of HD patients.

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Prevalence of sleep disturbances in Chinese patients with end-stage renal failure on continuous ambulatory peritoneal dialysis

Cited by 145 publications

References 33 publications

High Prevalence of Chronic Kidney Disease among Patients with Sleep Related Breathing Disorder (SRBD)

High Prevalence of Chronic Kidney Disease among Patients with Sleep Related Breathing Disorder (SRBD)

Restless legs syndrome in patients on chronic hemodialysis in a Brazilian city: frequency, biochemical findings and comorbidities

The Subjective Sleep Quality and Heart Rate Variability in Hemodialysis Patients

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