Sleep disorders in cirrhotics; How can we detect ?

Gençdal, Genco; Günşar, Fulya; Meral, Cenk Emre; Salman, Esin; Gürsel, Berna; Oruç, Nevin; Karasu, Zeki; Ersöz, Galip; Akarca, Ulus Salih

doi:10.1111/liv.12485

Cited by 17 publications

(19 citation statements)

References 21 publications

(31 reference statements)

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“…Sleep disturbance is prevalent in cirrhosis patients. Previous studies have reported approximately 47.7–60% of cirrhosis patients experience sleep disturbance . Sleep disturbances are known to reduce the cognitive ability of patients with liver cirrhosis, which in turn exerts adverse effects on work and life, for example, in terms of day‐time fatigue, mood disturbance, and reduction in memory and attention .…”

Section: Discussionmentioning

confidence: 99%

“…Causes that lead to sleep disturbances in cirrhosis patients include psychological factors in addition to the factors of the disease, such as disrupting the level of melatonin in cirrhosis patients . The correlation of PSQI score with HAD (a) score represented anxiety, suggesting that sleep quality was closely related to psychological factors.…”

Section: Discussionmentioning

confidence: 99%

“…In cirrhosis patients, sleep quality has raised severe concerns in recent years, as the sleep quality directly affects the cognition and psychological states of the patients . Some studies have suggested that sleep disturbances may be associated with hepatic encephalopathy .…”

Section: Introductionmentioning

confidence: 99%

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Study of the sleep quality and psychological state of patients with hepatitis B liver cirrhosis

Xiao

Han

et al. 2017

Hepatology Research

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Study of the sleep quality and psychological state of patients with hepatitis B liver cirrhosis

Xiao

Han

et al. 2017

Hepatology Research

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“…15 In a study conducted by Gencdal and others on 131 cirrhotic patients and 18 healthy volunteers, they found that sleep disorders were common in cirrhotic patients, most in Child C patients. 16 Also, Vinicius et al, studied sleep aspects and parameters in 42 cirrhotic patients, and 42 controls and assessed the role of liver dysfunction severity in polysomnographic results. They concluded that cirrhosis was associated with shorter sleep time, reduced sleep efficiency, increased sleep latency, increased REM latency and reduced REM sleep.…”

Section: Discussionmentioning

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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“…Although the comparison of these two questionnaires was not the goal of this study, we found that sleep disturbances measured with the STSQS were more closely related with liver cirrhosis than were those measured with PSQI. The STSQS appears to be a rather important questionnaire as we have found it to be a practical method to detect sleep disturbances in our previous study [17].…”

Section: Discussionmentioning

confidence: 97%

Diurnal changes of critical flicker frequency in patients with liver cirrhosis and their relationship with sleep disturbances

Gençdal

Günşar

Meral

et al. 2014

Digestive and Liver Disease

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Sleep disorders in cirrhotics; How can we detect ?

Abstract: SDs are common in cirrhotics and STSQS could be an appropriate and practical method for diagnosis of SDS in these patients. We can use it in cirrhotic patients at outpatient clinics.

Cited by 17 publications

References 21 publications

Study of the sleep quality and psychological state of patients with hepatitis B liver cirrhosis

Study of the sleep quality and psychological state of patients with hepatitis B liver cirrhosis

Prevalence of sleep disorders among ESRD patients

Diurnal changes of critical flicker frequency in patients with liver cirrhosis and their relationship with sleep disturbances

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