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A Guide to Management of Sleepiness in ESKD.
- Source :
-
American journal of kidney diseases : the official journal of the National Kidney Foundation [Am J Kidney Dis] 2020 May; Vol. 75 (5), pp. 782-792. Date of Electronic Publication: 2020 Jan 23. - Publication Year :
- 2020
-
Abstract
- Daytime sleepiness, also known as hypersomnolence, is common among patients receiving maintenance dialysis and following successful kidney transplantation. Sleepiness may be secondary to medical comorbid conditions, medication side effect, insufficient sleep syndrome, and sleep-disordered breathing or the result of a primary central disorder of hypersomnolence, such as narcolepsy. Unrecognized and untreated sleep disorders are associated with substantial morbidity and mortality among patients with end-stage kidney disease. Effective management of hypersomnolence can improve quality of life in patients with kidney disease. This review focuses on the principal causes of sleepiness in patients with end-stage kidney disease. Awareness of these disorders by treating nephrologists is crucial. This review provides a systematic approach to guide providers through the recognition, early diagnosis, and treatment of hypersomnolence, which is commonly encountered in this patient population. Areas of future research are also suggested.<br /> (Published by Elsevier Inc.)
- Subjects :
- Appointments and Schedules
Diet
Disease Management
Disorders of Excessive Somnolence etiology
Early Diagnosis
Fatigue etiology
Fatigue therapy
Female
Humans
Hypnotics and Sedatives therapeutic use
Kidney Failure, Chronic therapy
Kidney Transplantation
Life Style
Middle Aged
Postoperative Complications etiology
Postoperative Complications therapy
Quality of Life
Renal Dialysis adverse effects
Severity of Illness Index
Sleep Deprivation
Sleep Hygiene
Sleep Wake Disorders chemically induced
Sleep Wake Disorders diagnosis
Sleep Wake Disorders etiology
Sleep Wake Disorders therapy
Disorders of Excessive Somnolence therapy
Kidney Failure, Chronic complications
Subjects
Details
- Language :
- English
- ISSN :
- 1523-6838
- Volume :
- 75
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- American journal of kidney diseases : the official journal of the National Kidney Foundation
- Publication Type :
- Academic Journal
- Accession number :
- 31983503
- Full Text :
- https://doi.org/10.1053/j.ajkd.2019.09.010