Abstract
Introduction Approximately 80% of patients with chronic kidney disease complain about sleep disorders, which is a much higher percentage than in the general population. Excessive daytime sleepiness is the third most frequent complaint in these patients, and it is significantly associated with a higher risk of sleep apnea. The aim of this study was to assess the presence of daytime sleepiness in patients with end stage renal disease (ESRD) who were undergoing diurnal hemodialysis. Materials and methods The Epworth Sleepiness Scale (ESS) was applied to patients with ESRD who underwent diurnal hemodialysis in the Centro de Nefrologia da Zona Norte in Sao Paulo, Brazil. Results A total of 168 patients were included in the study. According to the ESS, 31% presented with a mild propensity to sleep, 22% with a moderate propensity, and 17% with a severe propensity. Conclusion Our study concluded that 70% of the sample of patients with ESRD who were undergoing hemodialysis presented with a propensity to sleep in inappropriate circumstances on the ESS. When excessive daytime sleepiness is associated with sleep apnea and other comorbidities, it is essential to carefully assess patients’ complaints.
Highlights
80% of patients with chronic kidney disease complain about sleep disorders, which is a much higher percentage than in the general population
Excessive daytime sleepiness (EDS) is mainly associated with a high risk of sleep apnea, but it could be a consequence of insomnia, restless leg syndrome, and medical problems [12, 13]
A total of 193 patients were initially assessed for eligibility, but only 168 patients were included in the study after they signed the informed consent form
Summary
80% of patients with chronic kidney disease complain about sleep disorders, which is a much higher percentage than in the general population. Conclusion: Our study concluded that 70% of the sample of patients with ESRD who were undergoing hemodialysis presented with a propensity to sleep in inappropriate circumstances on the ESS. Sleep disorders, including delayed sleep onset, frequent awakening, restless leg syndrome, insomnia, and daytime sleepiness, are frequent in patients with end stage renal disease (ESRD) [2, 4,5,6,7,8]. These symptoms affect sleep quality and the quality of life of these patients [9,10,11]. EDS is mainly associated with a high risk of sleep apnea, but it could be a consequence of insomnia, restless leg syndrome, and medical problems [12, 13]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
