A Guide to Management of Sleepiness in ESKD.

So, Jennifer Y; Warburton, Karen M; Rosen, Ilene M

So, Jennifer Y; Warburton, Karen M; Rosen, Ilene M.

Afiliación

So JY; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine at the University of Maryland School of Medicine, Baltimore, MD. Electronic address: Jennifer.so@som.umaryland.edu.
Warburton KM; Division of Nephrology, Department of Medicine at the University of Virginia School of Medicine, Charlottesville, VA.
Rosen IM; Division of Sleep Medicine, Department of Medicine at the Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.

Am J Kidney Dis ; 75(5): 782-792, 2020 05.

Article en En | MEDLINE | ID: mdl-31983503

RESUMEN

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.

Asunto(s)

Trastornos de Somnolencia Excesiva/terapia; Fallo Renal Crónico/complicaciones; Citas y Horarios; Dieta; Manejo de la Enfermedad; Trastornos de Somnolencia Excesiva/etiología; Diagnóstico Precoz; Fatiga/etiología; Fatiga/terapia; Femenino; Humanos; Hipnóticos y Sedantes/uso terapéutico; Fallo Renal Crónico/terapia; Trasplante de Riñón; Estilo de Vida; Persona de Mediana Edad; Complicaciones Posoperatorias/etiología; Complicaciones Posoperatorias/terapia; Calidad de Vida; Diálisis Renal/efectos adversos; Índice de Severidad de la Enfermedad; Privación de Sueño; Higiene del Sueño; Trastornos del Sueño-Vigilia/inducido químicamente; Trastornos del Sueño-Vigilia/diagnóstico; Trastornos del Sueño-Vigilia/etiología; Trastornos del Sueño-Vigilia/terapia

Palabras clave

Hypersomnolence; circadian rhythm sleep disorders; dialysis; end-stage kidney disease (ESKD); fatigue; hypersomnia; insomnia; insufficient sleep syndrome; kidney transplant; narcolepsy; obstructive sleep apnea (OSA); review; sleep deprivation; sleep disorder; sleep hygiene; sleepiness

Texto completo

Añadir a Mi BVS

Imprimir

XML

PubMed Links

Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Somnolencia Excesiva / Fallo Renal Crónico Tipo de estudio: Diagnostic_studies / Etiology_studies / Screening_studies Aspecto: Patient_preference Límite: Female / Humans / Middle aged Idioma: En Revista: Am J Kidney Dis Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo

Añadir a Mi BVS

Imprimir

XML

PubMed Links

Buscar en Google