The Japanese Journal of Clinical Dialysis Vol.33 No.8(9)

Theme Manifold preferable strategies for better prognosis of the dialysis patients
Title Treating sleep disorders to improve vital prognoses
Publish Date 2017/07
Author Shigefumi Koike Sleep Center, Toyohashi Mates Clinic
[ Summary ] Sleep disorders are an extremely common complication in hemodialysis patients. Insomnia is not the only sleep disorder observed in dialysis patients. Sleep apnea syndrome (SAS), periodic limb movement (PLM), and restless leg syndrome (RLS) are also common complications. Those complications are primarily characterized by high ratios of overlap and severity. Symptoms of drowsiness and insomnia can become severe not only when severe individual sleep disorders overlap, but also when three or four mild or moderate sleep disorders overlap. Meanwhile, it is also necessary to know that sleep disorders are divided into categories that patients can easily recognize, such as insomnia or RLS. Those patients will find it difficult to recognize and problems may be first discovered and diagnosed through active testing, such as SAS and PLM. Improving SAS has an effect on the vital prognosis of dialysis patients. Treatment of RLS is thought to contribute to improved quality of life.
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