Assessment of sleep pattern and quality before and after liver transplantation using different methods

Sleep disorders (SDs) are frequently seen in patients with liver cirrhosis. Polysomnography (PSG), actigraphy, and electroencephalogram (EEG) are the common objective methods to diagnose SDs. The most commonly used subjective methods are the Pittsburgh sleep quality index (PSQI) and Epworth sleepine...

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Veröffentlicht in:The Turkish journal of gastroenterology 2020-08, Vol.31 (8), p.581-587
Hauptverfasser: Gençdal, Genco, Türker, Gamze, Yazıcı Gençdal, Işıl, Ekinci, Burçak, Acar, Şencan, Dinçkan, Ayhan, Akyıldız, Murat
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container_issue 8
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container_title The Turkish journal of gastroenterology
container_volume 31
creator Gençdal, Genco
Türker, Gamze
Yazıcı Gençdal, Işıl
Ekinci, Burçak
Acar, Şencan
Dinçkan, Ayhan
Akyıldız, Murat
description Sleep disorders (SDs) are frequently seen in patients with liver cirrhosis. Polysomnography (PSG), actigraphy, and electroencephalogram (EEG) are the common objective methods to diagnose SDs. The most commonly used subjective methods are the Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS). We aimed to evaluate the effect of liver transplantation (LTx) on SDs using a combination of objective (PSG and EEG) and subjective (PSQI and ESS) methods. A total of 18 patients with cirrhosis on an LTx waiting list were included in this study. Patient clinical status and biochemical parameters were evaluated. All patients completed the validated Turkish forms of the PSQI and ESS before and 9 months after LTx. All patients underwent EEG and PSG before and 9 months after LTx. In total, 18 patients with liver cirrhosis (men: 12; 66.7%, mean age: 53.22±10.43 years) were included in this study. Pretransplant mean PSQI and ESS scores were 8.4±3.11 and 7.28±3.89, respectively; 9-month posttransplant mean PSQI and ESS scores were 4.5±2.8 and 4.72±2.91 (p
doi_str_mv 10.5152/tjg.2020.18809
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Polysomnography (PSG), actigraphy, and electroencephalogram (EEG) are the common objective methods to diagnose SDs. The most commonly used subjective methods are the Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS). We aimed to evaluate the effect of liver transplantation (LTx) on SDs using a combination of objective (PSG and EEG) and subjective (PSQI and ESS) methods. A total of 18 patients with cirrhosis on an LTx waiting list were included in this study. Patient clinical status and biochemical parameters were evaluated. All patients completed the validated Turkish forms of the PSQI and ESS before and 9 months after LTx. All patients underwent EEG and PSG before and 9 months after LTx. In total, 18 patients with liver cirrhosis (men: 12; 66.7%, mean age: 53.22±10.43 years) were included in this study. Pretransplant mean PSQI and ESS scores were 8.4±3.11 and 7.28±3.89, respectively; 9-month posttransplant mean PSQI and ESS scores were 4.5±2.8 and 4.72±2.91 (p&lt;0.01), respectively. Before transplantation, metabolic encephalopathy was detected in 6 patients by EEG, whereas metabolic encephalopathy was detected in only 1 patient posttransplant. Posttransplantation PSG sleep duration (all stages) increased relative to pretransplant PSG values. Sleep latency and rapid eye movement latency were found to be reduced compared to the pretransplant values. This pilot study compared SDs in patients with pre- and post-LTx by combining the subjective and objective methods. Significant SD improvements were found at the 9th month.</description><identifier>ISSN: 2148-5607</identifier><identifier>ISSN: 1300-4948</identifier><identifier>EISSN: 2148-5607</identifier><identifier>DOI: 10.5152/tjg.2020.18809</identifier><identifier>PMID: 32915146</identifier><language>eng</language><publisher>Turkey: AVES</publisher><subject>Diagnosis ; Electroencephalography ; Liver ; Liver cirrhosis ; Liver transplantation ; Medical research ; Medicine, Experimental ; Methods ; Original ; Sleep ; Sleep disorders ; Transplantation</subject><ispartof>The Turkish journal of gastroenterology, 2020-08, Vol.31 (8), p.581-587</ispartof><rights>COPYRIGHT 2020 AVES</rights><rights>Copyright 2020 by Turkish Society of Gastroenterology 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c524t-68601c96748c5483f85e814b2cc7712f450c98bd678ff34ab3ba4776eb588b153</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498188/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498188/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32915146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gençdal, Genco</creatorcontrib><creatorcontrib>Türker, Gamze</creatorcontrib><creatorcontrib>Yazıcı Gençdal, Işıl</creatorcontrib><creatorcontrib>Ekinci, Burçak</creatorcontrib><creatorcontrib>Acar, Şencan</creatorcontrib><creatorcontrib>Dinçkan, Ayhan</creatorcontrib><creatorcontrib>Akyıldız, Murat</creatorcontrib><creatorcontrib>Department of Chest Disease, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of General Surgery, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Neurology, Dr. Sadi Konuk Bakirkoy Training and Research Hospital, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Neurology, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Gastroenterology, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Internal Medicine, Memorial Atasehir Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Gastroenterology, Memorial Atasehir Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><title>Assessment of sleep pattern and quality before and after liver transplantation using different methods</title><title>The Turkish journal of gastroenterology</title><addtitle>Turk J Gastroenterol</addtitle><description>Sleep disorders (SDs) are frequently seen in patients with liver cirrhosis. 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Pretransplant mean PSQI and ESS scores were 8.4±3.11 and 7.28±3.89, respectively; 9-month posttransplant mean PSQI and ESS scores were 4.5±2.8 and 4.72±2.91 (p&lt;0.01), respectively. Before transplantation, metabolic encephalopathy was detected in 6 patients by EEG, whereas metabolic encephalopathy was detected in only 1 patient posttransplant. Posttransplantation PSG sleep duration (all stages) increased relative to pretransplant PSG values. Sleep latency and rapid eye movement latency were found to be reduced compared to the pretransplant values. This pilot study compared SDs in patients with pre- and post-LTx by combining the subjective and objective methods. Significant SD improvements were found at the 9th month.</description><subject>Diagnosis</subject><subject>Electroencephalography</subject><subject>Liver</subject><subject>Liver cirrhosis</subject><subject>Liver transplantation</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Methods</subject><subject>Original</subject><subject>Sleep</subject><subject>Sleep disorders</subject><subject>Transplantation</subject><issn>2148-5607</issn><issn>1300-4948</issn><issn>2148-5607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqdks9LHTEQx5dSqdb22mMJ9NLLe-b3Zi-Fh7S1IHix55DNTp6R3WRNsoL_vVm1VqGnEkiGmc98yQzfpvlE8FYQQU_K9X5LMcVbohTu3jRHlHC1ERK3b1_Eh837nK8xZopI-q45ZLQjgnB51LhdzpDzBKGg6FAeAWY0m1IgBWTCgG4WM_pyh3pwMcFDyrhaRaO_rXdJJuR5NKGY4mNAS_ZhjwbvHKRVc4JyFYf8oTlwZszw8ek9bn7_-H55erY5v_j563R3vrGC8rKRSmJiO9lyZQVXzCkBivCeWtu2hDousO1UP8hWOce46VlveNtK6IVSPRHsuPn2qDsv_QSDrV9IZtRz8pNJdzoar19Xgr_S-3irW96pusIq8PVJIMWbBXLRk88WxjohxCVryjmRWFG6ol8e0b0ZQfvgYlW0K653kilKiMK0Utt_UPUMMHkbAzhf8__TIIUgTIi_DTbFnBO453EJ1qtJdDWJXk2iH0xSGz6_XNIz_scV7B6D37h-</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Gençdal, Genco</creator><creator>Türker, Gamze</creator><creator>Yazıcı Gençdal, Işıl</creator><creator>Ekinci, Burçak</creator><creator>Acar, Şencan</creator><creator>Dinçkan, Ayhan</creator><creator>Akyıldız, Murat</creator><general>AVES</general><general>Turkish Society of Gastroenterology</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200801</creationdate><title>Assessment of sleep pattern and quality before and after liver transplantation using different methods</title><author>Gençdal, Genco ; Türker, Gamze ; Yazıcı Gençdal, Işıl ; Ekinci, Burçak ; Acar, Şencan ; Dinçkan, Ayhan ; Akyıldız, Murat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-68601c96748c5483f85e814b2cc7712f450c98bd678ff34ab3ba4776eb588b153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Diagnosis</topic><topic>Electroencephalography</topic><topic>Liver</topic><topic>Liver cirrhosis</topic><topic>Liver transplantation</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Methods</topic><topic>Original</topic><topic>Sleep</topic><topic>Sleep disorders</topic><topic>Transplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gençdal, Genco</creatorcontrib><creatorcontrib>Türker, Gamze</creatorcontrib><creatorcontrib>Yazıcı Gençdal, Işıl</creatorcontrib><creatorcontrib>Ekinci, Burçak</creatorcontrib><creatorcontrib>Acar, Şencan</creatorcontrib><creatorcontrib>Dinçkan, Ayhan</creatorcontrib><creatorcontrib>Akyıldız, Murat</creatorcontrib><creatorcontrib>Department of Chest Disease, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of General Surgery, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Neurology, Dr. Sadi Konuk Bakirkoy Training and Research Hospital, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Neurology, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Gastroenterology, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Internal Medicine, Memorial Atasehir Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Gastroenterology, Memorial Atasehir Hospital, Organ Transplantation Center, Istanbul, Turkey</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Turkish journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gençdal, Genco</au><au>Türker, Gamze</au><au>Yazıcı Gençdal, Işıl</au><au>Ekinci, Burçak</au><au>Acar, Şencan</au><au>Dinçkan, Ayhan</au><au>Akyıldız, Murat</au><aucorp>Department of Chest Disease, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</aucorp><aucorp>Department of General Surgery, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</aucorp><aucorp>Department of Neurology, Dr. Sadi Konuk Bakirkoy Training and Research Hospital, Istanbul, Turkey</aucorp><aucorp>Department of Neurology, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</aucorp><aucorp>Department of Gastroenterology, Yeni Yuzyil University, GOP Hospital, Organ Transplantation Center, Istanbul, Turkey</aucorp><aucorp>Department of Internal Medicine, Memorial Atasehir Hospital, Organ Transplantation Center, Istanbul, Turkey</aucorp><aucorp>Department of Gastroenterology, Memorial Atasehir Hospital, Organ Transplantation Center, Istanbul, Turkey</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of sleep pattern and quality before and after liver transplantation using different methods</atitle><jtitle>The Turkish journal of gastroenterology</jtitle><addtitle>Turk J Gastroenterol</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>31</volume><issue>8</issue><spage>581</spage><epage>587</epage><pages>581-587</pages><issn>2148-5607</issn><issn>1300-4948</issn><eissn>2148-5607</eissn><abstract>Sleep disorders (SDs) are frequently seen in patients with liver cirrhosis. Polysomnography (PSG), actigraphy, and electroencephalogram (EEG) are the common objective methods to diagnose SDs. The most commonly used subjective methods are the Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS). We aimed to evaluate the effect of liver transplantation (LTx) on SDs using a combination of objective (PSG and EEG) and subjective (PSQI and ESS) methods. A total of 18 patients with cirrhosis on an LTx waiting list were included in this study. Patient clinical status and biochemical parameters were evaluated. All patients completed the validated Turkish forms of the PSQI and ESS before and 9 months after LTx. All patients underwent EEG and PSG before and 9 months after LTx. In total, 18 patients with liver cirrhosis (men: 12; 66.7%, mean age: 53.22±10.43 years) were included in this study. Pretransplant mean PSQI and ESS scores were 8.4±3.11 and 7.28±3.89, respectively; 9-month posttransplant mean PSQI and ESS scores were 4.5±2.8 and 4.72±2.91 (p&lt;0.01), respectively. Before transplantation, metabolic encephalopathy was detected in 6 patients by EEG, whereas metabolic encephalopathy was detected in only 1 patient posttransplant. Posttransplantation PSG sleep duration (all stages) increased relative to pretransplant PSG values. Sleep latency and rapid eye movement latency were found to be reduced compared to the pretransplant values. This pilot study compared SDs in patients with pre- and post-LTx by combining the subjective and objective methods. Significant SD improvements were found at the 9th month.</abstract><cop>Turkey</cop><pub>AVES</pub><pmid>32915146</pmid><doi>10.5152/tjg.2020.18809</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Diagnosis
Electroencephalography
Liver
Liver cirrhosis
Liver transplantation
Medical research
Medicine, Experimental
Methods
Original
Sleep
Sleep disorders
Transplantation
title Assessment of sleep pattern and quality before and after liver transplantation using different methods
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