Effect of chronic kidney disease on excessive daytime sleepiness in Parkinson disease
Identifieur interne : 000330 ( Main/Exploration ); précédent : 000329; suivant : 000331Effect of chronic kidney disease on excessive daytime sleepiness in Parkinson disease
Auteurs : Y. Baba ; M. Higuchi ; K. Fukuyama ; H. Abe ; Y. Uehara [Japon] ; T. Inoue ; T. YamadaSource :
- European Journal of Neurology [ 1351-5101 ] ; 2011-11.
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Abstract
Background and purposes: Excessive daytime sleepiness (EDS) is a common sleep disorder in patients with Parkinson disease (PD). Non‐ergot dopamine agonists increase the risk of unanticipated sleep episodes. Objective: We aimed to assess the influence of renal function on EDS in patients with PD. Methods: Sixty‐two patients treated with ropinirole or pramipexole were recruited for this study. We evaluated the historical and clinical characteristics including the motor symptom rating scales, Epworth Sleepiness Scale (ESS), and estimated glomerular filtration rate (eGFR). An ESS score of 10 or greater was defined as EDS. Participants with eGFR < 60 ml/min/1.73 m2 were determined to have chronic kidney disease (CKD). Multiple logistic regression analysis was performed to determine the predictive factors of EDS. Results: Chronic kidney disease was found to be a significant predictive factor for EDS in all patients (P = 0.014). We observed a negative correlation between the severity of daytime sleepiness and renal function in patients treated with pramipexole alone (rs = −0.637, P < 0.001). Conclusions: Chronic kidney disease may be a risk factor for EDS, especially in patients treated with pramipexole, which is directly excreted in the urine.
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DOI: 10.1111/j.1468-1331.2011.03391.x
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Baba</name><affiliation><wicri:noCountry code="subField">Fukuoka University School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Higuchi, M" sort="Higuchi, M" uniqKey="Higuchi M" first="M." last="Higuchi">M. Higuchi</name><affiliation><wicri:noCountry code="subField">Fukuoka University School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Fukuyama, K" sort="Fukuyama, K" uniqKey="Fukuyama K" first="K." last="Fukuyama">K. Fukuyama</name><affiliation><wicri:noCountry code="subField">Fukuoka Wajiro Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Abe, H" sort="Abe, H" uniqKey="Abe H" first="H." last="Abe">H. Abe</name><affiliation><wicri:noCountry code="no comma">Departments of Neurosurgery</wicri:noCountry></affiliation></author><author><name sortKey="Uehara, Y" sort="Uehara, Y" uniqKey="Uehara Y" first="Y." last="Uehara">Y. Uehara</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Cardiology, Fukuoka University School of Medicine, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Inoue, T" sort="Inoue, T" uniqKey="Inoue T" first="T." last="Inoue">T. Inoue</name><affiliation><wicri:noCountry code="no comma">Departments of Neurosurgery</wicri:noCountry></affiliation></author><author><name sortKey="Yamada, T" sort="Yamada, T" uniqKey="Yamada T" first="T." last="Yamada">T. Yamada</name><affiliation><wicri:noCountry code="subField">Fukuoka University School of Medicine</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Neurology</title><idno type="ISSN">1351-5101</idno><idno type="eISSN">1468-1331</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-11">2011-11</date><biblScope unit="volume">18</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1299">1299</biblScope><biblScope unit="page" to="1303">1303</biblScope></imprint><idno type="ISSN">1351-5101</idno></series><idno type="istex">96BAF938C52C3B7433289EFF95C766A8158A85C5</idno><idno type="DOI">10.1111/j.1468-1331.2011.03391.x</idno><idno type="ArticleID">ENE3391</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1351-5101</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson disease</term><term>chronic kidney disease</term><term>excessive daytime sleepiness</term><term>non‐ergot dopamine agonist</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background and purposes: Excessive daytime sleepiness (EDS) is a common sleep disorder in patients with Parkinson disease (PD). Non‐ergot dopamine agonists increase the risk of unanticipated sleep episodes. Objective: We aimed to assess the influence of renal function on EDS in patients with PD. Methods: Sixty‐two patients treated with ropinirole or pramipexole were recruited for this study. We evaluated the historical and clinical characteristics including the motor symptom rating scales, Epworth Sleepiness Scale (ESS), and estimated glomerular filtration rate (eGFR). An ESS score of 10 or greater was defined as EDS. Participants with eGFR < 60 ml/min/1.73 m2 were determined to have chronic kidney disease (CKD). Multiple logistic regression analysis was performed to determine the predictive factors of EDS. Results: Chronic kidney disease was found to be a significant predictive factor for EDS in all patients (P = 0.014). We observed a negative correlation between the severity of daytime sleepiness and renal function in patients treated with pramipexole alone (rs = −0.637, P < 0.001). Conclusions: Chronic kidney disease may be a risk factor for EDS, especially in patients treated with pramipexole, which is directly excreted in the urine.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Abe, H" sort="Abe, H" uniqKey="Abe H" first="H." last="Abe">H. Abe</name><name sortKey="Baba, Y" sort="Baba, Y" uniqKey="Baba Y" first="Y." last="Baba">Y. Baba</name><name sortKey="Fukuyama, K" sort="Fukuyama, K" uniqKey="Fukuyama K" first="K." last="Fukuyama">K. Fukuyama</name><name sortKey="Higuchi, M" sort="Higuchi, M" uniqKey="Higuchi M" first="M." last="Higuchi">M. Higuchi</name><name sortKey="Inoue, T" sort="Inoue, T" uniqKey="Inoue T" first="T." last="Inoue">T. Inoue</name><name sortKey="Yamada, T" sort="Yamada, T" uniqKey="Yamada T" first="T." last="Yamada">T. Yamada</name></noCountry><country name="Japon"><noRegion><name sortKey="Uehara, Y" sort="Uehara, Y" uniqKey="Uehara Y" first="Y." last="Uehara">Y. Uehara</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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