The Usefulness of the Athens Insomnia Scale for Evaluating Sleep Disturbance in Patients with Chronic Liver Disease Comparing with Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale

被引:4
|
作者
Kawaratani, Hideto [1 ]
Miyaaki, Hisamitsu [2 ]
Hiraoka, Atsushi [3 ]
Nakao, Kazuhiko [2 ]
Hiasa, Yoichi [4 ]
Yoshiji, Hitoshi [1 ]
Okita, Kiwamu [5 ]
Koike, Kazuhiko [6 ]
机构
[1] Nara Med Univ, Dept Gastroenterol, Nara 6348522, Japan
[2] Nagasaki Univ, Grad Sch Biomed Sci, Dept Gastroenterol & Hepatol, Nagasaki 8528523, Japan
[3] Ehime Prefectural Cent Hosp, Gastroenterol Ctr, Matsuyama, Ehime 7900024, Japan
[4] Ehime Univ, Grad Sch Med, Dept Gastroenterol & Metabol, Toon 7910295, Japan
[5] Shunan Mem Hosp, Yamaguchi 7440033, Japan
[6] Kanto Cent Hosp, Tokyo 1588531, Japan
来源
MEDICINA-LITHUANIA | 2022年 / 58卷 / 06期
关键词
Athens insomnia scale; hepatic encephalopathy; sleep disturbance; OF-LIFE; HEPATIC-ENCEPHALOPATHY; DAYTIME SLEEPINESS; CIRRHOTIC-PATIENTS; VALIDATION; INSTRUMENT; MIDAZOLAM;
D O I
10.3390/medicina58060741
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Sleep disturbance due to muscle cramps or hepatic encephalopathy in patients with chronic liver disease (CLD) can lead to a reduced quality of life. The Pittsburgh sleep quality index (PSQI) is commonly used for evaluating sleep disturbance; however, this questionnaire is time-consuming owing to the large number of questions. As the usefulness of the Athens insomnia scale (AIS) in patients with CLD is not sufficiently known, the present study aimed to determine whether the AIS and Epworth sleepiness scale (ESS) could be used as simple alternative questionnaires for evaluating sleep disturbances in patients with CLD. Materials and Methods: A total of 117 patients with CLD were retrospectively evaluated. Patients with overt hepatic encephalopathy were excluded. All patients were examined using the AIS, PSQI, and ESS, and their responses to these questionnaires were statistically analyzed. Results: The number of patients diagnosed with sleep disturbance using the AIS, PSQI, and ESS were 39 (33.3%), 37 (31.6%), and 9 (7.7%), respectively. There was no correlation between PSQI and ESS scores (r = 0.011, p = 0.910); in contrast, the AIS scores showed a significant correlation with the PSQI scores (r = 0.689, p < 0.001). When the PSQI was considered as the standard for evaluating sleep disturbance, the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the AIS were 76.9%, 91.0%, 81.1%, and 88.8%, respectively. In the sleep medication group, the sensitivity, specificity, PPV, and NPV of the AIS were 100%, 70%, 78.6%, and 100%, respectively. Conclusions: This is the first report to indicate that the AIS is an alternative questionnaire to the PSQI and that it can be a useful tool for detecting cirrhosis-related complications in patients with CLD.
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页数:11
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