Şeref YÜKSEL, Mehmet ÇÖLBAY, Mehmet YAMAN, İhsan USLAN, Gürsel ACARTÜRK, Özcan KARAMAN

Evaluation Of The Diagnostic Criteria Of Restless Leg Syndrome In Hemodialysis Patients

Anahtar Kelimeler:

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Evaluation Of The Diagnostic Criteria Of Restless Leg Syndrome In Hemodialysis Patients

Aim: In diagnosis of restless leg syndrome (RLS), seen frequently in hemodialysis patients, minimal criteria of International RLS Study Group have been commonly used. Our purpose is to investigate the significance of minimal criteria of International RLS Study Group for the diagnosis of RLS in hemodialysis patients in our district. Methods: We investigated the criteria of International RLS Study Group in 68 hemodialysis patients in three dialysis units of Afyonkarahisar city center. Twenty four patients were excluded due to absence of first criteria. Forty four patients answered positively to first question were evaluated for the diagnosis of RLS according to minimal criteria including 4 questions and neurological examination. Results: Among 44 (20 men, 24 women) hemodialysis patients mean age was 51+/-16.1 years and dialysis period was 25 months. According to minimal criteria for diagnosis of RLS number of patients considered as positively responded to all four questions was 15 (%34.1); however number of real patients determined on neurological examination was 31 (%70.5). In the same group difference between RLS prevalence determined according to these two criteria was statistically significant (P = 0.001). Conclusion: All patients answered positively to at least first question for diagnosis of RLS, which affects quality of life, morbidity and mortality in HD patients through sleep disorders, should be evaluated in detail

Keywords:

Restless leg syndrome hemodialysis,

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Glasauer FE. Restless legs syndrome. Spinal Cord 2001;39:125-33
Merlino G, Piani A, Dolso P, et al. Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy. Nephrol Dial Transplant 2006;21:184-90
Mucsi I, Molnar MZ, Ambrus C, et al. Restless legs syndrome, insomnia and quality of life in patients on maintenance dialysis. Nephrol Dial Transplant 2005; 20:571–7
Rijsman RM, De Weerd AW, Stam C, Kerkhof GA, Rosman JB. Periodic limb movement disorder and restless legs syndrome in dialysis patients. Nephrology 2004;9:353–61
Giglia GL, Adoratib M, Dolsoa P, Piania A, Valentec M, Brotinia S, Budaia R. Restless legs syndrome in end-stage renal disease. Sleep Med 2004;5:309–15
Bhowmika D, Bhatiab M, Guptaa S, Agarwala SK, Tiwaria SC, Dasha SC. Restless legs syndrome in hemodialysis patients in India:a case controlled study. Sleep Med 2003;4:143–6
Cirignotta F, Mondini S, Santoro A, Ferrari G, Gerardi R, Buzzi B. Reliability of a questionnaire screening restless legs syndrome in patients on chronic dialysis. Am J Kidney Dis 2002;40:302-6
Walker S; Fine A; Kryger MH. Sleep complaints are common in a dialysis unit. Am J Kidney Dis 1995;26:751-6
Unruh ML; Levey AS; D’Ambrosio C; Fink NE; Powe NR; Meyer KB. Restless legs symptoms among incident dialysis patients: association with lower quality of life and shorter survival. Am J Kidney Dis 2004;43:900-9
Walters AS. Toward a better definition of the restless legs syndrome. The International Restless Legs Syndrome Study Group. Mov Disord 1995;10:634- 42
Fraser CL, Arieff AI. Nervous system complications in uremia Ann Intern Med 1988;109:143-53
Bazzi, C, Pagani, C, Sorgato, G, et al. Uremic polyneuropathy: A clinical and electrophysiological study in 135 short- and long-term hemodialyzed patients. Clin Nephrol 1991;35:176