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229211

Role of excessive daytime sleepiness in diagnosis of minimal hepatic encephalopathy in patients with liver cirrhosis

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Tropical Medicine

Abstract

Background and aim of the work: Minimal hepatic encephalopathy (MHE) is a serious complication in cirrhotic patients necessitating many precautions. Sleep disturbances like excessive daytime sleepiness (EDS) are common among cirrhotic patients and have deleterious effects on their quality of life. There are many questionnaires designed to diagnose sleep disturbances like Epworth Sleepiness Scale (ESS) which is designed to assess daytime sleepiness. The aim of this study is to assess the role of EDS measured by ESS in diagnosis of MHE in patients with liver cirrhosis. Patients and Methods: eighty cirrhotic patients were included in this study. They were divided according to psychometric hepatic encephalopathy score (PHES) results into two groups group I: forty patients with MHE and group II: forty patients without MHE. ESS model was applied to the patients of both groups and their results were compared. Results: The results of ESS and the frequency of patients suffering from EDS were higher in group І compared to group Π but without statistically significant difference. Using the AUROC test ESS, at a cut off value 6, could predict presence of MHE with 80% sensitivity and 45% specificity. Conclusion: there is no significant association between EDS, measured by ESS, and presence of MHE in cirrhotic patients without overt hepatic encephalopathy (OHE). ESS is not accurate in predicting presence of MHE.

DOI

10.21608/zumj.2022.121832.2479

Keywords

MHE, PHES, EDS, ESS

Authors

First Name

Laila

Last Name

Mohamed

MiddleName

Elsayed

Affiliation

Tropical medicine faculty of medicine Zagazig university

Email

drlaila.khalil89@gmail.com

City

Zagazig

Orcid

-

First Name

Mysaa

Last Name

A. Saeed

MiddleName

-

Affiliation

zagazyg university, faculty of medicine,Tropical medicine

Email

dr.maysaaabdallah@windowslive.com

City

-

Orcid

-

First Name

Ali

Last Name

Soliman

MiddleName

-

Affiliation

Neurology department, faculty of medicine, Zagazig university

Email

d.alisoliman@yahoo.com

City

Zagazig

Orcid

-

First Name

M.I.

Last Name

Radwan

MiddleName

-

Affiliation

Tropical department, faculty of medicine, Zagazig university

Email

drmmagdy@gmail.com

City

Zagazig

Orcid

-

Volume

30

Article Issue

1.2

Related Issue

45958

Issue Date

2024-02-01

Receive Date

2022-02-19

Publish Date

2024-02-01

Page Start

289

Page End

296

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_229211.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=229211

Order

34

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Role of excessive daytime sleepiness in diagnosis of minimal hepatic encephalopathy in patients with liver cirrhosis

Details

Type

Article

Created At

30 Dec 2024