Role of excessive daytime sleepiness in diagnosis of minimal hepatic encephalopathy in patients with liver cirrhosis
Mohamed, L., A. Saeed, M., Soliman, A., Radwan, M. (2024). Role of excessive daytime sleepiness in diagnosis of minimal hepatic encephalopathy in patients with liver cirrhosis. EKB Journal Management System, 30(1.2), 289-296. doi: 10.21608/zumj.2022.121832.2479
Laila Elsayed Mohamed; Mysaa A. Saeed; Ali Soliman; M.I. Radwan. "Role of excessive daytime sleepiness in diagnosis of minimal hepatic encephalopathy in patients with liver cirrhosis". EKB Journal Management System, 30, 1.2, 2024, 289-296. doi: 10.21608/zumj.2022.121832.2479
Mohamed, L., A. Saeed, M., Soliman, A., Radwan, M. (2024). 'Role of excessive daytime sleepiness in diagnosis of minimal hepatic encephalopathy in patients with liver cirrhosis', EKB Journal Management System, 30(1.2), pp. 289-296. doi: 10.21608/zumj.2022.121832.2479
Mohamed, L., A. Saeed, M., Soliman, A., Radwan, M. Role of excessive daytime sleepiness in diagnosis of minimal hepatic encephalopathy in patients with liver cirrhosis. EKB Journal Management System, 2024; 30(1.2): 289-296. doi: 10.21608/zumj.2022.121832.2479

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

Zagazig University Medical Journal
Article 34, Volume 30, Issue 1.2, January and February 2024, Page 289-296  XML PDF (449.22 K)
Document Type: Original Article
DOI: 10.21608/zumj.2022.121832.2479
View on SCiNiTO View on SCiNiTO
Authors
Laila Elsayed Mohamed email 1; Mysaa A. Saeed2; Ali Soliman3; M.I. Radwan4
1Tropical medicine faculty of medicine Zagazig university
2zagazyg university, faculty of medicine,Tropical medicine
3Neurology department, faculty of medicine, Zagazig university
4Tropical department, faculty of medicine, Zagazig university
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.
Keywords
MHE; PHES; EDS; ESS
Statistics
Article View: 117
PDF Download: 22