Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study

Background: Multiple sclerosis [MS] is an inflammatory demyelinating disease of the central nervous system, which is the second-most common cause of physical handicap in young individuals. Fatigue is the most prevalent [50%–90%] symptom of MS interfering with everyday life with at least one mild sym...

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Autor principal:	Mohammad Hassan
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	sleep disorders polysomnography fatigue scales sleep scales Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e7fd3d9dda634739b5abda2c19f664e6
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spelling	oai:doaj.org-article:e7fd3d9dda634739b5abda2c19f664e62021-12-02T17:05:58ZFatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study2636-41742682-378010.21608/ijma.2021.76416.1312https://doaj.org/article/e7fd3d9dda634739b5abda2c19f664e62021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_183087_1c28c4a9d1af3c8007592cccc4aaaf81.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Multiple sclerosis [MS] is an inflammatory demyelinating disease of the central nervous system, which is the second-most common cause of physical handicap in young individuals. Fatigue is the most prevalent [50%–90%] symptom of MS interfering with everyday life with at least one mild symptom of fatigue even in the early stages of the disease [36.5%] when clinical symptoms are still negligible. The Aim of The Work: To evaluate the prevalence and relation of fatigue in MS patients with sleep disorders and other clinical factors in an attempt to understand the underlying mechanisms of this symptom which might be of help in easing its evaluation and optimizing patient care. Patients and Methods: A cross-sectional study was performed on patients recruited from MS unit at Al-Azhar University Hospitals in Cairo. Fifty patients were investigated and submitted to clinical evaluation as well as fatigue severity assessment using fatigue severity scale and sleep scales: Epworth sleepiness scale for assessment of daytime sleepiness, Pittsburgh sleep scale for assessment of sleep quality, and polysomnography. Results: Fatigue was present in 60% of MS patients. Decreased sleep efficiency, pain and progressive types were significantly higher among MS patients with fatigue. Male patients with fatigue were significantly more than those without fatigue. About 84% of patients with MS were complaining from sleep disorder symptoms, 72% had insomnia, pain and nocturia ranged from 54%-60% while leg spasm and narcolepsy were present in 30% and 20% respectively. Conclusion: The present study emphasized the prevalence of fatigue in MS patients and its relation with sleep disorders and disease progression denoting wide variety of pathological mechanisms and the necessity of multimodal management.Mohammad HassanAl-Azhar University, Faculty of Medicine (Damietta)articlesleep disorderspolysomnographyfatigue scalessleep scalesMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1681-1688 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep disorders polysomnography fatigue scales sleep scales Medicine (General) R5-920
spellingShingle	sleep disorders polysomnography fatigue scales sleep scales Medicine (General) R5-920 Mohammad Hassan Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study
description	Background: Multiple sclerosis [MS] is an inflammatory demyelinating disease of the central nervous system, which is the second-most common cause of physical handicap in young individuals. Fatigue is the most prevalent [50%–90%] symptom of MS interfering with everyday life with at least one mild symptom of fatigue even in the early stages of the disease [36.5%] when clinical symptoms are still negligible. The Aim of The Work: To evaluate the prevalence and relation of fatigue in MS patients with sleep disorders and other clinical factors in an attempt to understand the underlying mechanisms of this symptom which might be of help in easing its evaluation and optimizing patient care. Patients and Methods: A cross-sectional study was performed on patients recruited from MS unit at Al-Azhar University Hospitals in Cairo. Fifty patients were investigated and submitted to clinical evaluation as well as fatigue severity assessment using fatigue severity scale and sleep scales: Epworth sleepiness scale for assessment of daytime sleepiness, Pittsburgh sleep scale for assessment of sleep quality, and polysomnography. Results: Fatigue was present in 60% of MS patients. Decreased sleep efficiency, pain and progressive types were significantly higher among MS patients with fatigue. Male patients with fatigue were significantly more than those without fatigue. About 84% of patients with MS were complaining from sleep disorder symptoms, 72% had insomnia, pain and nocturia ranged from 54%-60% while leg spasm and narcolepsy were present in 30% and 20% respectively. Conclusion: The present study emphasized the prevalence of fatigue in MS patients and its relation with sleep disorders and disease progression denoting wide variety of pathological mechanisms and the necessity of multimodal management.
format	article
author	Mohammad Hassan
author_facet	Mohammad Hassan
author_sort	Mohammad Hassan
title	Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study
title_short	Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study
title_full	Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study
title_fullStr	Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study
title_full_unstemmed	Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study
title_sort	fatigue in a sample of egyptian multiple sclerosis patients: a cross sectional study
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/e7fd3d9dda634739b5abda2c19f664e6
work_keys_str_mv	AT mohammadhassan fatigueinasampleofegyptianmultiplesclerosispatientsacrosssectionalstudy
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Fatigue in A sample of Egyptian Multiple Sclerosis Patients: A Cross Sectional Study

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