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Comparative analysis of excessive daytime sleepiness and sleep apnea symptoms in renal transplant recipients and a historical dialysis cohort.

Created on 19 Jun 2026

Authors

Turki Alharbi, Salman Alahmadi, Turki Almejaish, Amer Alburodi, Mohammed Alsaif, Mohammed Albader, Abdulrahman Altheaby, Ziad Al-Jahdali, Rajkumar Rajendram, Hamdan Al-Jahdali

Published in

Journal of Taibah University Medical Sciences. Volume 21. Issue 4. Pages 632-638. Epub Jun 09, 2026.

Abstract

Sleep disorders are prevalent in end-stage renal failure (ESRF) patients on dialysis. Renal transplantation may enhance the quality of sleep but comparative data are limited. The aim of our study was to assess the prevalence and factors linked to self-reported obstructive sleep apnea (OSA) and excessive daytime sleepiness (EDS) in kidney transplant recipients compared with dialysis patients.
This cross-sectional study analyzed 159 renal transplant recipients using the STOP-BANG questionnaire, Berlin Questionnaire, and Epworth Sleepiness Scale. These results were compared to those for a historical cohort of 227 dialysis patients. Multinomial logistic regression models adjusted for demographic and clinical confounders were used to explore associations.
In the combined cohort, 27.5% reported EDS (44.1% in dialysis vs. 3.8% in transplant patients, P < 0.001) and 30.6% reported OSA risk (41.9% in dialysis vs. 14.5% in transplant patients, P < 0.001). After adjusting for age, sex, body mass index, neck size, smoking, coffee intake, and comorbidities, renal transplantation was significantly associated with lower adjusted odds of EDS (odds ratio (OR): 0.014), OSA (OR: 0.422), and co-occurrence (OR: 0.092). No polysomnography data were available.
Renal transplant patients reported fewer symptoms of EDS and OSA risk compared with dialysis patients, indicating potential benefits of transplantation beyond renal function.

PMID:
42318586
Bibliographic data and abstract were imported from PubMed on 19 Jun 2026.

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