{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T14:12:47Z","timestamp":1771855967709,"version":"3.50.1"},"reference-count":29,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:00:00Z","timestamp":1759536000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:00:00Z","timestamp":1759536000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Blood Purif"],"abstract":"<jats:p>Introduction: Sleep disturbances are common in hemodialysis (HD) patients. We examined the excessive ultrafiltration rate (UFR), which is associated with poor outcomes, for its possible impact on sleep quality. Methods: Only oligo-anuric patients with a three-times-weekly HD schedule were included in the study. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality and a score &gt;5 indicated poor sleepers. Ultrafiltration values refer to the month preceding the PSQI survey. Patients were divided into three categories: optimal UFR group (&lt;10 mL\/kg\/h), borderline UFR group (10\u201313 mL\/kg\/h), and high UFR group (\u226513 mL\/kg\/h). Results: A total of 102 patients were included, with a median age of 60 (46\u201367) years. Median dialysis vintage was 44.5 (22\u201377) months. Average interdialytic weight gain (IDWG) percentage was 4.7 (3.7\u20135.7) and UFR was 11.6 \u00b1 3.5 mL\/kg\/h. A total of 37 patients (36.3%) had optimal UFR, 29 patients (28.4%) had borderline UFR, and 36 patients (35.3%) had high UFR. Average PSQI score was 7 (4\u201310) points and 61 patients (59.8%) was identified as poor sleepers. Mean UFR was 11.7 \u00b1 3.4 mL\/kg\/h in poor sleepers and 11.5 \u00b1 3.7 mL\/kg\/h in non-poor sleepers (p = 0.819). PSQI score and poor sleeper prevalence were not significantly different between UFR groups. There was no significant correlation between PSQI and UFR (p = 0.325). In multivariate regression analysis, UFR was not an independent predictor of sleep quality. Additionally, younger age and a long HD vintage were independent predictors of high UFR. Conclusion: Excessive and rapid fluid removal does not constitute a risk for poor sleep quality. Also, current findings underscore the increased frequency and complexity of sleep disorders in dialysis patients.<\/jats:p>","DOI":"10.1159\/000548767","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T16:00:31Z","timestamp":1759593631000},"page":"54-64","source":"Crossref","is-referenced-by-count":1,"title":["Does Ultrafiltration Rate Influence Sleep Quality among Hemodialysis Patients?"],"prefix":"10.1159","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6214-0354","authenticated-orcid":false,"given":"Cihan","family":"Uysal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6122-6829","authenticated-orcid":false,"given":"Murat","family":"Altunok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamiyet","family":"Ozkan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail","family":"Kocyigit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2025,10,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.110.154815"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5000186"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.06.010"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm466"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2010.383"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2006.00142.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2001.0240"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.44416"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11182536"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V451205"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12201"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12717"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.08.030"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1159\/000450560"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s11897-017-0356-6"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.807362"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.14087"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12625"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.06.020"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12602"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12563"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2013101086"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2051586"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-018-2018-3"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2025.100976"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfaa258"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000037577"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-020-02209-8"}],"container-title":["Blood Purification"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000548767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T17:01:11Z","timestamp":1768237271000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000548767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,4]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,12]]},"published-print":{"date-parts":[[2026,1,14]]}},"URL":"https:\/\/doi.org\/10.1159\/000548767","archive":["Portico"],"relation":{},"ISSN":["0253-5068","1421-9735"],"issn-type":[{"value":"0253-5068","type":"print"},{"value":"1421-9735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,4]]}}}