1. Sleep disordered breathing in chronic stroke survivors. A study of the long term follow-up of the SCOPES cohort using home based polysomnography.
- Author
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Cadilhac, Dominique A, Thorpe, Rachel D, Pearce, Dora C, Barnes, Maree, Rochford, Peter D, Tarquinio, Natalie, Davis, Stephen M, Donnan, Geoff A, and Pierce, Robert J
- Subjects
SLEEP apnea syndromes ,CEREBROVASCULAR disease patients ,APNEA ,POLYSOMNOGRAPHY ,SLEEP disorder diagnosis - Abstract
Summary: Prevalence of sleep-disordered breathing (SDB) (apnea-hypopnea index [AHI]⩾5) in acute stroke patients ranges between 44% and 95%, compared to the community prevalence, 9 to 35% for women and 8 to 57% for men [age range 30–60 years]. Limited data exists beyond 3 months following stroke. We assessed the prevalence of SDB amongst stroke survivors at 3 years and compared results to data reported in normal and elderly populations. 90/143 eligible stroke survivors from an existing cohort underwent a home based sleep study. Mean age of the 78 subjects with a valid sleep study was 64 years (SD 15). Prevalence of SDB (AHI⩾5) was 81% (95% CI 72% to 90%) and sleep apnoea syndrome (AHI⩾5 plus ESS score⩾11) was 20% (95% CI 11% to 29%). Important predictors for AHI⩾15 were haemorrhagic stroke (aOR12.06 [1.42–102.74]) and stroke severity at 1 month (aOR4.15 [1.05–16.38]). Large case-control studies are needed. [Copyright &y& Elsevier]
- Published
- 2005
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