Relationship of sleep apnea to functional capacity and length of hospitalization following stroke.

作者: Yasuyuki Kaneko , Vlasta E. Hajek , Vera Zivanovic , Janet Raboud , T. Douglas Bradley

DOI: 10.1093/SLEEP/26.3.293

关键词:

摘要: STUDY OBJECTIVES Recent evidence indicates that sleep apnea is common in patients with stroke. We hypothesized the presence of among stroke would be associated a greater degree functional disability and longer hospitalization following DESIGN Prospective study. SETTING AND PATIENTS Sixty-one admitted to rehabilitation unit. INTERVENTIONS N/A. MEASUREMENTS RESULTS Sleep studies were performed on all patients, was defined as an apnea-hypopnea index 10 or more per hour sleep. Patients underwent assessments, including Functional Independence Measure. found 72% patients; 60% had predominantly obstructive apnea, while 12% central apnea. Although severity similar 2 groups, compared without those lower capacity [Functional Measure score (mean +/- SEM) 80.2 3.6 versus 94.7 4.3, p < 0.05 at admission, 101.5 2.8 112.9 2.7, discharge] spent significantly days (45.5 2.3 32.1 2.7 days, 0.005). In addition, multiple regression analysis showed independently related impairment length hospitalization. CONCLUSIONS very undergoing rehabilitation, its worse period rehabilitation. These data suggest may contributing prolonged

参考文章(24)
Anne Décary, Isabelle Rouleau, Jacques Montplaisir, Cognitive deficits associated with sleep apnea syndrome: a proposed neuropsychological test battery. Sleep. ,vol. 23, pp. 369- ,(2000) , 10.1093/SLEEP/23.3.1D
Susan E. Folstein, Marshal F. Folstein, Paul R. McHugh, F. Folstein, A PRACTICAL METHOD FOR GRADING THE COGNITIVE STATE OF PATIENTS FOR THE CLINICIAN ,(2002)
Myron G. Eisenberg, Roy C. Grzesiak, Advances in Clinical Rehabilitation ,(1987)
Deborah L. Rutman, Hal Scher, Vlasta E. Hajek, Brief assessment of cognitive impairment in patients with stroke Archives of Physical Medicine and Rehabilitation. ,vol. 70, pp. 114- 117 ,(1989) , 10.5555/URI:PII:0003999389901287
Corinne Hodgson, Prevalence and disabilities of community-living seniors who report the effects of stroke Canadian Medical Association Journal. ,vol. 159, ,(1998)
Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh, “Mini-mental state” Journal of Psychiatric Research. ,vol. 12, pp. 189- 198 ,(1975) , 10.1016/0022-3956(75)90026-6
F. Ferrillo, F. De Carli, L. Nobili, F. Nobili, G. Schiavi, E. Bozano, Morning increase of whole blood viscosity in obstructive sleep apnea syndrome. Clinical Hemorheology and Microcirculation. ,vol. 22, pp. 21- 27 ,(2000)
Claudio Bassetti, Michael S. Aldrich, Douglas Quint, Sleep-Disordered Breathing in Patients With Acute Supra- and Infratentorial Strokes: A Prospective Study of 39 Patients Stroke. ,vol. 28, pp. 1765- 1772 ,(1997) , 10.1161/01.STR.28.9.1765
M T Naughton, P P Liu, D C Bernard, R S Goldstein, T D Bradley, Treatment of Congestive Heart Failure and Cheyne-Stokes Respiration During Sleep by Continuous Positive Airway Pressure American Journal of Respiratory and Critical Care Medicine. ,vol. 151, pp. 92- 97 ,(1995) , 10.1164/AJRCCM.151.1.7812579