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Condition: Sleep Disorders

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Total 3019 results found since Jan 2013.

Insomnia and health-related quality of life in stroke.
CONCLUSION: The findings show that stroke survivors who experienced insomnia had a reduced overall HRQoL and were impaired in the energy and thinking domains of HRQoL. Early screening for sleep disturbance would be beneficial to prevent later development of post-stroke insomnia. Pharmacological and non-pharmacological interventions are suggested to improve HRQoL in stroke patients with insomnia. PMID: 25908494 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 23, 2015 Category: Neurology Authors: Tang WK, Grace Lau C, Mok V, Ungvari GS, Wong KS Tags: Top Stroke Rehabil Source Type: research

The Nottingham Fatigue After Stroke (NotFAST) study: results from follow-up six months after stroke.
Conclusions Half the stroke survivors reported fatigue at six months post-stroke. Reduced independence in activities of daily living and higher anxiety levels were associated with the level of fatigue. Persistent and delayed onset fatigue may affect independence and participation in rehabilitation, and these findings should be used to inform the development of appropriate interventions. PMID: 28891760 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 11, 2017 Category: Neurology Authors: Hawkins L, Lincoln NB, Sprigg N, Ward NS, Mistri A, Tyrrell P, Worthington E, Drummond A Tags: Top Stroke Rehabil Source Type: research

Sleep Duration and Risk of Stroke Mortality Among Chinese Adults: Singapore Chinese Health Study Clinical Sciences
Conclusions— Both short and long sleep durations are associated with increased risk of stroke mortality in a Chinese population, particularly among those with a history of hypertension.
Source: Stroke - May 27, 2014 Category: Neurology Authors: Pan, A., De Silva, D. A., Yuan, J.-M., Koh, W.-P. Tags: Behavioral/psychosocial - stroke, Cerebrovascular disease/stroke, Risk Factors for Stroke, Epidemiology Clinical Sciences Source Type: research

Nocturnal Desaturation in the Stroke Unit Is Associated With Wake-Up Ischemic Stroke Clinical Sciences
Conclusions— Nocturnal desaturation was more frequently observed in patients admitted with WUS during the first night in the stroke unit. This suggests that nocturnal desaturation is a possible modifiable risk factor for the occurrence of WUS.
Source: Stroke - June 26, 2016 Category: Neurology Authors: Kim, T. J., Ko, S.-B., Jeong, H.-G., Lee, J. S., Kim, C. K., Kim, Y., Nam, K., Mo, H., Joon An, S., Choi, H. A., Yoon, B.-W. Tags: Clinical Studies, Risk Factors, Ischemic Stroke Clinical Sciences Source Type: research

Insomnia Subtypes and the Subsequent Risks of Stroke: Report From a Nationally Representative Cohort Clinical Sciences
Conclusions— Insomnia predisposes individuals to increased risk of stroke and this association is profound among young adults. Our results underscore the clinical importance of identifying and treating insomnia. A novel behavioral intervention targeting insomnia that may prevent stroke should be explored.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Wu, M.-P., Lin, H.-J., Weng, S.-F., Ho, C.-H., Wang, J.-J., Hsu, Y.-W. Tags: Behavioral/psychosocial - stroke Clinical Sciences Source Type: research

Obstructive Sleep Apnea in Acute Stroke: A Role for Systemic Inflammation Clinical Sciences
Conclusions— Use of bed-side somnography technology revealed that in an unselected sample of patients with acute ischemic stroke, almost 90% had sleep-disordered breathing with third having severe form of the disorder. Sleep-disordered breathing was associated with significantly increased levels of inflammatory biomarkers, providing possible pathophysiological explanation of OSA-associated stroke risk. These results warrant prospective screening of patients with stroke for the presence of sleep-disordered breathing and lay the rationale for an interventional trial.
Source: Stroke - April 24, 2016 Category: Neurology Authors: Ifergane, G., Ovanyan, A., Toledano, R., Goldbart, A., Abu-Salame, I., Tal, A., Stavsky, M., Novack, V. Tags: Cerebrovascular Disease/Stroke, Ischemic Stroke Clinical Sciences Source Type: research

Imaging and Baseline Predictors of Cognitive Performance in Minor Ischemic Stroke and Patients With Transient Ischemic Attack at 90 Days Clinical Sciences
Conclusions— Despite average-range cognitive performance in this TIA and population with minor stroke, we found associations of EF and PS with evidence of previous stroke, postevent disability, and depression.
Source: Stroke - February 22, 2016 Category: Neurology Authors: Mandzia, J. L., Smith, E. E., Horton, M., Hanly, P., Barber, P. A., Godzwon, C., Donaldson, E., Asdaghi, N., Patel, S., Coutts, S. B. Tags: Complications, Cerebrovascular Disease/Stroke, Cognitive Impairment, Ischemic Stroke, Transient Ischemic Attack (TIA) Clinical Sciences Source Type: research

Noninvasive Ventilatory Correction in Patients With Acute Ischemic Stroke Brief Report
Conclusions—NIVC seems to be associated with greater short-term neurological improvement in acute ischemic stroke patients with obstructive sleep apnea. This finding deserves further investigation within the settings of an adequately powered, sham-control, randomized clinical trial.
Source: Stroke - July 24, 2017 Category: Neurology Authors: Georgios Tsivgoulis, Andrei V. Alexandrov, Aristeidis H. Katsanos, Kristian Barlinn, Robert Mikulik, Vaia Lambadiari, Anastasios Bonakis, Anne W. Alexandrov Tags: Ischemic Stroke Brief Reports Source Type: research

Objective and subjective sleep problems and quality of life of rehabilitation in patients with mild to moderate stroke.
Conclusion: Objective sleep parameters (sleep onset latency and sleep efficiency) were found to be associated with quality of life during the early stage of rehabilitation in mild to moderate stroke patients. PMID: 31618116 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 15, 2019 Category: Neurology Authors: Kim WH, Yoo YH, Lim JY, Kang SG, Jung HY, Bae JN, Joa KL Tags: Top Stroke Rehabil Source Type: research

The prevalence and course of neuropsychiatric symptoms in stroke patients impact functional recovery during in-hospital rehabilitation.
Conclusions: Neuropsychiatric symptoms are common in stroke patients undergoing rehabilitation and have a substantially negative impact on rehabilitation outcomes. Stroke patients with prolonged acute-phase hospitalization and low functioning at admission must be monitored to detect any deterioration in the neuropsychiatric state. PMID: 33427120 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - January 10, 2021 Category: Neurology Authors: Suzuki A, Mutai H, Furukawa T, Wakabayashi A, Hanihara T Tags: Top Stroke Rehabil Source Type: research

Is the epworth sleepiness scale suitable for use in stroke?
Conclusion: The ESS-8 has good construct validity for use in stroke and is reliable at the cutpoint of 10. Summed raw scores below 18 will be unaffected if nondrivers either score as zero or simply omit item 8. The scale is therefore robust for detecting cases of pathological sleepiness in stroke but may not be suitable for measuring high levels of sleepiness in a sample containing both drivers and nondrivers. Instead, the ESS-7 could be used for this purpose. PMID: 24273296 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - November 1, 2013 Category: Neurology Authors: Mills RJ, Koufali M, Sharma A, Tennant A, Young CA Tags: Top Stroke Rehabil Source Type: research

Lifestyle Risk Factors for Ischemic Stroke and Transient Ischemic Attack in Young Adults in the Stroke in Young Fabry Patients Study Original Contributions
Conclusions— In this large European cohort of young patients with acute ischemic cerebrovascular events, modifiable risk factors were highly prevalent, particularly in men and older patients. These data emphasize the need for vigorous primary and secondary prevention measures already in young populations targeting modifiable lifestyle vascular risk factors. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique Identifier: NCT00414583.
Source: Stroke - December 24, 2012 Category: Neurology Authors: von Sarnowski, B., Putaala, J., Grittner, U., Gaertner, B., Schminke, U., Curtze, S., Huber, R., Tanislav, C., Lichy, C., Demarin, V., Basic-Kes, V., Ringelstein, E. B., Neumann-Haefelin, T., Enzinger, C., Fazekas, F., Rothwell, P. M., Dichgans, M., Junge Tags: Risk Factors, Acute Cerebral Infarction, Primary and Secondary Stroke Prevention, Risk Factors for Stroke Original Contributions Source Type: research

Assessing the efficacy of different upper limb hemiparesis interventions on improving health-related quality of life in stroke patients: a systematic review.
CONCLUSION: The review demonstrates the need for upper limb intervention studies to focus on QOL as a primary outcome measure in addition to the functional outcomes currently used. PMID: 23611858 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - March 1, 2013 Category: Neurology Authors: Pulman J, Buckley E Tags: Top Stroke Rehabil Source Type: research

Fibrinolytic activity and platelet function in subjects with obstructive sleep apnoea and a patent foramen ovale: is there an option for prevention of ischaemic stroke?
Authors: Reggiani M, Karttunen V, Wartiovaara-Kautto U, Riutta A, Uchiyama S, Hillbom M Abstract Obstructive sleep apnoea (OSA) carries an increased risk of ischaemic stroke, but the underlying mechanism is not clear. As right-to-left shunting can occur through a patent foramen ovale (PFO) during periods of apnoea, we investigated nocturnal changes in fibrinolytic activity and platelet function in subjects who had OSA with or without PFO and in controls. We determined plasminogen activator inhibitor 1 (PAI-1) activity and antigen and platelet activation parameters. The severity of OSA was verified by polygraphy and...
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Survivor gives us a lens into regional systems of care for acute ischemic stroke in North Dakota
I just got back from the North Dakota Mission: Lifeline STEMI and Acute Stroke Conference in Bismark, ND. I had a great time and I learned a lot. I often get asked to speak in various venues about acute STEMI and 12-lead ECG interpretation, but for this conference they wanted me to talk mostly about stroke. That turned out to be a good thing because it forced me to read the 2013 AHA / ASA Guildelines for the Early Management of Patients With Acute Ischemic Stroke to make sure I was asking intelligent questions during the panel discussion (which I moderated) and also giving accurate information for the class I taught about ...
Source: EMS 12-Lead - May 31, 2013 Category: Cardiology Authors: Tom Bouthillet Tags: ems-topics patient-management North Dakota Mission Lifeline Stroke Source Type: research