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Total 345 results found since Jan 2013.

Post-Stroke Insomnia Increased the Risk of Cognitive Impairments: A Hospital-Based Retrospective Cohort Study
CONCLUSIONS: Patients who had a stroke and were diagnosed with insomnia exhibited a substantial increased risk of cognitive impairment over time.PMID:36606311 | DOI:10.1080/15402002.2023.2165491
Source: Behavioral Sleep Medicine - January 6, 2023 Category: Sleep Medicine Authors: Faizul Hasan Muhammad Solihuddin Muhtar Dean Wu Hsin-Chien Lee Yen-Chun Fan Ting-Jhen Chen Hsiao-Yean Chiu Source Type: research

Agreement between stroke patients and family members for ascertaining pre-stroke risk for sleep apnea
Conclusions: Spouse and child proxy use of the Berlin questionnaire may be an option to assess a patient’s pre-stroke likelihood of sleep apnea. Whereas prospective studies of incident stroke in patients with and without objectively confirmed sleep apnea would require formidable resources, our results suggest that an alternative strategy may involve proxy use of the Berlin questionnaire in a retrospective study design.
Source: Sleep Medicine - November 18, 2013 Category: Sleep Medicine Authors: Sarah L. Reeves, Devin L. Brown, Ronald D. Chervin, Lewis B. Morgenstern, Melinda A. Smith, Lynda D. Lisabeth Tags: Original Papers Source Type: research

Associations between Cardioembolic Stroke and Obstructive Sleep Apnea
Conclusions:There appears to be a strong association between obstructive sleep apnea (OSA) and cardioembolic (CE) stroke. In patients with OSA presenting with cryptogenic stroke, high clinical suspicion for CE is warranted. This may lead to consideration of diagnostic studies to identify CE risk factors such as paroxysmal atrial fibrillation (AF). CE strokes are more common in patients with OSA even after adjusting for AF. This finding may reflect a high rate of occult paroxysmal AF in this population; alternatively, OSA may lead to CE strokes through mechanisms independent of AF.Citation:Lipford MC, Flemming KD, Calvin AD...
Source: Sleep - October 31, 2015 Category: Sleep Medicine Source Type: research

In-hospital diagnosis of sleep apnea in stroke patients using a portable acoustic device.
CONCLUSIONS: This study demonstrates that BresoDx is well tolerated and feasible to use in the post-stroke population where it was found to have excellent positive and negative predictive values for the diagnosis of SA. PMID: 27913972 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - December 1, 2016 Category: Sleep Medicine Authors: Ryan CM, Wilton K, Bradley TD, Alshaer H Tags: Sleep Breath Source Type: research

Role of Positive Airway Pressure Therapy for Obstructive Sleep Apnea in Patients With Stroke: A Randomized Controlled Trial
Conclusions:These findings suggest significantly better stroke outcomes and statistically nonsignificant favorable outcomes in terms of recurrence of vascular events for patients with stroke and OSA who use CPAP treatment.Clinical Trial Registration:Registry: Clinical Trials Registry - India, CTRI Registration No: CTRI/2016/07.007104, Title: Sleep Disordered Breathing in stroke patients: Effect of treatment trial, URL:http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=8682&EncHid=&userName=sleep%20disordered%20breathingCitation:Gupta A, Shukla G, Afsar M, Poornima S, Pandey RM, Goyal V, Srivastava A, Vibha D, Beha...
Source: Journal of Clinical Sleep Medicine : JCSM - April 13, 2018 Category: Sleep Medicine Source Type: research

Effect of CPAP Treatment of Sleep Apnea on Clinical Prognosis After Ischemic Stroke: An Observational Study
Conclusions:This observational study shows that CPAP treatment in stroke patients with moderate to severe SDB is associated with lower rates of stroke recurrence and death.Citation:Haba-Rubio J, Vujica J, Franc Y, Michel P, Heinzer R. Effect of CPAP treatment of sleep apnea on clinical prognosis after ischemic stroke: an observational study.J Clin Sleep Med. 2019;15(6):839–847.
Source: Journal of Clinical Sleep Medicine : JCSM - June 15, 2019 Category: Sleep Medicine Source Type: research

Cardiac autonomic dynamics during sleep are lost in patients with TIA and stroke.
Abstract Ischaemic stroke is accompanied by important alterations of cardiac autonomic control, which have an impact on stroke outcome. In sleep, cardiac autonomic control oscillates with a predominant sympathetic modulation during REM sleep. We aimed to assess cardiac autonomic control in different sleep stages in patients with ischaemic stroke. Forty-five patients enrolled in the prospective, multicentre SAS-CARE study but without significant sleep-disordered breathing (apnea-hypopnea index < 15/hr) and without atrial fibrillation were included in this analysis. The mean age was 56 years, 68% were male, 76...
Source: Journal of Sleep Research - June 12, 2019 Category: Sleep Medicine Authors: Tobaldini E, Proserpio P, Oppo V, Figorilli M, Fiorelli EM, Manconi M, Agostoni EC, Nobili L, Montano N, Horvath T, Bassetti CL Tags: J Sleep Res Source Type: research

The independent and combined association of napping and night sleep duration with stroke in Chinese rural adults
CONCLUSION: The napping duration and nocturnal sleep duration have independently and jointly effects on stroke in rural populations. More research is required to explore the underlying mechanisms for this relationship.CLINICAL TRIAL REGISTRATION: The Henan Rural Cohort Study has been registered on the Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699) ( http://www.chictr.org.cn/showproj.aspx?proj=11375 ).PMID:35469369 | DOI:10.1007/s11325-022-02619-w
Source: Sleep and Breathing - April 26, 2022 Category: Sleep Medicine Authors: Jing Yang Xiaotian Liu Zhihan Zhai Wei Liao Yaling He Xueyan Wu Chongjian Wang Chunyang Sun Yuqian Li Source Type: research

Nonapnea sleep disorders are associated with subsequent ischemic stroke risk: a nationwide, population-based, retrospective cohort study
Conclusions: Our nationwide, population-based, retrospective cohort study provides evidence that patients with NSD were at increased risk for developing ischemic stroke compared to patients without diagnosed sleep disorder, with men and the elderly being at greatest risk.
Source: Sleep Medicine - November 11, 2013 Category: Sleep Medicine Authors: Wei-Shih Huang, Chon-Haw Tsai, Cheng-Li Lin, Fung-Chang Sung, Yen-Jung Chang, Chia-Hung Kao Tags: Original Articles Source Type: research

Nocturnal Desaturation is Associated With Atrial Fibrillation in Patients With Ischemic Stroke and Obstructive Sleep Apnea
Conclusions:Nocturnal hypoxia due to OSA is an independent predictor of AF in patients with subacute ischemic stroke. The use of overnight pulse oximeter to assess nocturnal hypoxia and predict paroxysmal AF in patients with cryptogenic stroke needs further evaluation.Commentary:A commentary on this article appears in this issue on page 667.Citation:Chen CY, Ho CH, Chen CL, Yu CC. Nocturnal desaturation is associated with atrial fibrillation in patients with ischemic stroke and obstructive sleep apnea.J Clin Sleep Med. 2017;13(5):729–735.
Source: Journal of Clinical Sleep Medicine : JCSM - May 13, 2017 Category: Sleep Medicine Source Type: research

Nocturnal Desaturation is Associated With Neurological Deterioration Following Ischemic Stroke: A Retrospective Observational Study
Conclusions:NOD in the SU was associated with END, especially during nighttime, after ischemic stroke. This suggests that treatment of sleep-disordered breathing could be a modifiable factor to possibly reduce the risk of neurological worsening among acute stroke patients.Citation:Kim TJ, Ko SB, Jeong HG, Kim CK, Kim Y, Nam K, Mo H, An SJ, Choi HA, Yoon BW. Nocturnal desaturation is associated with neurological deterioration following ischemic stroke: a retrospective observational study.J Clin Sleep Med. 2017;13(11):1273–1279.
Source: Journal of Clinical Sleep Medicine : JCSM - November 14, 2017 Category: Sleep Medicine Source Type: research

Sleep-disordered breathing and cerebral small vessel disease-acute and 6  months after ischemic stroke
In conclusion, 6 months after stroke, AHI decreased, but 44% still had AHI ≥ 15. Persistent SDB in both the acute state and at follow-up was associated with a higher SVD score, but not to the TOAST subgroups. SDB evaluation should be offered to stroke patients, and the effect of SDB on cerebral small vessel disease needs to be further investigated using the well-defined SVD score.TRIAL REGISTRATION: clinicaltrials.gov NCT02111408, April 11, 2014.PMID:34476728 | DOI:10.1007/s11325-021-02482-1
Source: Sleep and Breathing - September 3, 2021 Category: Sleep Medicine Authors: Sofie Amalie Simonsen Adam Vittrup Andersen Anders Sode West Frauke Wolfram Poul Jennum Helle K Iversen Source Type: research

Restless legs syndrome/Willis-Ekbom disease among patients with resistant hypertension versus stroke patients-a prospective study
CONCLUSION: This study demonstrated a high prevalence of RLS among patients with resistant hypertension. RLS characteristics are different from those in patients with stroke, and very similar to primary RLS.PMID:34716522 | DOI:10.1007/s11325-021-02490-1
Source: Sleep and Breathing - October 30, 2021 Category: Sleep Medicine Authors: Anupama Gupta Garima Shukla Gautam Sharma Ambuj Roy Mohammed Afsar Balram Bhargava Source Type: research