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Sleep apnea screening is uncommon after stroke.
Devin L Brown1, Xiaqing Jiang2, Chengwei Li3
1Stroke Program, University of Michigan, United States.
Sleep Medicine
|November 29, 2018
Summary
Sleep apnea screening after stroke is infrequent for all ethnic groups. Further provider education is crucial to improve detection and management of sleep apnea in post-stroke patients, regardless of ethnicity.
Area of Science:
- Neurology
- Sleep Medicine
- Public Health
Background:
- Sleep apnea (SA) is a common comorbidity following stroke, associated with adverse outcomes.
- Ethnic disparities in healthcare access and outcomes are well-documented, necessitating investigation in stroke care.
Purpose of the Study:
- To evaluate pre- and post-stroke screening rates for sleep apnea (SA) in a population-based study.
- To examine ethnic differences in SA screening between Mexican Americans (MAs) and non-Hispanic whites (NHWs) post-stroke.
Main Methods:
- A population-based study (2011-2015) interviewed 981 stroke patients (63% MA) regarding SA screening.
- Interviews assessed pre-stroke and 90-day post-stroke inquiries about snoring, daytime sleepiness, and polysomnography offers.
- Logistic regression analyzed ethnic differences, adjusting for confounders.
Main Results:
- Pre-stroke SA diagnostic testing was offered to only 17% of participants, with no ethnic difference.
- Post-stroke, only 5-9% were queried about SA symptoms (snoring/sleepiness), and 6% were offered testing.
- No significant ethnic disparities were observed in post-stroke SA screening rates between MAs and NHWs.
Conclusions:
- Formal screening and testing for sleep apnea within 90 days post-stroke are uncommon for both Mexican Americans and non-Hispanic whites.
- Healthcare provider education is essential to increase awareness of SA prevalence and its impact on post-stroke recovery.
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