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Sleep-Disordered Breathing in Acute Stroke: A Single-Center, Prospective, Longitudinal Study
Panagiotis Plomaritis1, Aikaterini Theodorou1, Konstantinos Lourentzos1
1Second Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Journal of Clinical Medicine
|February 11, 2023
Summary
Sleep-disordered breathing (SDB) affects 79% of acute stroke patients, increasing with age, male sex, and daytime sleepiness. Early SDB detection is crucial for improving stroke patient outcomes.
Area of Science:
- Neurology
- Sleep Medicine
- Cardiology
Background:
- Sleep-disordered breathing (SDB) is prevalent in acute stroke patients.
- Investigating SDB prevalence, severity, and predictors in this population is essential.
Purpose of the Study:
- To determine the prevalence, severity, and type of SDB in acute stroke patients.
- To identify independent predictors of SDB.
- To explore the association between SDB and functional outcomes at three months post-stroke.
Main Methods:
- Prospective study of 130 acute stroke patients undergoing polysomnography within 72 hours of symptom onset.
- Evaluation of daytime sleepiness (ESS), stroke severity (NIHSS), and functional outcome (mRS).
- SDB diagnosis based on standard polysomnography criteria.
Main Results:
- SDB detected in 79% of patients.
- Independent predictors of SDB included older age, male sex, and abnormal Epworth Sleepiness Scale (ESS) scores.
- Higher NIHSS scores and Apnea-Hypopnea Index (AHI) predicted better functional outcomes (mRS 0-1) at three months.
Conclusions:
- High prevalence and severity of SDB in acute stroke patients.
- SDB negatively impacts functional outcomes.
- Polysomnography should be integrated into acute stroke work-up and management.
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