Non-breathing-related sleep disorders following stroke

Márquez-Romero, Juan Manuel; Morales-Ramírez, M.; Araúz, Antonio

doi:10.1016/j.nrleng.2013.04.005

Cited by 2 publications

(2 citation statements)

References 63 publications

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“…Post-stroke pain and social support showed no association with PSSD. Conclusions: We found the prevalence of PSSD and the factors related to PSSD in the sub-acute/chronic stages of stroke have rarely been investigated [7,8] .…”

Section: Introductionmentioning

confidence: 84%

Sleep Disturbances at 3 Months after Cerebral Infarction

2016

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Background: Post-stroke sleep disturbances (PSSD) are common and associated with various adverse outcomes. However, PSSD in the sub-acute stages of stroke have been scarcely studied. We aimed to evaluate the characteristics of and the factors related to PSSD in stroke patients 3 months post stroke. Methods: A total of 199 patients were evaluated for PSSD at 3 months after stroke. The qualities of nighttime sleep and excessive daytime sleepiness (EDS) were assessed using the Verran Snyder-Halpern sleep scale and Epworth Sleepiness Scale, respectively. Presence of motor dysfunction and post-stroke pain, post-stroke depression, fatigue and social support were evaluated. Results: Eighty-eight patients (44.2%) had poor quality of nighttime sleep. Twenty-eight patients (14.4%) reported EDS. Poor quality of nighttime sleep was independently associated with depression (p = 0.044) and EDS (p = 0.041) whereas fatigue (p < 0.001) and poor nighttime sleep (p = 0.045) were independently associated with EDS. Post-stroke pain and social support showed no association with PSSD. Conclusions: We found that the occurrence of PSSD 3 months after stroke is common. Although causality remained to be determined, depression and nighttime sleep disturbances were related, whereas fatigue and nighttime sleep disturbances were related to EDS.

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Section: Introductionmentioning

confidence: 84%

Sleep Disturbances at 3 Months after Cerebral Infarction

2016

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“…With increasing sympathetic tone, PLMS may directly induce hypertension, tachycardia, and coronary arterial disease [4]. These comorbidities are thought to be strongly associated with cardiovascular disease (CVD) and cerebrovascular accidents (CVA) [3,5]. It is therefore reasonable to assume that the incidence rates of CVD and CVA would be higher in patients with PLMS.…”

Section: Introductionmentioning

confidence: 99%

Cerebrovascular Accident Risk in a Population with Periodic Limb Movements of Sleep: A Preliminary Meta-Analysis

Lin

Zeng

Chen³

et al. 2018

Cerebrovasc Dis

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Background and Purpose: Periodic limb movements of sleep (PLMS) are usually comorbid with hypertension, tachycardia, and coronary arterial diseases, which are also risk factors for cerebrovascular accidents (CVA). However, evidence about the relationship between CVA and PLMS is still weak. The aim of this study was to investigate (1) the prevalence of CVA in patients with PLMS, and (2) the severity of PLMS in patients with or without CVA through a meta-analysis. Methods: The electronic databases of PubMed, Embase, ScienceDirect, ClinicalKey, Cochrane Library, ProQuest, Web of Science, and ClinicalTrials.gov were searched. The inclusion criteria were (1) articles investigating comorbidity between PLMS and CVA, and (2) clinical trials in humans. Results: This meta-analysis included (1) 9,823 patients with PLMS and 9,416 controls from 5 studies to analyze the prevalence of CVA in PLMS, and (2) 158 patients with PLMS with CVA and 88 PLMS controls without CVA from 3 studies to analyze the severity of PLMS with and without CVA. The results showed (1) significantly higher comorbidity rates of CVA in the patients with PLMS than in the controls without PLMS (OR 1.267, p = 0.019), and (2) higher PLM index in the patients with CVA than in the controls (Hedges’ g = 0.860, p = 0.001; means difference: 4.435, p = 0.016). Conclusions: The results revealed (1) a worse severity of PLMS in the patients with CVA, and (2) increased prevalence of CVA in the patients with PLMS. Based on our results, the patients had a higher prevalence of CVA within 8 years of a diagnosis of PLMS compared to those without PLMS by about 1.3-fold. Whether (1) patients with PLMS receiving treatment have a similar incidence of stroke to those without PLMS, and (2) secondary stroke prevention can lower the severity of PLMS or whether those with severe PLMS have a higher risk of stroke is still inconclusive. Future studies investigating the prevalence of CVA in patients with PLMS should use a follow-up period of over 8 years.

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Non-breathing-related sleep disorders following stroke

Cited by 2 publications

References 63 publications

Sleep Disturbances at 3 Months after Cerebral Infarction

Sleep Disturbances at 3 Months after Cerebral Infarction

Cerebrovascular Accident Risk in a Population with Periodic Limb Movements of Sleep: A Preliminary Meta-Analysis

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