Post-stroke sleep disorders in Egyptian patients by using simply administered questionnaires: a study from Ain Shams University

Abstract

Introduction: Stroke is a leading cause of disability worldwide with grave morbidity and mortality. Sleep and stroke have a definite intermingling neuropathological relationship, so along with expeditious acute management, efficient secondary prevention and consistent rehabilitation, sleep disorders' management has a hand in offering a medical service up to the mark. Objective: Screening of sleep disorders' prevalence in patients who survived a previous stroke by applying simple questionnaires and to determine the correlation between these disorders and stroke's demographic, clinical, and risk factor variables. Methods: Cross-sectional prospective study on 75 stroke patients from stroke outpatient clinic and all patients were subjected to answer a sheet of sleep questionnaire, Pittsburg Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Apnea/Hypopnea Index (AHI), Arabic versions. Results A total of 70.6 % were found to have sleep disorders, 61.6% had poor sleep quality, 20% had a severe degree of excessive day time sleepiness (EDS). Sleep disorders were more prevalent in the moderate severity of stroke by NIHSS and in the first 1-4 weeks. There was no correlation between the occurrence of sleep disorders and the site of the lesion. Conclusion: Sleep disorders are broadly prevalent after a stroke. Resulting damage impedes the functional outcome. Simple questionnaires are easy applicable methods for screening of such disorders in post-stroke patients. Guidelines needed regarding screening and management of sleep disorders after a stroke.

The prevalence and determining factors of sleep disorders vary by gender in the Egyptian public officials: a large cross-sectional study

“…We found significant associations between physical and mental health statuses and sleep disorders. A consistent high prevalence of sleep disorders was reported in chronically ill patients (Ibrahim and Wegdan 2011;Abd Elsadek et al 2019;Mansour et al 2020); however, many longitudinal reports indicated sleep disorders as a risk factor for physical and mental health problems, suggesting bidirectional associations of sleep disorders and health status (Alvaro et al 2013).…”

“…Unfortunately, there has been no study to determine the prevalence and correlates of poor sleep disorders in this large and vital sector of Egyptian society. The previous Egyptian studies investigated sleep disorders in small samples of students (Ismail 2017;Salama 2017) or chronically ill patients (Ibrahim and Wegdan 2011;Abd Elsadek et al 2019;Mansour et al 2020). Therefore, we aimed to estimate the prevalence and correlates of sleep disorders in Egyptian public officials using a large Egyptian sample of a joint bilateral project between Egypt and Japan .…”

Development of insomnia in patients with stroke: A systematic review and meta-analysis

“…Further, we excluded 927 studies by the exclusion criteria. Overall, 111 studies were retained for the full-text evaluation, and finally 26 studies were included in the meta-analysis ( Fig 2 ) [ 7 , 19 – 43 ].…”

Post-Stroke Sleep Disorders among Egyptian Patients

“…A significant portion of stroke patients, between 20% to 63%, exhibit various sleep abnormalities, including hypersomnia, insomnia, parasomnias, circadian rhythm problems, periodic limb movement disorder, and sleep-disordered breathing, according to research by Kernan et al (18) . Mansour et al (19) , demonstrated that 70.6% of people experienced sleep difficulties, this is unquestionably a major problem. 10.7% of people with 14.7% insomnia had it as a child.…”

“…Additionally taken into consideration as predictors of the patient's sleep quality were daytime dysfunction, latency, and sleep duration. Additionally, Mansour et al (19) found that 17.3% of patients had severe EDS, including breathing disorders that interfere with sleep. Eight patients (10.6%) had a severe form of apnea, compared to 14 patients (18.7%) who had a moderate form.…”