Sleep-disordered breathing in patients enrolled in an inpatient stroke rehabilitation program.

Abstract

OBJECTIVE:

To report the prevalence of sleep-disordered breathing in an inpatient stroke rehabilitation unit and to explore correlations with functional status and health-related quality of life.

DESIGN:

Cross-sectional study.

SETTING:

Rehabilitation center.

PARTICIPANTS:

Consecutive patients (N=45; mean age, 67+/-12y) (28 men) enrolled in inpatient rehabilitation after ischemic (84%) or hemorrhagic stroke (16%).

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURES:

Overnight respiratory polysomnography was performed on all subjects. Interviewer-administered scales of sleepiness (Epworth Sleepiness Scale) and functional status (FIM, Barthel Index) were completed. Health-related quality of life was assessed by using a general questionnaire (Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]).

RESULTS:

Of the 45 subjects tested, only 4 (9%) had an apnea-hypopnea index of less than 10 per hour. The mean apnea-hypopnea index was 32.2 (19.4) per hour; most events were obstructive. There was no relationship between the respiratory index and the components of SF-36 (P values>.2).

CONCLUSIONS:

There was a dramatically high prevalence of respiratory events in patients after stroke enrolled in an inpatient stroke rehabilitation unit. The awareness of this will influence patient evaluation and management.

• Authors: Dina Brooks, Lori Davis, Nada Vujovic-Zotovic, Chris Boulias, Farooq Ismail, Denyse Richardson, Roger S Goldstein
• Journal: Archives of physical medicine and rehabilitation (Arch Phys Med Rehabil) Vol. 91 Issue 4 Pg. 659-62 (Apr 2010) ISSN: 1532-821X [Electronic] United States
• PMID: 20382303 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Topics

• Aged
• Cross-Sectional Studies
• Female
• Humans
• Male
• Middle Aged
• Polysomnography
• Prevalence
• Rehabilitation Centers
• Sleep Apnea Syndromes (etiology, physiopathology)
• Stroke (complications)