Objective Sleep Measures in Inpatients With Subacute Stroke Associated With Levels and Improvements in Activities of Daily Living
| Autor: | Ching-Hsiang Lai, Ai-Hui Chung, Shen-Wen Chang, Fang-Yu Pai, Shin-Da Lee, Hua Ting, Yi-Fang Chang, Ren-Jing Huang |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Polysomnography Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Sleep Apnea Syndromes Sleep Initiation and Maintenance Disorders Activities of Daily Living medicine Insomnia Humans 030212 general & internal medicine Continuous positive airway pressure Stroke Aged Retrospective Studies Inpatients Rehabilitation medicine.diagnostic_test business.industry Stroke Rehabilitation Sleep apnea Recovery of Function Middle Aged medicine.disease Hospitalization Apnea–hypopnea index Physical therapy Female medicine.symptom Sleep onset business Sleep 030217 neurology & neurosurgery |
| Zdroj: | Archives of physical medicine and rehabilitation. 99(4) |
| ISSN: | 1532-821X |
| Popis: | Objective To investigate whether objective polysomnographic measures of prevalent sleep problems such as sleep-disordered-breathing (SDB) and insomnia are associated with activities of daily living levels in inpatients at rehabilitation units. Design Retrospective and observational study. Setting Single rehabilitation center. Participants Inpatients with subacute stroke (N=123) (61.6±13.1 years; 23.8±3.4 kg/m2; 33% women; 90.5±36.7 days post-stroke) underwent a 1-night polysomnographic study and a 1-month inpatient rehabilitation program. Main outcome measures Admission and discharge Barthel Index (BI) scores and its change scores. Results One hundred three (92%) patients had moderate-to-severe SDB (46.7±25.1 events/h in the apnea-hypopnea index), and 24 (19.5%) patients had acceptable continuous positive airway pressure adherence. Diverse values were found for total sleep time (259±71 min), sleep efficiency (69.5%±19.3%), sleep latency (24.3±30.9 min), and wakefulness after sleep onset (93.1±74.2 min). Admission BI scores and the BI change scores were 33.8±23.2 and 10.1±9.2, respectively. The National Institutes of Health Stroke Scale (NIHSS, 10.2±5.6), available in 57 (46%) patients, was negatively associated with admission levels and gains in BI change scores (P Conclusions Based on objective sleep measures, insomnia rather than SDB in inpatients with subacute stroke was associated negatively with admission levels of activity of daily living and its improvement after a 1-month rehabilitation course. |
| Databáze: | OpenAIRE |
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