Abstract
IntroductionStroke 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.ObjectiveScreening 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.MethodsCross-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. ResultsA 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.ConclusionSleep 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.
Highlights
Stroke is a leading cause of disability worldwide with grave morbidity and mortality
Ain Shams University Hospital is a tertiary center for neurology and an accredited center for offering comprehensive stroke services in the region through our stroke unit and stroke outpatient clinic
Sleep disorders are growingly recognized as a salient consideration while management of different neurological diseases and stroke [3,4,5,6], though its weightiness, only about 6% of stroke survivors are offered formal sleep testing and an estimated 2% complete such testing in the 3-month post-stroke period
Summary
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. Stroke is a leading cause of disability worldwide with grave morbidity and mortality [1]. It is the second cause of death in Egypt, after ischemic heart disease with a high prevalence of 963/100000 populations [2]. 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. That may be ought to uncertain timing for proper sleep testing after a stroke [7], added to inadequate awareness about sleep disorders and implication on stroke’s outcome and overwhelming with vascular treatment
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