Elderly Stroke Patients Research Articles

Factors affecting the quality of life of homebound elderly hemiparetic stroke patients with cognitive impairment.

[Purpose] This study examined the quality of life of homebound elderly hemiparetic stroke patients with cognitive impairment and the factors affecting their quality of life. [Subjects and Methods] The subjects of the study were 17 home-based elderly hemiparetic stroke patients with cognitive impairment (8 males and 9 females, average age: 76.3 ± 10.5 years old). Their physical and psychological conditions, quality of life and other items were investigated. Nishimura’s Mental State Scale for the Elderly was used for the cognitive impairment assessment. The Functional Independence Measure was used to assess activities of daily living, and the Japanese Quality of Life Inventory for the Elderly with Dementia was used to assess quality of life. [Results] The subjects’ quality of life was affected by their cognitive impairment level and independence of activities of daily living. However, no correlations were observed between the quality of life of the homebound elderly hemiparetic stroke patients with cognitive impairment, age, gender or care-need level. [Conclusion] In order to improve the quality of life of homebound elderly hemiparetic stroke patients with cognitive impairment, assistance helping them to maintain their cognitive abilities and on-going rehabilitation for improving activities of daily living independence are required.

Comparison of bone density on the dominant and nondominant sides between healthy elderly individuals and stroke patients.

[Purpose] This study evaluated differences between healthy elderly individuals and stroke patients by comparing their dominant and nondominant sides. [Subjects and Methods] Thirty-five elderly individuals participated in this study and divided into a stroke group and a control group. The outcome measures were general characteristics and bone mineral density. Bone mineral density was evaluated by using the osteoporosis index. OsteoPro, T score, and Z score were used for the calcaneus region of the dominant side, and OsteoPro was used for that of the nondominant side. Data were analyzed by using the SPSS 12.0 software, paired-samples t-test, and independent-samples t-test. [Results] The T and Z scores showed no significant differences between the dominant and recessive sides in the control group. However, the stroke group showed significant differences in osteoporosis index, T score, and Z score between the paretic and nonparetic sides. Changes in the scores between the recessive and dominant sides showed significant differences between the two groups. [Conclusion] A positive relationship was found between physical activity and bone mineral density in the stroke patients. Therefore, improved physical activity can be beneficial by reducing osteoporosis in stroke patients.

Simple Nutritional and Inflammatory Markers Associated with Bed Sores in Elderly Stroke People

Background: Bed sores are major burden to hospital care and usually associated with worse prognosis and longer hospital stay. Aims: To evaluate whether simple biochemical inflammatory and nutritional markers would differ between those with bedsores and those without in elderly stroke patients and if there is a distinction between recent bed sore stroke patients and old bed sore stroke patients as regard these biomarkers. Methods: 80 Stroke elderly patients were enrolled and divided into four groups: patients with recent stroke who developed bedsores, patients with recent stroke who did not develop bedsores, patients with old stroke who developed bedsores and patients with old stroke who did not develop bedsores. Nutritional markers (albumin, total protein, magnesium, iron, total iron binding capacity (TIBC), hemoglobin and cholesterol) and inflammatory markers (total leucocyte count, neutrophil to lymphocyte ratio and ferritin) were compared between the four groups. Results: Concerning nutritional markers, albumin (P =< 0.001), Alb/Pr ratio (P =< 0.001), TIBC (P =< 0.001) and cholesterol (P = 0.005) are lower in the acute stroke with bed sore patients versus acute stroke without bed sore. Lower albumin (P =< 0.001) is only found in comparison between chronic stroke with bed sore patients and chronic without bed sore patients. There is a difference between acute stroke with bed sore and chronic stroke with bed sore concerning albumin (P =< 0.001), TIBC (P =< 0.001) and TG (p =< 0.001). Albumin is lower while TG and TIBC are higher in those with acute stroke with bed sores. Regarding inflammatory markers, high neutrophil and ferritin (p =< 0.001) were found in acute stroke with bed sore patients versus acute stroke without bed sore. No difference was found between chronic stroke with bed sore patients and chronic stroke without bed sore patients. Acute stroke with bed sore group has higher TLC, neutrophil, neut/lymph ratio and ferritin (p =< 0.001) than chronic stroke with bed sore group. Conclusions: Acute stroke patients with bed sores are the highest group as regard inflammatory markers due to acute stroke and bed sores together. The presence of bed sore itself causes or is caused by decrease in nutritional markers especially albumin in both, acute and chronic strokes. Other markers are more evident in acute stroke patients who develop bed sore like higher ferritin and neutrophils and lower TIBC, alb/prot ratio and cholesterol. TG differs only in relation to acute stroke but not bed sore. MG was not different between the four groups.

Environmental barriers and facilitators encountered by elderly stroke patients with somatosensory injuries

Aims: This study was designed to identify facilitators and barriers among stroke geriatrics with somatosensory injury by International classification of functioning, disability and health (ICD) categories. Methods: 78 stroke geriatrics were interviewed based on ICF categories of environmental factors of the extended version of ICF core set for stroke between June to October 2015. Results: Half or more of participants with somatosensory injury were documented with two ICF categories as a facilitator and one category as barriers. But participants without somatosensory injury were documented with six ICF categories as a facilitator and no category as barriers. It was significantly more common for stroke geriatrics with somatosensory injury to indicate immediate family (e310), friend (e320), acquaintances, peers, colleagues, neighbors and community members (e325) in ICF chapters of supports and relationship, transportation services, systems and policies (e540), health services, systems and policies(e580) in ICF chapters of services, systems and policies as barriers than normal somatosensory stroke geriatrics. Conclusion: Geriatric stroke patients with somatosensory injury perceived more several barriers relate to supports and relationship, services, systems and policies than patients without somatosensory injury.

The relationship between communication activities of daily living and quality of life among the elderly suffering from stroke.

[Purpose] Disabilities after stroke are known to have adverse effects on the quality of life. This study investigated the relationship between Communication Activities of Daily Living (C-ADL) and quality life of elderly stroke patients to provide basic data for use in enhancing the quality of life. [Subjects and Methods] One hundred sixty five elderly over the age of 60, who were diagnosed as having stroke and receiving treatment in rehabilitation departments of general hospitals were surveyed. Stroke patients’ basic communication ability to survive in daily living was measured using the C-ADL Second Edition, and stroke patients’ quality of life was measured with the Stroke-Specific Quality of Life (SSQOL). The relationship between C-ADL and SSQOL was analyzed using multiple regression analysis. [Results] C-ADL had a significant positive relationship with SSQOL. [Conclusion] This result implies that it is necessary to enhance stroke patients’ communication ability in daily living in order to raise their quality of life.

Relationship between improvement in GNRI, a nutritional index, and improvement in motor FIM in elderly stroke patients hospitalized in a &lt;i&gt;Kaifukuki&lt;/i&gt; Rehabilitation Ward

Tokunaga M, Beppu A, Tamura Y, Oowaki K, Tokunaga Y, Ishihara C, Shibata K, Tanaka K, Takayama M. Relationship between improvement in GNRI, a nutritional index, and improvement in motor FIM in elderly stroke patients hospitalized in a Kaifukuki Rehabilitation Ward. Jpn J Compr Rehabil Sci 2016; 7: 7-12.Objective: To clarify the relationship between improvement in the Geriatric Nutritional Risk Index (GNRI) and improvement in the Functional Independence Measure (FIM).Methods: The subjects were 155 patients aged 65 years or older selected among stroke patients admitted to a Kaifukuki Rehabilitation Ward. Seven items, including GNRI at hospital admission and degree of GNRI improvement, served as independent variables. For multiple regression analysis, motor FIM score at hospital discharge was the dependent variable. For multiple logistic regression analysis, motor FIM gain (1:13 points or more, 0:12 points or less) was the dependent variable.Results: GNRI at admission was a significant positive independent variable in the multiple regression analysis. GNRI at admission and degree of GNRI improvement were both significant independent variables in the multiple logistic regression analysis, with odds ratios of 1.084 and 1.090, respectively.Conclusion: Improvements in motor FIM are greater when GNRI at admission and the degree of GNRI improvement are larger.

Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association.

To critically review and evaluate the science behind individual eligibility criteria (indication/inclusion and contraindications/exclusion criteria) for intravenous recombinant tissue-type plasminogen activator (alteplase) treatment in acute ischemic stroke. This will allow us to better inform stroke providers of quantitative and qualitative risks associated with alteplase administration under selected commonly and uncommonly encountered clinical circumstances and to identify future research priorities concerning these eligibility criteria, which could potentially expand the safe and judicious use of alteplase and improve outcomes after stroke. Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association Stroke Council's Scientific Statement Oversight Committee and the American Heart Association's Manuscript Oversight Committee. The writers used systematic literature reviews, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence and to indicate gaps in current knowledge and, when appropriate, formulated recommendations using standard American Heart Association criteria. All members of the writing group had the opportunity to comment on and approved the final version of this document. The document underwent extensive American Heart Association internal peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the American Heart Association Science Advisory and Coordinating Committee. After a review of the current literature, it was clearly evident that the levels of evidence supporting individual exclusion criteria for intravenous alteplase vary widely. Several exclusionary criteria have already undergone extensive scientific study such as the clear benefit of alteplase treatment in elderly stroke patients, those with severe stroke, those with diabetes mellitus and hyperglycemia, and those with minor early ischemic changes evident on computed tomography. Some exclusions such as recent intracranial surgery are likely based on common sense and sound judgment and are unlikely to ever be subjected to a randomized, clinical trial to evaluate safety. Most other contraindications or warnings range somewhere in between. However, the differential impact of each exclusion criterion varies not only with the evidence base behind it but also with the frequency of the exclusion within the stroke population, the probability of coexistence of multiple exclusion factors in a single patient, and the variation in practice among treating clinicians.

Meteorological Factors Related to Emergency Admission of Elderly Stroke Patients in Shanghai: Analysis with a Multilayer Perceptron Neural Network.

BackgroundThe aim of this study was to predict the emergency admission of elderly stroke patients in Shanghai by using a multilayer perceptron (MLP) neural network.Material/MethodsPatients (>60 years) with first-ever stroke registered in the Emergency Center of Neurology Department, Shanghai Tenth People’s Hospital, from January 2012 to June 2014 were enrolled into the present study. Daily climate records were obtained from the National Meteorological Office. MLP was used to model the daily emergency admission into the neurology department with meteorological factors such as wind level, weather type, daily maximum temperature, lowest temperature, average temperature, and absolute temperature difference. The relationships of meteorological factors with the emergency admission due to stroke were analyzed in an MLP model.ResultsIn 886 days, 2180 first-onset elderly stroke patients were enrolled, and the average number of stroke patients was 2.46 per day. MLP was used to establish a model for the prediction of dates with low stroke admission (≤4) and those with high stroke admission (≥5). For the days with low stroke admission, the absolute temperature difference accounted for 40.7% of admissions, while for the days with high stroke admission, the weather types accounted for 73.3%.ConclusionsOutdoor temperature and related meteorological parameters are associated with stroke attack. The absolute temperature difference and the weather types have adverse effects on stroke. Further study is needed to determine if other meteorological factors such as pollutants also play important roles in stroke attack.

Intravenous Thrombolysis is Effective in Young Adults: Results from the Baden-Wuerttemberg Stroke Registry.

The efficacy of intravenous thrombolysis (IVT) is sufficiently proven in ischemic stroke patients of middle and older age by means of randomized controlled trials and large observational studies. However, data in young stroke patients ≤50 years are still scarce. In this study, we aimed to evaluate the effectiveness and safety of IVT in young adults aged 18-50 years. Data from a consecutive and prospective stroke registry was analyzed that covers a federal state with 10.8 million inhabitants in southwest Germany. Our analysis comprises 51,735 ischemic stroke patients aged 18-80 years and hospitalized from January 2008 to December 2012. Of these, 4,140 (8%) were aged 18-50 years and 7,529 (15%) underwent IVT. Data on 8,439 patients (16% of the study population) were missing for National Institutes of Health stroke severity score at admission and/or modified Rankin Scale (mRS) at discharge and were excluded from outcome analysis. In sensitivity analysis, patients with incomplete data were also examined. Binary logistic regression models were used adjusted for patient, hospital, and procedural parameters and stratified by age group (18-50 and 51-80 years, subgroup analyses 18-30, 31-40, and 41-50 years) to assess the relationship between IVT and mRS at discharge. IVT appears equally effective in young adults 18-50 years (adjusted odds ratio 1.40, 95% confidence interval 1.12-1.75; p = 0.003), compared to patients 51-80 years of age (1.33, 1.23-1.43; p < 0.001). Age-stratified analyses suggest an inverse relation of age and effectiveness, which appears to be highest in very young patients 18-30 years of age (2.78, 1.10-7.05; p = 0.03). Ischemic stroke etiology, vascular dynamics, and recovery in young patients differ from those of middle and older age. The evidence from routine hospital care in Germany indicates that IVT in young stroke patients appears to be at least equally effective as in the elderly.

Antidiabetic Medications with Traditional Chinese Medicine and Subsequent Stroke in Elderly Patients

Background Diabetes is of rising epidemic and a well-established risk factor of stroke. Experimental research have demonstrated that herbal and traditional Chinese medicines (TCM) served as complements for Western medicine may have beneficial effects on control of blood glucose and cardiovascular complications, but population-based studies are limited. Data is not available in elderly population. We …

Quality of Life and its Determinants after Stroke in Elderly Patients

Aim: This study was conducted to assess the impact of st roke on qual i ty of l i fe of elderly and to identi fy thedeterminant of QoL in geriatric stroke patients.Methods: A cross sectional study was per formed on 100 Pat ients wi th history of cerebrovascular st roke at leastthree months ago. Al l participants were subjected to complete medical history taking, cogni tive assessment: usingMini -Cog and assessment of qual i ty of l i fe by the short form 36 heal th survey (SF-36) in i ts Arabic versionResults: The cur rent study revealed that QoL of studied population was low wi th median score 34, and the mostaffected QoL domains were role l imi tation due to physical heal th (RLPH) and th at QoL was negatively cor related toage, duration, number of comorbidi ties and depression.Conclusions: HRQOL of elderly st roke patients is low, physical and emotional heal th is the mostly af fected. Mostdeterminant factor for QoL domains and sub domains was age.

Risk factors and prognosis of postoperative stroke in elderly hip fracture patients

Objective To investigate the risk factors of postoperative stroke and their effects on the prognosis in elderly hip fracture patients. Methods The clinical records of 753 elderly patients with hip fracture were analyzed who had been admitted to our department from October 2006 to December 2010. They were 503 men and 250 women, 60 to 102 years of age (average, 77.0 years). Seventeen of them(2.3%) had stroke one week postoperation and the other 736(97.7%) did not. The 2 groups were compared in gender, complications and mortality. Logistic regression was conducted to determine the independent risk factors of postoperative stroke in elderly patients with hip fracture. Results There were more females in the stroke group than in the normal group (58.8% versus 41.2%). Most patients who suffered a stroke in the stroke group were complicated with more than 3 internal diseases. History of arrhythmia, history of stoke, intraop-erative abnormal blood pressure were independent risk factors of acute stoke after hip fracture operation in elderly patients (P 0.05). The one-year mortality in the stroke group (35.7%) was significantly higher than in the normal group (9.0%), showing significant difference in survival curve (P< 0.01). Conclusions The risk of stroke within one week postoperation must not be neglected in elderly hip fracture patients. History of arrhythmia, history of stoke, and intraoperative abnormal blood pressure are independent risk factors of acute stoke after hip fracture operation in elderly patients. Patients who suffer a stroke the first week after operation usually have prolonged hospital stay, increased risk of infection, poor short-term and long-term prognosis. Key words: Aged; Hip; Fractures, bone; Stroke; Functional recovery

노인 뇌졸중환자의 수분섭취교육 프로그램의 적용 효과

Purpose: This study was to verify the effects of a fluid therapy education program for aged stroke patients for preventing dehydration, pyuria and bacteriuria. Methods: The study employed a non-equivalent control group pretest-posttest design in quasi experimental basis. Subjects were 38 stroke patients (20 in the experimental group and 18 in the control group) older than 65, hospitalized in a senior care center in S city, Korea. Results: The amount of daily average fluid intake, normal ratio of blood urea nitrogen-creatinine ratio, serum Na + and urine white blood cells were increased significantly in the experimental group. Normal ratio of bacteriuria increased in the experimental group, but not significantly. Conclusion: The education program is considered to be an effective nursing intervention tool for preventing dehydration and urinary tract infections which related to the secondary wellness of aged stroke patients. However, longer term study is necessary for better quality of nursing and developing more specific education programs for aged stroke patients usually hospitalized for a long period of time.

Impact of Cervical Stabilization Exercises and Breathing Retraining Impact on the Respiratory Function of Elderly Stroke Patients with Hemiplegia: a Randomized Control Trial

Impact of Cervical Stabilization Exercises and Breathing Retraining Impact on the Respiratory Function of Elderly Stroke Patients with Hemiplegia: a Randomized Control Trial

Study of the Recovery Patterns of Elderly Subacute Stroke Patients in an Interdisciplinary Neurorehabilitation Unit

This study seeks to establish the facts of the improvement over time in elderly poststroke patients. A retrospective study was performed with regard to 106 subacute stroke patients aged older than 65 years, who were treated in an interdisciplinary neurorehabilitation unit. Three assessment points were established (on admission, 6 months post-onset, and 12 months post-onset), with the scores relative to 10 assessment scales having been collected at each point. By means of a principal component analysis, a first component was obtained, which is taken to represent a combined index of the 10 scales and to express the overall health status of the patient. An analysis of variance of this first component enabled a clear improvement trend to be identified, with this being more marked during the first 6-month period (72.7%) than the second 6-month period (27.3%). The elderly stroke patients underwent an interdisciplinary rehabilitation program lasting 1 year, experimented an initial period of rapid recovery during the first 6 months followed by a less marked period of improvement. However, no stabilization period in the patients' progress was found.

Sex Differences in Outcomes and Associated Risk Factors After Acute Ischemic Stroke in Elderly Patients: A Prospective Follow-up Study

Stroke has a greater effect on women. However, sex differences in outcome and factors associated with outcome among elderly patients are unknown. From January 2009 to December 2011, 810 patients with acute ischemic stroke aged 75 years or older were recruited in China. Clinical profile and risk factors were recorded. Outcomes and associated risk factors at 12 and 36 months after stroke were assessed by sex. Hypertension, diabetes mellitus, dyslipidemias, and obesity prevalence rates were higher in women than in men; opposite trends were found for smoking and alcohol consumption. The mortality rate at 12 months after stroke was significantly greater in men than in women (23.3% versus 16.6%, P = .015). Large-artery atherothrombotic and cardioembolic stroke subtypes were risk factors for mortality, recurrence, and dependency in both sexes. In men, atrial fibrillation was a risk factor of mortality at 12 months after stroke (relative ratio [RR], 2.12; 95% confidence interval [CI], 1.38-3.27), but obesity was a protective factor of mortality at 36 months after stroke (RR, .30; 95% CI, .10-.94). However, in women, atrial fibrillation was a risk factor of recurrence at 12 months (RR, 2.32; 95% CI, 1.31-4.12) and dependency at 36 months after stroke (RR, 7.68; 95% CI, 1.60-36.82). We assessed sex differences in stroke outcomes and associated risk factors at 12 and 36 months after stroke in a large hospital-based stroke registry of elderly patients from Northern China. Thus, it is crucial to emphasize risk management to elderly patients to reduce mortality, recurrence, and dependency after stroke.

Correlation of post-stroke depression with stroke deficit scale and serum brain-derived neurotrophic factor levels in the elderly

Objective To explore the association of post-stroke depression (PSD) with the scale of stroke deficit and serum brain-derived neurotrophic factor levels in the elderly. Methods A total of 150 elderly stroke patients from the department of neurology of our hospital were recruited from August 2010 to September 2013. Patients were assessed by the Hamilton depression rating scale (HAMD), the National Institutes of Health Stroke Scale (NIHSS), and the Activities of Daily Living Scale (ADL). In addition, serum BDNF levels were determined by ELISA. Results 42.0% of the 150 elderly patients suffered depression after stroke (63/150). There were significant differences in neurological function impairment and ADL scores between the PSD group and the non-PSD group 〔(14.72±4.06) vs. (5.51±1.93) and (40.63±17.06) vs. (79.66±29.31), t=18.49 and 9.47, respectively, P<0.0001 for both〕. HAMD and NIHSS scores showed positive correlations with the degree of depression (r=0.998 and 0.962, P=0.0012 and 0.0375, respectively). ADL scores and serum BDNF levels decreased as the degree of depression increased, and were negatively correlated with the degree of depression (r=-0.985 and -0.995, P=0.0149 and 0.0049, respectively). Conclusions The degree of post-stoke depression is positively correlated with the scale of neurological dysfunction and negatively correlated with the activities of daily living scale and serum BDNF levels in the elderly. The primary disease should be properly treated, and improvement in brain metabolism and micro-circulation should be attempted to alleviate neurological dysfunction. In addition, rehabilitation therapy should be performed early in elderly stroke patients in order to improve physical activity and self-care ability, thus reducing the degree of disability and depression. Key words: Stoke; Depression; Cognition disorders; Brain-derived neurotrophic factor

Aerobic, Resistance, and Cognitive Exercise Training Poststroke.

Stroke may cause physical or cognitive impairments. Approximately 50% to 75% of all stroke survivors have residual motor or cognitive disabilities that prevent them from living independently. Muscle weakness is considered a major cause of motor disability in stroke patients.1 Impaired walking occurs in as many as 80% of individuals immediately after stroke,2 with muscle weakness in the paretic limb explaining ≤50% of the variance in gait among individuals with chronic mild-to-moderate poststroke hemiparesis.3 As a result, gait patterns become asymmetrical and gait speed reduced.4 Additionally, impaired walking is commonly observed beyond 6 months after stroke.5 This lack of walking competency can precipitate and exacerbate a sedentary lifestyle and cardiovascular deconditioning. Previous work has shown that maximal oxygen consumption (VO2max), as a measurement of cardiovascular fitness, is reduced to 10 to 17 mL/kg/min within the first month after stroke6 and remains below 20 mL/kg/min beyond 6 months.7 The same values can be 45% lower than in age-matched and healthy individuals.8 The implication of low VO2max becomes even more important knowing that a minimum of 20 mL/kg/min is needed for performing daily activities9 and for independent living among older stroke patients.10 In addition to stroke-related decline in cardiovascular fitness, a natural decline in VO2max occurs after the age of 50, averaging a 5% to 10% (or ≈ 5 mL/kg/min) loss per decade. Therefore, elderly stroke patients may face disease- and age-related declines in cardiorespiratory fitness. In a meta-analysis of 11 studies (n=1105), low physical activity (PA) levels, for example, 4355 daily steps taken, have been observed among stroke patients.11 People with other chronic diseases, such as chronic pulmonary obstructive disease, have reported as few as 2237 steps a day.12 The medical establishment, including …

Rapidly progressive intracranial artery stenosis in primary antiphospholipid syndrome.

Antiphospholipid antibody syndrome (APS) is usually a disease of young adults. In elderly stroke patients APS was not associated with progressive intracerebral stenosis in the past. Here, we report a 65-year-old patient who presented with recurrent ischemic strokes associated with progressive stenosis of the right middle cerebral artery. Antiphospholipid antibodies were detected and treatment with plasma exchange, tapered steroids, and anticoagulants was successful. This case demonstrates that APS should be considered also in elderly stroke patients. This is of particular relevance since APS confers a significant risk to angioplasty and stenting procedures which therefore should be avoided in APS.

Analysis on sleep state of urban and rural elderly stroke patients in Hebei Province

Objective To explore sleep state of urban and rural elderly stroke patients, and to provide the basis for countermeasures. Methods A total of 6 173 elder patients from July 2012 to May 2013 were selected by using the stratified cluster sampling method. The Pittsburgh Sleep Quality Index (PSQI) was used for the sleep evaluation. Results The incidence of sleeping disorders was 12.4% in the urban and 15.4% in the rural elder patients, which was significantly different (χ2=11.154, P<0.01). In addition, 1 641 patients had sleeping disorders, with an incidence of 26.6%. Among them, the incidence of sleeping disorders was 34.9% in the elder patients with stroke, and 25.2%in the elder patients without stroke, which was significantly different (χ2=35.473, P<0.01). There were significant differences in the sleep quality, sleep latency, terms of sleep time, sleep efficiency, the use of hypnotic drugs, daytime dysfunction, sleep disorders between patients with and without stroke (P<0.05). Conclusions The incidence of sleeping disorders in elderly people is high, and stroke is one of the influential factors of sleep disorders, so we should pay more attention to it. Key words: Elderly; Stroke; Sleeping disorder