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- Title
Presence of Self-Reported Sleep Alterations After Stroke and Their Relationship With Disability: A Longitudinal Study.
- Authors
Rangel, Marcela Ferreira de Andrade; Silva, Leonardo Carvalho; Gonçalves, Estefany Horrany; Silva, Andressa; Teixeira-Salmela, Luci Fuscaldi; Scianni, Aline Alvim
- Abstract
Background: Sleep disorders have a prevalence of 30% to 70% in post-stroke individuals. The presence of sleep disorders and poor sleep quality after stroke can affect important functions and lead to worse outcomes. However, most studies are restricted to the acute post-stroke stage only. Objective: To investigate the frequency of self-reported sleep alterations in a sample of chronic stroke individuals and to identify which self-reported sleep alterations were associated with disability. Methods: Prospective exploratory study. Self-reported sleep alterations were measured by the Pittsburgh Sleep Quality Index, Insomnia Severity Index, Epworth Sleepiness Scale, and STOP-Bang Questionnaire. The dependent variable was measured 3 years after the first contact by the Modified Rankin Scale (mRS). Step-wise multiple linear regression analysis was employed to identify which sleep alterations were associated with disability. Results: Sixty-five individuals with stroke participated. About 67.7% of participants had poor sleep quality, 52.4% reported insomnia symptoms, 33.9% reported excessive daytime sleepiness, and 80.0% were classified as intermediate or high risk for obstructive sleep apnea. Only risk for obstructive sleep apnea was significantly associated with disability and explained 5% of the variance in the mRS scores. Conclusion: Self-reported sleep alterations had a considerable frequency in a sample of chronic stroke individuals. The risk of obstructive sleep apnea was associated with disability in the chronic stage of stroke. Sleep alterations must be considered and evaluated in the rehabilitation process even after a long period since the stroke onset.
- Subjects
BRAZIL; SELF-evaluation; RISK assessment; STATISTICAL models; DATA analysis; RESEARCH funding; QUESTIONNAIRES; MULTIPLE regression analysis; INSOMNIA; FUNCTIONAL assessment; FUNCTIONAL status; SEVERITY of illness index; DESCRIPTIVE statistics; CHRONIC diseases; LONGITUDINAL method; RESEARCH; SLEEP apnea syndromes; METROPOLITAN areas; STATISTICS; STROKE rehabilitation; SLEEP quality; STROKE; DROWSINESS; DATA analysis software; CONFIDENCE intervals; POLYSOMNOGRAPHY; SLEEP disorders; REGRESSION analysis; DISEASE risk factors; DISEASE complications
- Publication
Neurorehabilitation & Neural Repair, 2024, Vol 38, Issue 7, p518
- ISSN
1545-9683
- Publication type
Article
- DOI
10.1177/15459683241252826