Article

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.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS