ArticleJournal of neurology2013
Early sleep apnea screening on a stroke unit is feasible in patients with acute cerebral ischemia.
Article in Journal of neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- A meta-analysis of obstructive sleep apnea in patients with cerebrovascular disease.Sleep & breathing = Schlaf & Atmung · 2018Pooled it
- Trial
- Obstructive Sleep Apnea and Stroke: Determining the Mechanisms Behind their Association and Treatment Options.Translational stroke research · 2024Review
- Relationship between sleep disorders and the prognosis of neurological function after stroke.Frontiers in neurology · 2022Article
- High prevalence of obstructive sleep apnea syndrome in Spain's Stroke Belt.The Journal of international medical research · 2021Article
- Poor blood pressure control following subarachnoid hemorrhage in patients with sleep apnea.Sleep & breathing = Schlaf & Atmung · 2021Article
- Association between the high risk for obstructive sleep apnea and intracranial carotid artery calcification in patients with acute ischemic stroke.Sleep & breathing = Schlaf & Atmung · 2021Article
- Autotitrating Bilevel Positive Airway Pressure in Large Vessel Steno-Occlusive Stroke Patients With Suspected Sleep Apnea: A Multicenter Randomized Controlled Study.Frontiers in neurology · 2021Article
- SAS Care 1: sleep-disordered breathing in acute stroke an transient ischaemic attack - prevalence, evolution and association with functional outcome at 3 months, a prospective observational polysomnography study.ERJ open research · 2020Article
- Sleep-Wake Disorders in Stroke-Increased Stroke Risk and Deteriorated Recovery? An Evaluation on the Necessity for Prevention and Treatment.Current neurology and neuroscience reports · 2018Review
- Clinical Characteristics of Sleep-Disordered Breathing in Subacute Phase of Stroke.Annals of rehabilitation medicine · 2017Article
- Obstructive sleep apnea and stroke: links to health disparities.Sleep health · 2015Review
- An update in sleep neurology: the latest bedtime stories.Journal of neurology · 2015Review
- A pilot study: portable out-of-center sleep testing as an early sleep apnea screening tool in acute ischemic stroke.Nature and science of sleep · 2015Article
- Association of sleep apnea with clinically silent microvascular brain tissue changes in acute cerebral ischemia.Journal of neurology · 2014Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 2 countries.
Funding
Abstract
Early screening for sleep apnea (SA) is rarely considered in patients with acute cerebral ischemia. We aimed to evaluate the feasibility of early SA screening on a stroke unit, its impact on post-discharge SA care and the relation of SA to clinical features. Patients with acute ischemic stroke (AIS) and transient ischemic attack (TIA) prospectively underwent overnight cardiorespiratory polygraphy within 3 ± 2 days of symptom-onset. Feasibility was defined as analyzable polygraphy in 90 % of studied patients. We enrolled 61 patients (84 % AIS, 16 % TIA): mean age 66 ± 8 years, 44 % men, median NIHSS 1 (0-15), median ESS 5 (0-13). Analyzability was given in 56/61 (91.8 %; one-sided 95 % CI, lower-bound 86.0 %) patients indicating excellent feasibility of early SA screening with no significant differences in stroke severity (100 % in TIA, 91 % minor stroke, 83 % major stroke, p = 0.474). Ninety-one percent (51/56) had an apnea-hypopnea index ≥ 5/h (median: 20/h [0-79]); 32 % (18/56) mild, 30 % (17/56) moderate, and 29 % (16/56) severe SA. When comparing sleep-related ischemic stroke (SIS) and non-SIS patients, no differences were found regarding the presence (95 vs. 89 %, p = 0.49) or severity (e.g., severe SA: 32 vs. 27 %, p = 0.69) of SA. After 12 months, 27/38 (71 %) patients given specific recommendations completed in-laboratory sleep work-up and 7/27 (25 %) were prescribed for non-invasive ventilatory correction. In conclusion, early SA screening is feasible in patients with acute cerebral ischemia and may have a positive impact on post-discharge SA care. Given the high frequency and atypical presentation of SA, early screening for SA should be considered in all acute cerebral ischemia patients.
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Registered trials
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