ArticleSleep medicine2019
Sleep apnea screening is uncommon after stroke.
Article in Sleep medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses 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
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Clinical prediction models for the early diagnosis of obstructive sleep apnea in stroke patients: a systematic review.Systematic reviews · 2024Pooled it
- Post-stroke sleep disturbance and recurrent cardiovascular and cerebrovascular events: A systematic review and meta-analysis.Sleep medicine · 2023Pooled it
- Quality Improvement Intervention to Increase Sleep Apnea Diagnostic Testing After Stroke and Transient Ischemic Attack: A Cluster Randomized Trial.JAMA network open · 2025Trial
- Screening for undiagnosed obstructive sleep apnea in patients with acute stroke or TIA.BMC neurology · 2026Observational
- Advances in screening for obstructive sleep apnea in stroke patients using the APNOEIC score.Sleep & breathing = Schlaf & Atmung · 2026Article
- Global Prevalence of Sleep-Disordered Breathing in Intracerebral Hemorrhage Survivors: A Meta-Analysis and Systematic Review.Neurology international · 2026Review
- Detecting sleep stages after stroke using wearable sensors: machine learning design and challenges.BMJ digital health & AI · 2026Article
- Radar Multiple Bin Selection for Breathing and Heart Rate Monitoring in Acute Stroke Patients in a Clinical Setting.Sensors (Basel, Switzerland) · 2025Article
- Exploring the links between sleep quality and stroke risk in older adults.Scientific reports · 2025Article
- Opportunistic pharyngeal length measurement on routine brain MRI: A novel screening tool for severe obstructive sleep apnea in acute stroke.Sleep & breathing = Schlaf & Atmung · 2025Article
- Sleep dysfunction in stroke survivors impacts caregiver burden and functional recovery-an observational study.Sleep & breathing = Schlaf & Atmung · 2025Observational
- Barriers to and facilitators of implementing obstructive sleep apnea screening in stroke patients: a scoping review protocol.Frontiers in neurology · 2025Article
- Continuous positive airway pressure in acute ischemic stroke patients with obstructive sleep apnea: analysis of the National Inpatient Sample database.Frontiers in neurology · 2025Article
- Screening moderate to severe obstructive sleep apnea with wearable device.Sleep & breathing = Schlaf & Atmung · 2024Article
- Assessing sleep metrics in stroke survivors: a comparison between objective and subjective measures.Sleep & breathing = Schlaf & Atmung · 2024Article
- Sleep Apnea and Stroke: A Narrative Review.Chest · 2024Review
- Up-to-date advance in the relationship between OSA and stroke: a narrative review.Sleep & breathing = Schlaf & Atmung · 2024Review
- Heterogeneity of obstructive sleep apnea phenotypes after ischemic stroke: Outcome variation by cluster analysis.Sleep medicine · 2024Observational
- Longitudinal Assessment of Sleep Apnea in the Year After Stroke in a Population-Based Study.Stroke · 2023Article
- The case for improving the detection and treatment of obstructive sleep apnea following stroke.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
OBJECTIVE/
backgroundTo assess (1) pre and post-stroke screening for sleep apnea (SA) within a population-based study without an academic medical center, and (2) ethnic differences in post-stroke sleep apnea screening among Mexican Americans (MAs) and non-Hispanic whites (NHWs). PATIENTS/
methodsMAs and NHWs with stroke in the Brain Attack Surveillance in Corpus Christi project (2011-2015) were interviewed shortly after stroke about the pre-stroke period, and again at approximately 90 days after stroke in reference to the post-stroke period. Questions included whether any clinical provider directly asked about snoring or daytime sleepiness or had offered polysomnography. Logistic regression tested the association between these outcomes and ethnicity both unadjusted and adjusted for potential confounders.
resultsAmong 981 participants, 63% were MA. MAs in comparison to NHWs were younger, had a higher prevalence of hypertension, diabetes, and never smoking, a higher body mass index, and a lower prevalence of atrial fibrillation. Only 17% reported having been offered SA diagnostic testing pre-stroke, without a difference by ethnicity. In the post-stroke period, only 50 (5%) participants reported being directly queried about snoring; 86 (9%) reported being directly queried about sleepiness; and 55 (6%) reported having been offered polysomnography. No ethnic differences were found for these three outcomes, in unadjusted or adjusted analyses.
conclusionsScreening for classic symptoms of SA, and formal testing for SA, are rare within the first 90 days after stroke, for both MAs and NHWs. Provider education is needed to raise awareness that SA affects most patients after stroke and is associated with poor outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.