ArticleFrontiers in neurology2025
Polysomnographic correlates of self-and caregiver-reported sleep problems in post-stroke patients.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Early Screening of Sleep-Disordered Breathing Using a Smartphone-Based Portable System in Stroke Patients and Its Relevance for Rehabilitation: A Prospective Observational Study.Sensors (Basel, Switzerland) · 2026Observational
- Joint trajectories of sleep quality and cognitive function after acute ischemic stroke: a prospective cohort study using group-based dual trajectory modeling.Frontiers in medicine · 2026Article
- Post-intracerebral hemorrhage depression comorbid with obstructive sleep apnea and REM sleep behavior disorder: a case report and literature review.Frontiers in psychiatry · 2026Article
- Chronic Insomnia and Stroke Risk-A Real Bidirectional Issue.Life (Basel, Switzerland) · 2025Review
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Post-stroke sleep disorders (PSSD) are under-reported and under-treated, despite their impact on recovery, quality of life, and post-stroke depression. Although polysomnography (PSG) is the gold standard for diagnosis, its limited availability leads to underdiagnosis. Aims: To assess the prevalence of PSSD based on patient- and caregiver-reported data, and to evaluate their concordance with findings from overnight PSG in post-stroke patients. Methods: In this cross-sectional study, adult patients (aged ≥18 years) with ischemic or hemorrhagic stroke (1 month to 1 year post-onset) were assessed. Sleep-related history was obtained from patients and caregivers. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), risk of obstructive sleep apnea (OSA) was assessed with the STOP-BANG questionnaire, and depression and anxiety were evaluated with the Hamilton Depression Rating Scale (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A), respectively. Stroke severity and outcomes were evaluated using the modified Rankin Scale (mRS) and Stroke-Specific Quality of Life Scale (SS-QoL). A subset underwent overnight PSG using a 14-channel SOMNOmedics system, analyzed per American Academy of Sleep Medicine (AASM) criteria. The Apnea-Hypopnea Index (AHI) was used to quantify sleep-disordered breathing. Results: Out of 103 enrolled patients, 41 (39.8%) underwent PSG. While only 23.3% ( Conclusion: There is poor correlation between self/caregiver-reported sleep problems and PSG-confirmed diagnoses in post-stroke patients. Proactive screening using structured questionnaires and PSG (or alternatives such as actigraphy) is essential in resource-limited settings to detect and treat sleep disorders that may impact recovery.
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