Spontaneous improvement in both obstructive sleep apnea and cognitive impairment after stroke

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F17%3AA1801MPE" target="_blank" >RIV/61988987:17110/17:A1801MPE - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/17:10360824 RIV/61989100:27510/17:10237618 RIV/00843989:_____/17:E0106343

Result on the web

<a href="http://ac.els-cdn.com/S1389945717300059/1-s2.0-S1389945717300059-main.pdf?_tid=c27187dc-3099-11e7-8382-00000aacb361&acdnat=1493882440_81b93eb86c36f3b8f6ae7f52e1c89370" target="_blank" >http://ac.els-cdn.com/S1389945717300059/1-s2.0-S1389945717300059-main.pdf?_tid=c27187dc-3099-11e7-8382-00000aacb361&acdnat=1493882440_81b93eb86c36f3b8f6ae7f52e1c89370</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.sleep.2016.11.024" target="_blank" >10.1016/j.sleep.2016.11.024</a>

Result language

angličtina

Original language name

Spontaneous improvement in both obstructive sleep apnea and cognitive impairment after stroke

Original language description

Background Knowledge available about the relationship between obstructive sleep apnea (OSA) and cognitive impairment after stroke is limited. The evolution of OSA and cognitive performance after stroke is not sufficiently described. Methods We prospectively enrolled and examined acute stroke patients without previously diagnosed OSA. The following information was collected: (1) demographics, (2) sleep cardio-respiratory polygraphy (PG) at 72 h, day seven, month three, and month 12 after stroke, (3) post-stroke functional disability tests at entry and at months three and 12, and (4) cognition (attention and orientation, memory, verbal fluency, language, and visual-spatial abilities) using the revised Addenbrooke's Cognitive Examination (ACE-R) at months three and 12. Results Of 68 patients completing the study, OSA was diagnosed in 42 (61.8%) patients. The mean apnea/hypopnea index (AHI) at study entry of 21.0 ± 13.7 spontaneously declined to 11.6 ± 11.2 at month 12 in the OSA group (p &lt; 0.0005). The total ACE-R score was significantly reduced at months three (p = 0.005) and 12 (p = 0.004) in the OSA group. Poorer performance on the subtests of memory at months 3 (p = 0.039) and 12 (p = 0.040) and verbal fluency at months 3 (p &lt; 0.005) and 12 (p &lt; 0.005) were observed in the OSA group compared to non-OSA group. Visual-spatial abilities in both the OSA (p = 0.001) and non-OSA (p = 0.046) groups and the total ACE-R score in the OSA (p = 0.005) and non-OSA (p = 0.002) groups improved. Conclusions A high prevalence of OSA and cognitive decline were present in patients after an acute stroke. Spontaneous improvements in both OSA and cognitive impairment were observed.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30210 - Clinical neurology

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

SLEEP MED

ISSN

1389-9457

e-ISSN

—

Volume of the periodical

32

Issue of the periodical within the volume

1 April 2017

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

6

Pages from-to

137-142

UT code for WoS article

000400211300021

EID of the result in the Scopus database

2-s2.0-85012077553