Post‐stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study
Background Poor sleep is common after stroke, and data regarding its effect on rehabilitation outcomes are limited. Controversial evidence was found concerning the effect of sedatives on improving sleep quality in poor sleepers after stroke. Aim To assess the prevalence of poor sleep in post‐stroke...
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| Veröffentlicht in: | Internal medicine journal 2020-02, Vol.50 (2), p.208-213 |
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| creator | Iddagoda, Mayura T. Inderjeeth, Charles A. Chan, Kien Raymond, Warren D. |
| description | Background
Poor sleep is common after stroke, and data regarding its effect on rehabilitation outcomes are limited. Controversial evidence was found concerning the effect of sedatives on improving sleep quality in poor sleepers after stroke.
Aim
To assess the prevalence of poor sleep in post‐stroke patients and its effect on rehabilitation outcomes.
Method
A total of 104 stroke patients from two major stroke rehabilitation units in Western Australia was enrolled. Sleep quality was assessed using the Pittsburgh Sleep Quality Indexes at baseline and after stroke. The main outcome measures were Functional Independence Measure (FIM) change and length of stay (LOS). Sedative use during this period was also recorded.
Results
A total of 29.8% post‐stroke patients suffered from poor sleep. There was no relationship between poor sleep and the stroke characteristics, such as severity, side and type, or demographics, such as age and gender. Poor sleep quality was inversely associated with rehabilitation outcomes measured by FIM (Rs. −0.317, P = 0.005). However, there was no significant association between sleep quality and LOS (P = 0.763). Sedatives were used in 18.2% of patients but had no impact on sleep quality or rehabilitation outcomes.
Conclusion
This research supported that poor sleep was frequent after stroke and had negative effects on rehabilitation outcomes. Use of sedatives was of limited benefit to improve sleep quality, and further studies are required to search for strategies to improve sleep problems after stroke. |
| doi_str_mv | 10.1111/imj.14372 |
| format | Article |
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Poor sleep is common after stroke, and data regarding its effect on rehabilitation outcomes are limited. Controversial evidence was found concerning the effect of sedatives on improving sleep quality in poor sleepers after stroke.
Aim
To assess the prevalence of poor sleep in post‐stroke patients and its effect on rehabilitation outcomes.
Method
A total of 104 stroke patients from two major stroke rehabilitation units in Western Australia was enrolled. Sleep quality was assessed using the Pittsburgh Sleep Quality Indexes at baseline and after stroke. The main outcome measures were Functional Independence Measure (FIM) change and length of stay (LOS). Sedative use during this period was also recorded.
Results
A total of 29.8% post‐stroke patients suffered from poor sleep. There was no relationship between poor sleep and the stroke characteristics, such as severity, side and type, or demographics, such as age and gender. Poor sleep quality was inversely associated with rehabilitation outcomes measured by FIM (Rs. −0.317, P = 0.005). However, there was no significant association between sleep quality and LOS (P = 0.763). Sedatives were used in 18.2% of patients but had no impact on sleep quality or rehabilitation outcomes.
Conclusion
This research supported that poor sleep was frequent after stroke and had negative effects on rehabilitation outcomes. Use of sedatives was of limited benefit to improve sleep quality, and further studies are required to search for strategies to improve sleep problems after stroke.</description><identifier>ISSN: 1444-0903</identifier><identifier>EISSN: 1445-5994</identifier><identifier>DOI: 10.1111/imj.14372</identifier><identifier>PMID: 31111660</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Aged ; Aged, 80 and over ; Anesthesia ; Cohort analysis ; Demography ; Disability Evaluation ; Female ; Humans ; length of stay ; Length of Stay - statistics & numerical data ; Male ; poor sleep ; Prospective Studies ; Quality ; Recovery of Function ; Rehabilitation ; Rehabilitation Centers ; rehabilitation outcome ; Sedatives ; Sleep ; Sleep deprivation ; Sleep disorders ; Sleep Wake Disorders - complications ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - physiopathology ; Stroke ; Stroke - complications ; Stroke - physiopathology ; Stroke - therapy ; Stroke Rehabilitation ; Treatment Outcome ; Western Australia</subject><ispartof>Internal medicine journal, 2020-02, Vol.50 (2), p.208-213</ispartof><rights>2019 Royal Australasian College of Physicians</rights><rights>2019 Royal Australasian College of Physicians.</rights><rights>2020 Royal Australasian College of Physicians</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3882-3d6e70c155ac9ff8f4b5793bd43eddc2adc1abada904cce496ba1011932d0f4c3</citedby><cites>FETCH-LOGICAL-c3882-3d6e70c155ac9ff8f4b5793bd43eddc2adc1abada904cce496ba1011932d0f4c3</cites><orcidid>0000-0002-0631-5797 ; 0000-0003-0535-963X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fimj.14372$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fimj.14372$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31111660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iddagoda, Mayura T.</creatorcontrib><creatorcontrib>Inderjeeth, Charles A.</creatorcontrib><creatorcontrib>Chan, Kien</creatorcontrib><creatorcontrib>Raymond, Warren D.</creatorcontrib><title>Post‐stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study</title><title>Internal medicine journal</title><addtitle>Intern Med J</addtitle><description>Background
Poor sleep is common after stroke, and data regarding its effect on rehabilitation outcomes are limited. Controversial evidence was found concerning the effect of sedatives on improving sleep quality in poor sleepers after stroke.
Aim
To assess the prevalence of poor sleep in post‐stroke patients and its effect on rehabilitation outcomes.
Method
A total of 104 stroke patients from two major stroke rehabilitation units in Western Australia was enrolled. Sleep quality was assessed using the Pittsburgh Sleep Quality Indexes at baseline and after stroke. The main outcome measures were Functional Independence Measure (FIM) change and length of stay (LOS). Sedative use during this period was also recorded.
Results
A total of 29.8% post‐stroke patients suffered from poor sleep. There was no relationship between poor sleep and the stroke characteristics, such as severity, side and type, or demographics, such as age and gender. Poor sleep quality was inversely associated with rehabilitation outcomes measured by FIM (Rs. −0.317, P = 0.005). However, there was no significant association between sleep quality and LOS (P = 0.763). Sedatives were used in 18.2% of patients but had no impact on sleep quality or rehabilitation outcomes.
Conclusion
This research supported that poor sleep was frequent after stroke and had negative effects on rehabilitation outcomes. Use of sedatives was of limited benefit to improve sleep quality, and further studies are required to search for strategies to improve sleep problems after stroke.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia</subject><subject>Cohort analysis</subject><subject>Demography</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Humans</subject><subject>length of stay</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>poor sleep</subject><subject>Prospective Studies</subject><subject>Quality</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>rehabilitation outcome</subject><subject>Sedatives</subject><subject>Sleep</subject><subject>Sleep deprivation</subject><subject>Sleep disorders</subject><subject>Sleep Wake Disorders - complications</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Sleep Wake Disorders - physiopathology</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Stroke - physiopathology</subject><subject>Stroke - therapy</subject><subject>Stroke Rehabilitation</subject><subject>Treatment Outcome</subject><subject>Western Australia</subject><issn>1444-0903</issn><issn>1445-5994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1OHDEUha0IxM-GIi8QWaIJxYD_5sd0CAEBgZIikdJZHvuO8DIzXmxP0HZ5BJ6RJ8HLEgokbnNv8Z2jcw9CXyg5pHmO3DA_pILX7BPaoUKURSml2Hi5RUEk4dtoN8Y5IbTmUmyhbb6SVRXZQX9--pie_j3GFPwd4NgDLLB1MU2h1aOBiPVocYBb3breJZ2cH7GfkvEDxGOs8SL4uACT3F_Axt_6kHAW2-VntNnpPsLe656h3-dnv06_F9c_Li5PT64Lw5uGFdxWUBNDy1Ib2XVNJ9qylry1goO1hmlrqG611ZIIY0DIqtWUUCo5s6QThs_Qt7VvDnI_QUxqcNFA3-sR_BQVY5yRuhGlzOj-O3TupzDmdIrxkgnZVKzO1MGaMvmzGKBTi-AGHZaKErXqTeW61Uvdmf366ji1A9g38n-_GThaAw-uh-XHTury5mpt-QygIIu-</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Iddagoda, Mayura T.</creator><creator>Inderjeeth, Charles A.</creator><creator>Chan, Kien</creator><creator>Raymond, Warren D.</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0631-5797</orcidid><orcidid>https://orcid.org/0000-0003-0535-963X</orcidid></search><sort><creationdate>202002</creationdate><title>Post‐stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study</title><author>Iddagoda, Mayura T. ; Inderjeeth, Charles A. ; Chan, Kien ; Raymond, Warren D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3882-3d6e70c155ac9ff8f4b5793bd43eddc2adc1abada904cce496ba1011932d0f4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia</topic><topic>Cohort analysis</topic><topic>Demography</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Humans</topic><topic>length of stay</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>poor sleep</topic><topic>Prospective Studies</topic><topic>Quality</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Rehabilitation Centers</topic><topic>rehabilitation outcome</topic><topic>Sedatives</topic><topic>Sleep</topic><topic>Sleep deprivation</topic><topic>Sleep disorders</topic><topic>Sleep Wake Disorders - complications</topic><topic>Sleep Wake Disorders - diagnosis</topic><topic>Sleep Wake Disorders - physiopathology</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Stroke - physiopathology</topic><topic>Stroke - therapy</topic><topic>Stroke Rehabilitation</topic><topic>Treatment Outcome</topic><topic>Western Australia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iddagoda, Mayura T.</creatorcontrib><creatorcontrib>Inderjeeth, Charles A.</creatorcontrib><creatorcontrib>Chan, Kien</creatorcontrib><creatorcontrib>Raymond, Warren D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Internal medicine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iddagoda, Mayura T.</au><au>Inderjeeth, Charles A.</au><au>Chan, Kien</au><au>Raymond, Warren D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post‐stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study</atitle><jtitle>Internal medicine journal</jtitle><addtitle>Intern Med J</addtitle><date>2020-02</date><risdate>2020</risdate><volume>50</volume><issue>2</issue><spage>208</spage><epage>213</epage><pages>208-213</pages><issn>1444-0903</issn><eissn>1445-5994</eissn><abstract>Background
Poor sleep is common after stroke, and data regarding its effect on rehabilitation outcomes are limited. Controversial evidence was found concerning the effect of sedatives on improving sleep quality in poor sleepers after stroke.
Aim
To assess the prevalence of poor sleep in post‐stroke patients and its effect on rehabilitation outcomes.
Method
A total of 104 stroke patients from two major stroke rehabilitation units in Western Australia was enrolled. Sleep quality was assessed using the Pittsburgh Sleep Quality Indexes at baseline and after stroke. The main outcome measures were Functional Independence Measure (FIM) change and length of stay (LOS). Sedative use during this period was also recorded.
Results
A total of 29.8% post‐stroke patients suffered from poor sleep. There was no relationship between poor sleep and the stroke characteristics, such as severity, side and type, or demographics, such as age and gender. Poor sleep quality was inversely associated with rehabilitation outcomes measured by FIM (Rs. −0.317, P = 0.005). However, there was no significant association between sleep quality and LOS (P = 0.763). Sedatives were used in 18.2% of patients but had no impact on sleep quality or rehabilitation outcomes.
Conclusion
This research supported that poor sleep was frequent after stroke and had negative effects on rehabilitation outcomes. Use of sedatives was of limited benefit to improve sleep quality, and further studies are required to search for strategies to improve sleep problems after stroke.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>31111660</pmid><doi>10.1111/imj.14372</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0631-5797</orcidid><orcidid>https://orcid.org/0000-0003-0535-963X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal medicine journal, 2020-02, Vol.50 (2), p.208-213 |
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| subjects | Aged Aged, 80 and over Anesthesia Cohort analysis Demography Disability Evaluation Female Humans length of stay Length of Stay - statistics & numerical data Male poor sleep Prospective Studies Quality Recovery of Function Rehabilitation Rehabilitation Centers rehabilitation outcome Sedatives Sleep Sleep deprivation Sleep disorders Sleep Wake Disorders - complications Sleep Wake Disorders - diagnosis Sleep Wake Disorders - physiopathology Stroke Stroke - complications Stroke - physiopathology Stroke - therapy Stroke Rehabilitation Treatment Outcome Western Australia |
| title | Post‐stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study |
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