title: Sleep-disordered breathing in patients enrolled in an inpatient stroke rehabilitation program.
abstract: OBJECTIVE
  To report the prevalence of sleep-disordered breathing in an inpatient stroke rehabilitation unit and to explore correlations with functional status and health-related quality of life.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Rehabilitation center.
  
  
  METHODS
  Consecutive patients (N=45; mean age, 67+/-12y) (28 men) enrolled in inpatient rehabilitation after ischemic (84%) or hemorrhagic stroke (16%).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Overnight respiratory polysomnography was performed on all subjects. Interviewer-administered scales of sleepiness (Epworth Sleepiness Scale) and functional status (FIM, Barthel Index) were completed. Health-related quality of life was assessed by using a general questionnaire (Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]).
  
  
  RESULTS
  Of the 45 subjects tested, only 4 (9%) had an apnea-hypopnea index of less than 10 per hour. The mean apnea-hypopnea index was 32.2 (19.4) per hour; most events were obstructive. There was no relationship between the respiratory index and the components of SF-36 (P values>.2).
  
  
  CONCLUSIONS
  There was a dramatically high prevalence of respiratory events in patients after stroke enrolled in an inpatient stroke rehabilitation unit. The awareness of this will influence patient evaluation and management.
authors.affiliation: Graduate Department of Rehabilitation Science, University of Toronto, Toronto, ON, Canada. dina.brooks@utoronto.ca
authors.forename: Dina
authors.initials: D
authors.lastname: Brooks
authors.forename: Lori
authors.initials: L
authors.lastname: Davis
authors.forename: Nada
authors.initials: N
authors.lastname: Vujovic-Zotovic
authors.forename: Chris
authors.initials: C
authors.lastname: Boulias
authors.forename: Farooq
authors.initials: F
authors.lastname: Ismail
authors.forename: Denyse
authors.initials: D
authors.lastname: Richardson
authors.forename: Roger S
authors.initials: RS
authors.lastname: Goldstein
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D015995:Prevalence; D012047:Rehabilitation Centers; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000503:physiopathology; D020521:Stroke / Q000150:complications*