title: Recommendations of the Sleep Study Group of the Italian Dementia Research Association (SINDem) on clinical assessment and management of sleep disorders in individuals with mild cognitive impairment and dementia: a clinical review.
abstract: Clinical assessment and management of sleep disturbances in patients with mild cognitive impairment and dementia has important clinical and social implications. Poor sleep results in an increased risk of morbidities and mortality in demented patients and is a source of stress for caregivers. Sleep disturbances show high prevalence in mild cognitive impairment and dementia patients and they are often associated one to another in the same patient. A careful clinical evaluation of sleep disorders should be performed routinely in the clinical setting of individuals with cognitive decline. The Sleep Study Group of the Italian Dementia Research Association (SINDem) reviewed evidence from original research articles, meta-analyses and systematic reviews published up to December 2013. The evidence was classified in quality levels (I, II, III) and strength of recommendations (A, B, C, D, E). Where there was a lack of evidence, but clear consensus, good practice points were provided. These recommendations may not be appropriate for all circumstances and should therefore be adopted only after a patient's individual characteristics have been carefully evaluated.
authors.affiliation: Center of Sleep Medicine, Villa Serena Hospital, Città S. Angelo, Pescara, Italy, bmariaguarnieri@villaserena.it.
authors.forename: B
authors.initials: B
authors.lastname: Guarnieri
authors.forename: M
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authors.lastname: Musicco
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authors.initials: P
authors.lastname: Caffarra
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authors.initials: F
authors.lastname: Adorni
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authors.lastname: Appollonio
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authors.initials: D
authors.lastname: Arnaldi
authors.forename: A
authors.initials: A
authors.lastname: Bartoli
authors.forename: E
authors.initials: E
authors.lastname: Bonanni
authors.forename: U
authors.initials: U
authors.lastname: Bonuccelli
authors.forename: C
authors.initials: C
authors.lastname: Caltagirone
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authors.lastname: Cerroni
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authors.lastname: Concari
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authors.initials: FI
authors.lastname: Cosentino
authors.forename: S
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authors.lastname: Fermi
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authors.initials: R
authors.lastname: Ferri
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authors.lastname: Gelosa
authors.forename: G
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authors.lastname: Lombardi
authors.forename: S
authors.initials: S
authors.lastname: Mearelli
authors.forename: F
authors.initials: F
authors.lastname: Nobili
authors.forename: S
authors.initials: S
authors.lastname: Passero
authors.forename: R
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authors.lastname: Perri
authors.forename: R
authors.initials: R
authors.lastname: Rocchi
authors.forename: P
authors.initials: P
authors.lastname: Sucapane
authors.forename: G
authors.initials: G
authors.lastname: Tognoni
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authors.lastname: Zabberoni
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authors.lastname: Sorbi
mesh_terms: D060825:Cognitive Dysfunction / Q000150:complications*; D003704:Dementia / Q000150:complications*; D006801:Humans; D007558:Italy; D017063:Outcome Assessment, Health Care / Q000379:methods / Q000592:standards*; D012893:Sleep Wake Disorders / Q000209:etiology* / Q000628:therapy*