Pre-screening of sleep-disordered breathing after stroke : A systematic review

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dc.contributor.author Takala, Mari
dc.contributor.author Puustinen, Juha
dc.contributor.author Rauhala, Esa
dc.contributor.author Holm, Anu
dc.date.accessioned 2019-02-23T15:15:01Z
dc.date.available 2019-02-23T15:15:01Z
dc.date.issued 2018-12
dc.identifier.citation Takala , M , Puustinen , J , Rauhala , E & Holm , A 2018 , ' Pre-screening of sleep-disordered breathing after stroke : A systematic review ' , Brain and Behavior , vol. 8 , no. 12 , 01146 . https://doi.org/10.1002/brb3.1146
dc.identifier.other PURE: 122587796
dc.identifier.other PURE UUID: c2ee2f23-70eb-4b12-902c-ebc19f087957
dc.identifier.other WOS: 000454301200023
dc.identifier.other Scopus: 85055721428
dc.identifier.uri http://hdl.handle.net/10138/299401
dc.description.abstract Objectives Sleep-Disordered Breathing (SDB) is frequent in stroke patients. Polysomnography (PSG) and cardiorespiratory polygraphy are used to confirm SDB, but the need for PSG exceeds the available resources for systematic testing. Therefore, a simple and robust pre-screening instrument is necessary to identify the patients with an urgent need for a targeted PSG. The aim of this systematic review was to identify and evaluate the available methods to pre-screen stroke patients possibly suffering from SDB. Materials and Methods Eleven studies out of 3,561 studies met the inclusion criteria. The selected studies assessed the efficiency of seven instruments based on the data acquired clinically or by inquiries (Berlin Questionnaire, Epworth Sleepiness Scale, SOS, Modified Sleep Apnea Scale of the Sleep Disorders Questionnaire, STOP-BANG, Four-variable Screening Tool and Multivariate Apnea Index) and three physiological measures (capnography, nocturia, nocturnal oximetry). The instruments were used to predict SDB in patients after acute or subacute stroke. Either PSG or cardiorespiratory polygraphy was used as a standard to measure SDB. Results No independent studies using the same questionnaires, methods or criteria were published reducing generalizability. Overall, the questionnaires were quite sensitive in finding SDB but not highly specific in identifying the non-affected. The physiological measures (capnography) indicated promising results in predicting SDB, but capnography is not an ideal pre-screening instrument as it requires a specialist to interpret the results. Conclusions The results of pre-screening of SDB in acute and subacute stroke patients are promising but inconsistent. The current pre-screening methods cannot readily be referred to clinicians in neurologic departments. Thus, it is necessary to conduct more research on developing novel pre-screening methods for detecting SDB after stroke. en
dc.format.extent 12
dc.language.iso eng
dc.relation.ispartof Brain and Behavior
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject pre-screening
dc.subject sleep-disordered sleeping
dc.subject stroke
dc.subject systematic review
dc.subject RISK-FACTOR
dc.subject APNEA
dc.subject QUESTIONNAIRE
dc.subject TOOL
dc.subject 3124 Neurology and psychiatry
dc.title Pre-screening of sleep-disordered breathing after stroke : A systematic review en
dc.type Review Article
dc.contributor.organization Divisions of Faculty of Pharmacy
dc.contributor.organization Division of Pharmacology and Pharmacotherapy
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1002/brb3.1146
dc.relation.issn 2162-3279
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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