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The sleep respiratory troubles (central apnea or CHEYNES-Stokes dyspnea) are frequent after stroke. The association of the sleep respiratory troubles with a reserved functional prognosis is debated. The purpose is to find out the frequency of the sleep respiratory troubles after stroke in a PRM department and to study their relationship with functional and neurological recovery.
The sleep respiratory troubles (central apnea or CHEYNES-Stokes dyspnea) are frequent after stroke. The association of the sleep respiratory troubles with a reserved functional prognosis is debated. The purpose is to find out the frequency of the sleep respiratory troubles after stroke in a PRM department and to study their relationship with functional and neurological recovery.
Forty-five patients with the average of 58,2 years had been included in this prospective MONOCENTRICAL study. The detection of the sleep respiratory troubles was realised using a nocturnal oxymetry device and measuring the inspiratory flow, gathering the index of apnea-hypopnea.
The NIHSS, the FIM and the FUGL-MEYER scales were used at the moment of inclusion and two months AFTERWORDS.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| With sleep APNEA | Sleeping Apnea Syndrome (SAS) screening usin an APNEA LINK device within the 10 first days following the admission Diagnosis and medical care by a sleeping disorder qualified specialist | ||
| Without sleep APNEA | Sleeping Apnea Syndrome (SAS) screening usin an APNEA LINK device within the 10 first days following the admission |
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| Measure | Description | Time Frame |
|---|---|---|
| the variation of the FIM (Functional Independence Measure) | defined by the FIM score after 2 months minus the FIM score at the initial moment(T0) | at 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| age | at inclusion | |
| BMI (Body Mass Index) | at inclusion | |
| Score NIHSS (National Institute of Health Stroke Score) |
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Inclusion Criteria:
Patient's or one family member's agreement for participation in the study Being aged over 18 years Stroke history in the past 6 months (ischemic or hemorrhagic) Hospitalisation in PRM department and participation to a rehabilitation program during study Patient belonging to the social security system
Exclusion Criteria:
Patient having a sleep apnea syndrome known prior to inclusion Patient presenting a cardiorespiratory INSUFIENCY Patients being INABLE to carry-out the tests or presenting a mental disorder Patients who started already their rehabilitation program before in another PRM center or department
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Patients with stroke history in the past 6 months (ischemic or hemorrhagic) and Hospitalisation in PRM department and participation to a rehabilitation program during study
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| Name | Affiliation | Role |
|---|---|---|
| Alain YELNIK, MD,PhD | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRM Department, Hôpital Fernand Widal - Pr Alain YELNIK | Paris | 75010 | France |
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| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| D012891 | Sleep Apnea Syndromes |
| ID | Term |
|---|---|
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
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Comparison between inclusion and 2 months |
| at 2 months |
| Fugl Meyer Assessment of Motor Recovery after Stroke | comparison between inclusion and 2 months | at 2 months |
| Epworth Sleepiness Scale (ESS) | at inclusion |
| Attention tests | BAWL Test (Batterie Attentionnelle William Lennox) | at inclusion |
| D020920 |
| Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |