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Ischemic stroke is a major public health issue, likely to cause functional disability. It is well known that sleep has an impact on brain plasticity, and after an ischemic stroke, studies have shown subjective sleep quality alterations and sleep architecture abnormalities.
Furthermore, there is no clear guideline showing the usefulness of a systematic sleep investigation following an ischemic stroke.
The aim of the study is to identify retrospectively correlation between polysomnographic abnormalities (sleep apnea, periodic limb movements, disturbed sleep architecture…) and functional recovery after an ischemic stroke. The study also assesses the impact of sleep abnormalities on survival, and the risk of new cardiovascular event.
This study is a retrospective observational study, from a cohort of patients who had a sleep recording (polysomnography or ventilatory polygraphy performed in Montpellier University Hospital) following an ischemic stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients with a sleep recording performed | patients with a sleep recording performed in the sleep unit in Montpellier University Hospital, who had an ischemic stroke before the recording. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sleep recording (already done) | Other | Sleep recording (already done) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between polysomnographic abnormalities and functional recovery | polysomnographic abnormalities : sleep apnea, periodic limb movements, distribution of sleep stage / functional recovery : modified rankin score and National Institutes of Health Stroke Scale at 6 months | functional recovery at 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between polysomnographic abnormalities and survival, onset of new cardio vascular events, functionnal recovery and quality of life. | polysomnographic abnormalities : sleep apnea, periodic limb movements, distribution of sleep stage / survival or onset of cardio vascular events, quality of life (SF 36), modified rankin score and National Institutes of Health Stroke Scale at one year. | survival or onset of new cardio vascular events at one year, quality of life evaluated by self questionnaire at one year and functionnal recovery (modified rankin score and National Institutes of Health Stroke Scale) at one year |
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Inclusion criteria:
Exclusion criteria:
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Patients selected with computer codes of disease and examination corresponding to the criteria : sleep recording and ischemic stroke
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| Name | Affiliation | Role |
|---|---|---|
| Yves DAUVILLIERS, MD PhD | University Hospital, Montpellier | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uhmontpellier | Montpellier | 34295 | France |
NC
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| D002544 | Cerebral Infarction |
| D012891 | Sleep Apnea Syndromes |
| D020189 | Nocturnal Myoclonus Syndrome |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D020520 | Brain Infarction |
| D002545 | Brain Ischemia |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D020447 | Parasomnias |
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