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The exact prevalence of sleep disorders after stroke or transient ischemic attacks (TIA) is not yet clear.
Recently, a study published in the leading journal in the field of cardiovascular disease, researchers aim to identify the prevalence of acute, subacute and chronic sleep apnea, insomnia, periodic leg movements, and restless leg syndrome after stroke or TIA, and to assess the role of characteristics (e.g. age) and methodological characteristics (e.g., study quality) in regulating prevalence.
conducted a systematic review and meta-analysis, starting with embase and PubMed, which was created from the database until December 18, 2019.
researchers included 64,047 adults in 169 studies (forward-looking, retrospective, case-control, and cross-sectional studies) that showed the prevalence of sleep disorders after stroke or TIA.
In the acute phase, the overall prevalence of breathing with mild, moderate and severe sleep disorders was 66.8%, 50.3% and 31.6% (95% CI was 63.8-69.7, 41.9-58.7 and 24.9-39.1), respectively.
In the subacute phase, the prevalence of breathing with mild, moderate and severe sleep disorders was 65.5%, 44.3% and 36.1%, respectively (95% CI was 58.9-71.5, 36.1-52.8 and 22.2-52.8).
In the chronic period, the overall prevalence of breathing with mild, moderate and severe sleep disorders was 66.2%, 33.1% and 25.1%, respectively (95% CI was 58.6-73.1, 24.8-42.6 and 10.9-47.6).
prevalence of acute, subacute and chronic insomnia was 40.7%, 42.6% and 35.9%, respectively (95% CI was 31.8-50.3, 31.7-54.1 and 28.6-44.0).
In the acute, subacute and chronic stages, the combined prevalence of sleep cyclical leg movements was 32.0%, 27.3% and 48.2%, respectively (95% CI was 7.4-73.5, 11.6-51.7 and 33.1-63.5).
prevalence of acute and chronic restless leg syndrome was 10.4% and 13.7%, respectively (95% CI was 6.4-16.4 and 2.3-51.8).
age, gender, compulsive disorder, smoking history, and study areas have significant regulatory effects on the occurrence of sleep disorders.
shows that sleep disorders after stroke or TIA are very common over time.
the study show the importance of early screening and treatment of sleep disorders after stroke or TIA.