The Influence of the Sleep Apnea on the Neurological and Functional Recovery

Assistance Publique - Hôpitaux de Paris45 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Sleep Apnea, Obstructive

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

PRM Department, Hôpital Fernand Widal - Pr Alain YELNIK

Paris, France

Outcomes

Primary Outcomes

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)

Time frame: at 2 months

Secondary Outcomes

age

Time frame: at inclusion

BMI (Body Mass Index)

Time frame: at inclusion

Score NIHSS (National Institute of Health Stroke Score)

Comparison between inclusion and 2 months

Time frame: at 2 months

Fugl Meyer Assessment of Motor Recovery after Stroke

comparison between inclusion and 2 months

Time frame: at 2 months

Epworth Sleepiness Scale (ESS)

Time frame: at inclusion

Attention tests

BAWL Test (Batterie Attentionnelle William Lennox)

Time frame: at inclusion

Data from ClinicalTrials.gov

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