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

Completed
Conditions
Sleep Apnea, Obstructive
Registration Number
NCT01321229
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the variation of the FIM (Functional Independence Measure)at 2 months

defined by the FIM score after 2 months minus the FIM score at the initial moment(T0)

Secondary Outcome Measures
NameTimeMethod
ageat inclusion
Score NIHSS (National Institute of Health Stroke Score)at 2 months

Comparison between inclusion and 2 months

BMI (Body Mass Index)at inclusion
Fugl Meyer Assessment of Motor Recovery after Strokeat 2 months

comparison between inclusion and 2 months

Epworth Sleepiness Scale (ESS)at inclusion
Attention testsat inclusion

BAWL Test (Batterie Attentionnelle William Lennox)

Trial Locations

Locations (1)

PRM Department, Hôpital Fernand Widal - Pr Alain YELNIK

🇫🇷

Paris, France

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