Published Paper Details:

Abstract: PURPOSE: The aim of the study is to determine the occurrence of sleep disorders in stroke patients and their prevalence in relation to stroke. INTRODUCTION: Stroke is a medical condition in which poor blood flow to the brain results in cell death. Stroke is one of the most common neurological disorders in clinical practice. According to WHO, it is the second commonest cause of death worldwide. It is forecasted that the deaths because the of stroke will rise to 6.5 million by 2015 and by 2020, stroke and coronary artery disease are expected to be the leading causes of losing life. Earlier Surveys on stroke indifferent parts of India shown that the prevalence of stroke varies in different regions of India and ranges from 40 to 270 per 1, 00,000 populations. Stroke is responsible for around 11% of all deaths worldwide. METHODS: This Study was conducted in the neurology department of Lalitha Super Speciality Hospital, Guntur Andhra Pradesh. A 300 bedded multi specialty tertiary care hospital for a period of 6 months from 2020-2021.The procedure of the study was a prospective observational study was conducted in the hospitalized stroke patients. The inclusion criteria for the study are the patients admitted in the hospital of any age, in patients who are diagnosed with stroke, patients who are willing to participate in study and patients with sleep disorders with past medical history of stroke. RESULTS & DISCUSSION: A sample of 202 patients were enrolled into the study. The data was taken from the patient who is admitted in the hospital. In this study the prevalence of obstructive sleep apnea, possible etiologies of obstructive sleep apnea in different types of stroke patients. In order to validate the patients having obstructive sleep apnea all the patients were advised to go through polysomnography test, however, majority of the patients did not report for polysomnography test. Out of 202 patients 145patients were males and 57 females. The majority of the participants belonged to the age group of 30 to 79. Out of 145 males 74(51.03%) were alcoholics and 71(48.97%) are non-alcoholics. Out of 145 males 80(55.17%) are smokers and 65(44.83%) are non-smokers. Out of 145 males 79(54.48%) patients had obstructive sleep apnea. Out of 57 females 35(61.40%) patients had obstructive sleep apnea. Females are more susceptible or more likely to develop Obstructive sleep apnea compared to males. Patient counseling was provided to patients regarding proper sleeping posture, sleep time and duration of sleep for avoiding Obstructive sleep apnea. CONCLUSION: The results clearly show that there is clear association between Obstructive sleep apnea and Stroke in males and females. However, females are more susceptible or more likely to develop Obstructive sleep apnea compared to males. Patient counseling was provided to patients regarding proper sleeping posture, sleep time and duration of sleep for avoiding Obstructive sleep apnea. Sleep disorders are highly prevalent in patients with stroke and in those at risk for stroke. Thus, sleep disorders screening through questionnaires such as the ESS and the Berlin Questionnaire should become a part of standard of care in stroke clinics. Finally, newer strategies to educate future health-care professionals and the public about the importance of sleep and its impact on stroke and cardiovascular disease are vital.