Obstructive sleep apnea is a risk factor for death in patients with stroke: a 10-year follow-up

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Sahlin, Carin,1953-Umeå universitet,Lungmedicin (author)

Obstructive sleep apnea is a risk factor for death in patients with stroke : a 10-year follow-up

Article/chapterEnglish2008

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Chicago :American medical association,2008
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LIBRIS-ID:oai:DiVA.org:umu-18814
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-18814URI
https://doi.org/10.1001/archinternmed.2007.70DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:116547019URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Background: Sleep apnea occurs frequently among stroke patients, but it is still unknown whether a diagnosis of sleep apnea is an independent risk factor for mortality. We aimed to investigate whether obstructive or central sleep apnea was related to a reduced long-term survival among stroke patients.Methods: One hundred and thirty-two of 151 patients admitted for in-hospital stroke rehabilitation in the catchment area of Umeå from 1 April 1995 to 1 May 1997 underwent overnight sleep apnea recordings at 23 ± 8 days after onset of stroke. All patients were followed-up prospectively for a mean (SD) of 10.0 ± 0.6 years, with death as the primary outcome and no one was lost to follow-up. Obstructive sleep apnea was defined when the obstructive apnea-hypopnea index was over 15 and central sleep apnea when the central apnea-hypopnea index was over 15. Patients with an obstructive and a central apnea-hypopnea index below 15 served as controls.Results: Of 132 enrolled patients, 116 had died at follow-up. The risk of death was higher among the 23 patients with obstructive sleep apnea than controls (adjusted hazard ratio, 1.76; 95% confidence interval 1.05 to 2.95, p=0.03), independent of age, gender, body-mass index, smoking, hypertension, diabetes mellitus, atrial fibrillation, mini-mental state examination and Barthel activity of daily living There was no difference in mortality between the 28 patients with central sleep apnea and controls (adjusted hazard ratio, 1.07; 95 percent confidence interval 0.65 to 1.76, p=0.053).Conclusions: Stroke patients with obstructive sleep apnea run an increased risk of early death. Central sleep apnea was not related to early death among the present patients.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Allmänmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine General Practice hsv//eng
obstructive sleep apnéa
stroke
death
positive airway pressure
Cheyne-Stokes respiration
breathing disorders
ischemic stroke
1st-ever stroke
prognosis
disease
night
Cardiovascular medicine
Kardiovaskulär medicin
lungmedicin
Lung Medicine

Added entries (persons, corporate bodies, meetings, titles ...)

Sandberg, OlovUmeå universitet,Geriatrik (author)
Gustafson, YngveUmeå universitet,Geriatrik(Swepub:umu)yngu0001 (author)
Bucht, GöstaUmeå universitet,Geriatrik(Swepub:umu)gubu0001 (author)
Carlberg, BoUmeå universitet,Medicin(Swepub:umu)boca0001 (author)
Stenlund, HansUmeå universitet,Epidemiologi och folkhälsovetenskap(Swepub:umu)hast0001 (author)
Franklin, KarlUmeå universitet,Lungmedicin(Swepub:umu)kafr0021 (author)
Umeå universitetLungmedicin (creator_code:org_t)

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In:Archives of Internal MedicineChicago : American medical association168:3, s. 297-3010003-99261538-3679

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By the author/editor: Sahlin, Carin, 1 ...; Sandberg, Olov; Gustafson, Yngve; Bucht, Gösta; Carlberg, Bo; Stenlund, Hans; show more...; Franklin, Karl; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and General Practice

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By the university: Umeå University; Karolinska Institutet

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