Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, May 25, 2019

Post‐stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study

How long before your hospital quits handing out sleeping pills like candy?

Post‐stroke sleep disturbances and rehabilitation outcomes: a prospective cohort study

First published: 20 May 2019
https://doi.org/10.1111/imj.14372
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/imj.14372.

Abstract

Background

Poor sleep is common after stroke and data regarding its’ effect on rehabilitation outcomes are limited. Controversial evidence was found concerning the effect of sedatives on improving sleep quality in poor sleepers after stroke.

Method

104 patients after stroke from two major stroke rehabilitation units in Western Australia were enrolled. Sleep quality was assessed using the Pittsburgh Sleep Quality Indexes (PSQI) at baseline and after stroke. The main outcome measures were Functional Independence Measure (FIM) change and Length of Stay (LOS). Sedative use during this period was also recorded.

Results

29.8% post‐stroke patients suffered from poor sleep. There was no relationship between poor sleep and the stroke characteristics, such as severity, side and type or demographics such as age and gender. Poor sleep quality was inversely associated with rehabilitation outcomes measured by FIM (Rs. ‐0.317, p = 0.005). However, there was no significant association between sleep quality and LOS (p = 0.763). Sedatives were used in 18.2% and had no impact on sleep quality or rehabilitation outcomes.

Conclusion

This research supported that poor sleep was frequent after stroke and had negative effects on rehabilitation outcomes. Use of sedatives was of limited benefit to improve sleep quality and further studies are required to search for strategies to improve sleep problems after stroke.
This article is protected by copyright. All rights reserved.

Posted by at
Labels: , ,

No comments:

Post a Comment

Subscribe to: Post Comments (Atom)