Deans' stroke musings: Stroke may be associated with sleep disturbances in adults

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.

Wednesday, March 29, 2023

Stroke may be associated with sleep disturbances in adults

So what is your doctor's EXACT SLEEP PROTOCOL? I don't think sleeping pills count. My hospital had the nurses handing out sleeping pills like candy at 10pm.

See this:

Associations of Late-Life Sleep Medication Use With Incident Dementia in the Atherosclerosis Risk in Communities Study

sleep medication use compared to nonuse was associated with a 48% greater risk of dementia (HR: 1.48; 95% confidence interval (CI): 1.26–1.74).

The latest here:

Stroke may be associated with sleep disturbances in adults

Key Takeaways

This cross-sectional cohort study determined that there was an increased relative risk of sleep disturbances in adults who have previously suffered a stroke compared to those who have not.

Why this study matters

The experience of sleep disturbances for stroke patients is thought to be an important factor contributing to low mood, fatigue, impaired activities of daily living, and overall poorer post-stroke rehabilitation. Despite this, previous research has not adequately quantified the prevalence of sleep disturbances in this population.

Study design

In this cross-sectional, population-based study, data was collected from the 2017-2018 Canadian Community Health Survey. 46,404 individuals were included in this study, 682 of whom reported a previous stroke. Four types of sleep disturbances were self-reported, including difficulty staying awake, abnormally short (<5 hr) or long (>9hr) sleep duration, difficulty falling or staying asleep, and lack of refreshing sleep. Authors adjusted for confounding variables, including diabetes status, age, sex, highest level of education, body mass index, physical activity level, and other self-reported chronic conditions.

Results and conclusion

Relative risk was greater for all four types of sleep disturbances in the stroke group, with the greatest effect found on the ability to stay awake (RR 2.16, 95% confidence interval 1.59-2.94). It is important to note that this study does not define whether the increased prevalence of sleep disturbances in the stroke population existed prior to stroke occurrence; as such, no conclusions regarding causation can be made.

Regardless, this study demonstrates an association between stroke and sleep disturbances and outlines the importance of screening for sleep issues in this patient population. Future research in this field may determine whether impaired sleep is more significant as a risk factor or result of stroke, as well as the extent to which impaired sleep impacts stroke rehabilitation.

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