Deans' stroke musings: Prevalence of post-stroke poor sleep quality: a meta-analysis of Pittsburgh Sleep Quality Index results

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.

Tuesday, January 27, 2026

Prevalence of post-stroke poor sleep quality: a meta-analysis of Pittsburgh Sleep Quality Index results

Prevalence is totally useless! You need to create EXACT SLEEP PROTOLS! Are you that fucking incompetent you can't accomplish that?

You've known of poor sleep for how many years and STILL HAVEN'T SOLVED THE PROBLEM? Only 6+ years and why haven't you been fired yet?

30% poor sleep (16 posts to May 2019)

Prevalence of post-stroke poor sleep quality: a meta-analysis of Pittsburgh Sleep Quality Index results

Yu Zhou¹

Bi Guan²

Rong Tang³

Qiongyao Zhong⁴

Liangnan Zeng⁵^*

1Department of Operating Room, Chengdu Fifth People’s Hospital, Chengdu, China
2Department of Nursing, Chengdu Fifth People’s Hospital, Chengdu, China
3Department of Orthopedics, Chengdu Fifth People’s Hospital, Chengdu, China
4Department of Neurology, Chengdu Fifth People’s Hospital, Chengdu, China
5Department of Nursing, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China

Objective: To assess the prevalence of post-stroke poor sleep quality using the Pittsburgh Sleep Quality Index (PSQI).

Methods: This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Following the PICO framework, a systematic search was conducted in PubMed, CINAHL, Cochrane Library, and Web of Science for relevant cohort, case-control, and cross-sectional studies published up to October 2024. The retrieved literature was then meta-analyzed using Stata 13.0 software.

Results: Eighteen studies were reviewed, showing a total poor sleep quality prevalence of 55% (95%CI = 0.47 to 0.62) and a PSQI score is 8.12 (95%CI = 6.71 to 9.53). Compared to normal people, stroke patients sleep onset latency (SL) was prolonged by 1.36 min (95%CI = 0.82 to 1.90), sleep efficiency (SE) decreased by 1.48% (95%CI = −0.20 to −0.92), and periodic leg movements per hour of sleep (PLMI) increased by 1.07 per hour (95%CI = 0.56 to 1.59). Subgroup analysis showed that, compared with hemorrhagic stroke patients, ischemic stroke patients had higher incidence of poor sleep quality at 52% (95%CI = 0.24 to 0.86); the incidence of poor sleep quality was 59% (95%CI = 0.49 to 0.70) higher in chronic stroke patients compared to acute and subacute stroke patients; the incidence of poor sleep quality was 61% (95%CI = 0.51 to 0.71) higher in community stroke patients than in hospitalized stroke patients; and the incidence of poor sleep quality was 59% (95%CI = 0.58 to 0.61) higher in stroke patients in developing countries than those in developed countries.

Conclusion: Current evidence suggests that quality of sleep worsens after a stroke, with symptoms being widespread. Factors such as stroke type, stroke phase, clinical setting, and research region can all impact sleep quality after stroke. These findings underscore the importance of monitoring sleep quality in these populations and implementing appropriate preventive and interventional strategies.

Systematic review registration: https://www.crd.york.ac.uk/PROSPERO, identifier CRD420251161167.