One Year Outcome of Acute Stroke Patients with Sleep Apnea

• Published in: Medicinski arhiv Vol. 69; no. 3; pp. 149 - 152
• Main Authors: Kojic, Biljana, Burina, Adnan, Sinanovic, Osman
• Format: Journal Article
• Language: English
• Published: Bosnia and Herzegovina Academy of Medical Sciences of Bosnia and Herzegovina 01-06-2015; AVICENA, d.o.o., Sarajevo
• Subjects: Age Factors; Aged; Female; Humans; Male; Middle Aged; Original Paper; Sex Factors; Sleep Apnea Syndromes - complications; Sleep Apnea Syndromes - mortality; Stroke - complications; Stroke - mortality; Surveys and Questionnaires; Survival Analysis; apnea; one year outcome; stroke; age; sex
• ISSN: 0350-199X; 1986-5961
• DOI: 10.5455/medarh.2015.69.149-152

The aim of this study was to analyze one year outcome of the acute stroke patients with sleep apnea in order to gender and age.
It was analyzed 110 patients with acute stroke and sleep apnea. Among them 65(59%) were men. Average age of all participant was 65.13±9.27 years. The same number and gender distribution of participants with stroke and without apnea were in control group. Evaluation of sleep apnea has been done with: "The Sleep Disorders Questionnaire", "Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome" and "The Epworth Sleepiness Scale".
One year after stroke onset survived 91 (82.7%) out of 110 patients with apnea. Average age of survived patients was 63.66±8.78 years. Among them 52(80%) were men. In control group, without apnea survived 104 (94.5%) patients with average age of 65.00±8.62 years. Among them 62 (95.4%) were men. In men with apnea there is significantly lower survival range in order to patients without apnea (X(2)=8.22, p=0.004). In women there is no difference. Survival of both gender in patients with apnea (22; 64.7%) was the lowest in group older than 70 years of age. Sex ratio (men : women) was 15 (68.2%):7(58.3%). Survival in both gender in patients without apnea was the same in group older than 70 years of age: 27 (81.2%) out of 33. Average age of patients who died with apnea was significantly higher in order to patients without (t=1.97, p=0.03).
One year after stroke, significantly more patients survived without (94.5%) than with apnea (82.7%) (p=0.01). In order to sex survived range was significantly (p=0.004) lover in men with apnea than without but in women there is no difference. Survival range of both gender in patients with apnea was the lowest in group older than 70 years (p=0.03).