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Domínguez-Mayoral A, Gutiérrez C, Sánchez-Gómez J, Pérez-Sánchez S, Fouz N, Guerrero-Zamora P, Ferrer M, Aguilar M, Galiani V, Albalá C, Moreno J, Gamero MA, García-Campos C, Banda S, Montaner J. Benefits in quality of life following an obstructive sleep apnea screening and treatment program in patients with acute ischemic stroke. Rev Neurol 2023; 76:117-125. [PMID: 36782347 PMCID: PMC10364073 DOI: 10.33588/rn.7604.2022359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Indexed: 02/15/2023]
Abstract
INTRODUCTION Obstructive sleep apnea (OSA) has been proposed as a factor that worsens stroke prognosis. Our aim was to determine if an OSA intervention could improve quality of life (QOL, first objective) and modified Rankin score (mRS, second objective). PATIENTS AND METHODS The intervention group of this quasi-experimental study included patients with acute ischemic stroke <72 hours who underwent polygraphy and Continuous Positive Airway Pressure (CPAP) and hygienic-dietary measures if required. The control group followed routine clinical practice. The Short Form 36 Health Survey (SF-36) and mRS were applied at the sixth month after stroke in both groups. RESULTS Fifty-five vs. sixty-two patients were included in the intervention and control group respectively. In the intervention group, 64.71% of patients accepted the proposed CPAP (16 cases with a good adherence). An improvement in SF-36 items was detected in the intervention group: physical functioning (p = 0.008), role physical (p = 0.002), bodily pain (p = 0.008), general health (p <0.001), vitality (p = 0.001) and role emotional (p = 0.015). In a per-protocol analysis, all these improvements were verified in the group of patients treated with good CPAP adherence (p < 0.05 in all the same SF-36 items). The percentage of patients with physical component summatory = 50 was higher in the intervention group (p = 0.003). There were no differences in the median of mRS (p = 0.262). CONCLUSIONS Although more evidence is needed, a significant improvement in QOL was suggested after our OSA intervention, particularly in patients with good CPAP adherence.
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Affiliation(s)
- A Domínguez-Mayoral
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - C Gutiérrez
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
| | - J Sánchez-Gómez
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
| | - S Pérez-Sánchez
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - N Fouz
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
| | | | - M Ferrer
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
| | - M Aguilar
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
| | - V Galiani
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - C Albalá
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - J Moreno
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - M A Gamero
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - C García-Campos
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - S Banda
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
| | - J Montaner
- Hospital Universitario Virgen Macarena, 41003 Sevilla, España
- Instituto de Biomedicina de Sevilla, Sevilla, España
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