Treatment of obstructive sleep apnea syndrome associated with stroke

Treatment of obstructive sleep apnea syndrome associated with stroke

Author Mello-Fujita, Luciane Autor UNIFESP Google Scholar
Kim, Lenise Jihe Autor UNIFESP Google Scholar
Palombini, Luciana de Oliveira Autor UNIFESP Google Scholar
Rizzi, Camila Autor UNIFESP Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Andersen, Monica Levy Autor UNIFESP Google Scholar
Coelho, Fernando Morgadinho Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract The association between sleep-disordered breathing and stroke has been a subject of increased interest and research. Obstructive sleep apnea (OSA) is an important risk factor for stroke incidence and mortality. Moreover, OSA is a common clinical outcome after stroke, directly influencing the patient's recovery. the treatment of choice for OSA is positive airway pressure (PAP) support and the PAP appliance is considered the most recommended clinical management for the treatment of patients with cardiovascular complications. However, the implementation of PAP in stroke patients remains a challenge, considering the increased frequency of motor and language impairments associated with the cerebrovascular event. in the present study, we reviewed the main findings describing the association between stroke and OSA treatment with continuous positive airway pressure. We also discussed the types of OSA treatment, the different options and indications of PAP treatment, PAP adherence and the clinical outcomes after treatment. (C) 2014 Elsevier B.V. All rights reserved.
Keywords Obstructive sleep apnea syndrome
Stroke
CPAP
CPAP adherence
Bilevel PAP
APAP
Language English
Sponsor Associacao Fundo de Incentivo a Pesquisa (AFIP)
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Grant number Associacao Fundo de Incentivo a Pesquisa (AFIP): CEPID 98/14303-3
FAPESP: 2013/14420-1
Date 2015-06-01
Published in Sleep Medicine. Amsterdam: Elsevier B.V., v. 16, n. 6, p. 691-696, 2015.
ISSN 1389-9457 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 691-696
Origin http://dx.doi.org/10.1016/j.sleep.2014.12.017
Access rights Closed access
Type Review
Web of Science ID WOS:000355136200003
URI http://repositorio.unifesp.br/handle/11600/39132

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