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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Prevalence and Predictors of Sleep Apnea Risk among Ghanaian Stroke Survivors
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Prevalence and Predictors of Sleep Apnea Risk among Ghanaian Stroke Survivors

机译：加纳中风幸存者中睡眠呼吸暂停风险的患病率和预测因素

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Background and Purpose: Sleep apnea (SA) has emerged as a potent risk factor for stroke recurrence and mortality. The burden of SA among stroke survivors in sub-Saharan Africa where stroke incidence and mortality are escalating is unknown. We sought to assess the prevalence of SA risk and its clinical correlates and predictors among Ghanaian stroke survivors. Methods: This cross-sectional study involved 200 consecutive stroke survivors attending a neurology clinic in a tertiary medical center in Kumasi, Ghana. The validated Berlin, STOP-BANG, and Epworth Sleepiness Scale questionnaires were administered to all eligible subjects to assess SA risk and daytime somnolence, and their demographic and clinical information, health-related quality of life, and symptoms of depression were collected using the questionnaires. Results: The median (interquartile range) age of stroke survivors was 62 (52-72) years and 52.5% were male. Ninety-nine (49.5%) subjects were identified as high risk for SA using the Berlin questionnaire, whereas 26 (13%), 137 (68.5%), and 37 (18.5%) subjects were classified as low, intermediate, and high risk for SA, respectively, using the STOP-BANG questionnaire. Patients at high risk of SA were significantly older, used excess alcohol, and were less able to perform activities of daily living, although their mean National Institutes of Health Stroke Scale scores were significantly lower than those with low risk for SA. None of the stroke survivors had ever been screened for SA. Conclusions: One out of every 2 stroke survivors attending a neurology clinic in Ghana is at high risk for undiagnosed SA. Greater regional awareness about SA presence and outcomes among patients and providers is warranted.
机译：背景和目的：睡眠呼吸暂停（SA）已成为中风复发和死亡的一个潜在危险因素。撒哈拉以南非洲中风幸存者中SA的负担尚不清楚，那里的中风发病率和死亡率正在上升。我们试图评估加纳中风幸存者中SA风险的患病率及其临床相关性和预测因素。方法：这项横断面研究涉及200名连续的中风幸存者，他们在加纳库马西的一家三级医疗中心的神经科诊所就诊。向所有符合条件的受试者发放经验证的Berlin、STOP-BANG和Epworth嗜睡量表问卷，以评估SA风险和日间嗜睡，并使用问卷收集他们的人口统计学和临床信息、与健康相关的生活质量和抑郁症状。结果：中风幸存者的中位年龄（四分位区间）为62岁（52-72岁），52.5%为男性。使用柏林问卷，99名（49.5%）受试者被确定为SA高风险，而使用STOP-BANG问卷，26名（13%）、137名（68.5%）和37名（18.5%）受试者分别被划分为SA低、中、高风险。尽管美国国立卫生研究院卒中量表的平均得分显著低于SA低风险患者，但SA高风险患者的年龄明显较大，饮酒过量，日常生活能力较差。没有一名中风幸存者接受过SA筛查。结论：每2名在加纳神经科诊所就诊的中风幸存者中，就有1人存在未确诊SA的高风险。需要在患者和提供者中提高对SA存在和结果的区域意识。

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