| Neck circumference, a bedside clinical feature related to mortality of acute ischemic stroke. | |
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MedLine Citation:
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PMID: 22012291 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of this study was to evaluate clinical/demographic factors, sleep alterations and one year mortality in acute ischemic stroke. METHODS: This was a prospective study of 89 consecutive patients (mean age 64.39 ± 8.51 years) with acute ischemic stroke. High risk of obstructive sleep apnea (OSA) was evaluated by the Berlin questionnaire, daytime somnolence by the Epworth Sleepiness Scale (> 10) and subjective sleep quality by the Pittsburgh Sleep Quality Index (> 5). Clinical and anthropometric data including body mass index, hip-waist ratio, neck circumference (NC) were obtained. Increased NC was defined if > 43 cm in men and > 38 cm in women. Stroke severity was estimated by the Barthel Index and the modified Rankin Scale. The end-point was death after 12 months follow-up. RESULT: One-year mortality was 8.9%. Non-survivors were older (p = 0.006) and had larger NC (p = 0.02). Among all cases, large NC was related to high risk of OSA, diabetes and hypertension (Fisher's exact test). Compared to men, women showed relatively larger NC. Overall, family history of stroke (74.2 %), diabetes (33.7%) and hypertension (78.6%) were frequent; obesity (11.2%) was uncommon. Daytime sleepiness (34.8 %), poor sleep quality (65.2%) and risk of OSA (58.42%) were frequently found. CONCLUSION: Poor sleep quality, excessive daytime sleepiness and high risk of OSA are frequent in this sample with acute ischemic stroke. One-year mortality was related to older age and large NC. As obesity is uncommon in acute stroke patients, a large NC should be taken as a significant clinical sign related to mortality. |
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Authors:
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Camila Andrade Mendes Medeiros; Veralice Meireles Sales de Bruin; Claudia de Castro-Silva; Sonia Maria Holanda Almeida Araújo; Cauby Maia Chaves Junior; Pedro Felipe Carvalhedo de Bruin |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Revista da Associação Médica Brasileira (1992) Volume: 57 ISSN: 0104-4230 ISO Abbreviation: Rev Assoc Med Bras Publication Date: 2011 Sep-Oct |
Date Detail:
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Created Date: 2011-10-20 Completed Date: 2012-03-07 Revised Date: 2012-04-11 |
Medline Journal Info:
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Nlm Unique ID: 9308586 Medline TA: Rev Assoc Med Bras Country: Brazil |
Other Details:
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Languages: eng Pagination: 559-64 Citation Subset: IM |
Affiliation:
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Universidade Federal do Ceará, Fortaleza, CE, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Body Mass Index Disorders of Excessive Somnolence / complications* Female Humans Male Middle Aged Neck / anatomy & histology* Polysomnography Prospective Studies Risk Factors Severity of Illness Index Sleep Apnea, Obstructive / complications* Stroke / etiology, mortality* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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