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EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke

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Harvard

Bassetti, CLA, Randerath, W, Vignatelli, L, Ferini-Strambi, L, Brill, A-K, Bonsignore, MR, Grote, L, Jennum, P, Leys, D, Minnerup, J, Nobili, L, Tonia, T, Morgan, R, Kerry, J, Riha, R, McNicholas, WT & Papavasileiou, V 2020, 'EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke', European Journal of Neurology, bind 27, nr. 7, s. 1117-1136. https://doi.org/10.1111/ene.14201

APA

Bassetti, C. L. A., Randerath, W., Vignatelli, L., Ferini-Strambi, L., Brill, A-K., Bonsignore, M. R., Grote, L., Jennum, P., Leys, D., Minnerup, J., Nobili, L., Tonia, T., Morgan, R., Kerry, J., Riha, R., McNicholas, W. T., & Papavasileiou, V. (2020). EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke. European Journal of Neurology, 27(7), 1117-1136. https://doi.org/10.1111/ene.14201

CBE

Bassetti CLA, Randerath W, Vignatelli L, Ferini-Strambi L, Brill A-K, Bonsignore MR, Grote L, Jennum P, Leys D, Minnerup J, Nobili L, Tonia T, Morgan R, Kerry J, Riha R, McNicholas WT, Papavasileiou V. 2020. EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke. European Journal of Neurology. 27(7):1117-1136. https://doi.org/10.1111/ene.14201

MLA

Vancouver

Bassetti CLA, Randerath W, Vignatelli L, Ferini-Strambi L, Brill A-K, Bonsignore MR o.a. EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke. European Journal of Neurology. 2020 jul;27(7):1117-1136. https://doi.org/10.1111/ene.14201

Author

Bassetti, C L A ; Randerath, W ; Vignatelli, L ; Ferini-Strambi, L ; Brill, A-K ; Bonsignore, M R ; Grote, L ; Jennum, P ; Leys, D ; Minnerup, J ; Nobili, L ; Tonia, T ; Morgan, R ; Kerry, J ; Riha, R ; McNicholas, W T ; Papavasileiou, V. / EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke. I: European Journal of Neurology. 2020 ; Bind 27, Nr. 7. s. 1117-1136.

Bibtex

@article{590c54093b1945189ed1a85c5a5fc766,
title = "EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke",
abstract = "BACKGROUND: Sleep disorders are highly prevalent in the general population and may be linked in a bidirectional fashion to stroke, which is one of the leading causes of morbidity and mortality.AIM: Four major scientific societies established a task force of experts in neurology, stroke, respiratory medicine, sleep medicine and methodology to critically evaluate the evidence regarding potential links and the impact of therapy.MATERIALS AND METHODS: Thirteen research questions were evaluated in a systematic literature search using a stepwise hierarchical approach: first, systematic reviews and meta-analyses; second, primary studies post-dating the systematic reviews/meta-analyses. A total of 445 studies were evaluated and 88 were included. Statements were generated regarding current evidence and clinical practice.RESULTS: Severe obstructive sleep apnoea (OSA) doubles the risk for incident stroke, especially in young to middle-aged patients. Continuous positive airway pressure (CPAP) may reduce stroke risk, especially in treatment-compliant patients. The prevalence of OSA is high in stroke patients and can be assessed by polygraphy. Severe OSA is a risk factor for recurrence of stroke and may be associated with stroke mortality, whilst CPAP may improve stroke outcome. It is not clear if insomnia increases stroke risk, whilst the pharmacotherapy of insomnia may increase it. Periodic limb movements in sleep (PLMS), but not restless limb syndrome (RLS), may be associated with an increased risk of stroke. Preliminary data suggest a high frequency of post-stroke insomnia and RLS and their association with a less favourable stroke outcome, whilst treatment data are scarce.DISCUSSION/CONCLUSION: Overall, the evidence base is best for OSA relationship with stroke and supports active diagnosis and therapy. Research gaps remain especially regarding insomnia and RLS/PLMS relationships with stroke.",
keywords = "insomnia, outcome, PLMS, restless legs, risk, sleep disordered breathing, sleep disorders, stroke",
author = "Bassetti, {C L A} and W Randerath and L Vignatelli and L Ferini-Strambi and A-K Brill and Bonsignore, {M R} and L Grote and P Jennum and D Leys and J Minnerup and L Nobili and T Tonia and R Morgan and J Kerry and R Riha and McNicholas, {W T} and V Papavasileiou",
note = "{\textcopyright} 2020 European Academy of Neurology and European Respiratory Society.",
year = "2020",
month = jul,
doi = "10.1111/ene.14201",
language = "English",
volume = "27",
pages = "1117--1136",
journal = "European Journal of Neurology",
issn = "1351-5101",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "7",

}

RIS

TY - JOUR

T1 - EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke

AU - Bassetti, C L A

AU - Randerath, W

AU - Vignatelli, L

AU - Ferini-Strambi, L

AU - Brill, A-K

AU - Bonsignore, M R

AU - Grote, L

AU - Jennum, P

AU - Leys, D

AU - Minnerup, J

AU - Nobili, L

AU - Tonia, T

AU - Morgan, R

AU - Kerry, J

AU - Riha, R

AU - McNicholas, W T

AU - Papavasileiou, V

N1 - © 2020 European Academy of Neurology and European Respiratory Society.

PY - 2020/7

Y1 - 2020/7

N2 - BACKGROUND: Sleep disorders are highly prevalent in the general population and may be linked in a bidirectional fashion to stroke, which is one of the leading causes of morbidity and mortality.AIM: Four major scientific societies established a task force of experts in neurology, stroke, respiratory medicine, sleep medicine and methodology to critically evaluate the evidence regarding potential links and the impact of therapy.MATERIALS AND METHODS: Thirteen research questions were evaluated in a systematic literature search using a stepwise hierarchical approach: first, systematic reviews and meta-analyses; second, primary studies post-dating the systematic reviews/meta-analyses. A total of 445 studies were evaluated and 88 were included. Statements were generated regarding current evidence and clinical practice.RESULTS: Severe obstructive sleep apnoea (OSA) doubles the risk for incident stroke, especially in young to middle-aged patients. Continuous positive airway pressure (CPAP) may reduce stroke risk, especially in treatment-compliant patients. The prevalence of OSA is high in stroke patients and can be assessed by polygraphy. Severe OSA is a risk factor for recurrence of stroke and may be associated with stroke mortality, whilst CPAP may improve stroke outcome. It is not clear if insomnia increases stroke risk, whilst the pharmacotherapy of insomnia may increase it. Periodic limb movements in sleep (PLMS), but not restless limb syndrome (RLS), may be associated with an increased risk of stroke. Preliminary data suggest a high frequency of post-stroke insomnia and RLS and their association with a less favourable stroke outcome, whilst treatment data are scarce.DISCUSSION/CONCLUSION: Overall, the evidence base is best for OSA relationship with stroke and supports active diagnosis and therapy. Research gaps remain especially regarding insomnia and RLS/PLMS relationships with stroke.

AB - BACKGROUND: Sleep disorders are highly prevalent in the general population and may be linked in a bidirectional fashion to stroke, which is one of the leading causes of morbidity and mortality.AIM: Four major scientific societies established a task force of experts in neurology, stroke, respiratory medicine, sleep medicine and methodology to critically evaluate the evidence regarding potential links and the impact of therapy.MATERIALS AND METHODS: Thirteen research questions were evaluated in a systematic literature search using a stepwise hierarchical approach: first, systematic reviews and meta-analyses; second, primary studies post-dating the systematic reviews/meta-analyses. A total of 445 studies were evaluated and 88 were included. Statements were generated regarding current evidence and clinical practice.RESULTS: Severe obstructive sleep apnoea (OSA) doubles the risk for incident stroke, especially in young to middle-aged patients. Continuous positive airway pressure (CPAP) may reduce stroke risk, especially in treatment-compliant patients. The prevalence of OSA is high in stroke patients and can be assessed by polygraphy. Severe OSA is a risk factor for recurrence of stroke and may be associated with stroke mortality, whilst CPAP may improve stroke outcome. It is not clear if insomnia increases stroke risk, whilst the pharmacotherapy of insomnia may increase it. Periodic limb movements in sleep (PLMS), but not restless limb syndrome (RLS), may be associated with an increased risk of stroke. Preliminary data suggest a high frequency of post-stroke insomnia and RLS and their association with a less favourable stroke outcome, whilst treatment data are scarce.DISCUSSION/CONCLUSION: Overall, the evidence base is best for OSA relationship with stroke and supports active diagnosis and therapy. Research gaps remain especially regarding insomnia and RLS/PLMS relationships with stroke.

KW - insomnia

KW - outcome

KW - PLMS

KW - restless legs

KW - risk

KW - sleep disordered breathing

KW - sleep disorders

KW - stroke

U2 - 10.1111/ene.14201

DO - 10.1111/ene.14201

M3 - Journal article

C2 - 32314498

VL - 27

SP - 1117

EP - 1136

JO - European Journal of Neurology

JF - European Journal of Neurology

SN - 1351-5101

IS - 7

ER -

ID: 61830835