The DOI matches its Crossref record; 160 of the 161 references it cites were found in a registry or an index.
EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke
Open accessAbstract
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. 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. 13 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 included. Statements were generated regarding current evidence and clinical practice. 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, while CPAP may improve stroke outcome. It is not clear if insomnia increases stroke risk, while 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, while treatment data are scarce. 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.
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“Stroke has been consistently identified as a devastating outcome of untreated severe OSA, especially in middle aged adults.120”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [120]
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Kernan, W. N., Ovbiagele, B., Black, H. R., Bravata, D. M., Chimowitz, M. I., Ezekowitz, M. D., Fang, M. C., Fisher, M., Furie, K. L., Heck, D. V., et al. (2014) · Stroke · doi:10.1161/str.0000000000000024 · Cited by 5,170
Principles and Practice of Sleep Medicine
Kryger, M. H., Roth, T. G., & Dement, W. C. (2011) · Elsevier eBooks · doi:10.1016/c2009-0-59875-3 · Cited by 5,118
Marin, J. M., Carrizo, S. J., Vicente, E., & Agusti, A. G. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71141-7 · Cited by 4,678
Development of AMSTAR: A measurement tool to assess the methodological quality of systematic reviews
Shea, B. J., Grimshaw, J. M., Wells, G. A., Boers, M., Andersson, N., Hamel, C., Porter, A. C., Tugwell, P., Moher, D., & Bouter, L. M. (2007) · BMC Medical Research Methodology · doi:10.1186/1471-2288-7-10 · Cited by 4,374
Benjafield, A. V., Ayas, N. T., Eastwood, P. R., Heinzer, R., Ip, M. S. M., Morrell, M. J., Nunez, C. M., Patel, S. R., Penzel, T., Pépin, J.-L., et al. (2019) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(19)30198-5 · Cited by 4,326
Feigin, V. L., Forouzanfar, M. H., Krishnamurthi, R., Mensah, G. A., Connor, M., Bennett, D. A., Moran, A. E., Sacco, R. L., Anderson, L., Truelsen, T., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61953-4 · Cited by 3,899
Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology
Allen, R. P., Picchietti, D., Hening, W. A., Trenkwalder, C., Walters, A. S., & Montplaisi, J. (2003) · Sleep Medicine · doi:10.1016/s1389-9457(03)00010-8 · Cited by 2,900
Prevalence of obstructive sleep apnea in the general population: A systematic review
Senaratna, C. V., Perret, J. L., Lodge, C. J., Lowe, A. J., Campbell, B. E., Matheson, M. C., Hamilton, G. S., & Dharmage, S. C. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.07.002 · Cited by 2,581
Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study
Heinzer, R., Vat, S., Marques-Vidal, P., Marti-Soler, H., Andries, D., Tobback, N., Mooser, V, Preisig, M., Malhotra, A., Waeber, G., et al. (2015) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(15)00043-0 · Cited by 2,481
O'Donnell, M. J., Chin, S. L., Rangarajan, S., Xavier, D., Liu, L., Zhang, H., Rao-Melacini, P., Zhang, X., Pais, P., Agapay, S., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)30506-2 · Cited by 2,296
Research works printed but not linked: 1
- Zhu, 2016, Non-benzodiazepine hypnotic drug is correlated with decreased risk of ischemic stroke, Int J Clin Exp Med, 9, 23777
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International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350
Sleep Disorders in Stroke: An Update on Management
Cai, H., Wang, X., & Yang, G. (2021) · Aging and Disease · doi:10.14336/ad.2020.0707 · Cited by 131
Current and novel treatment options for obstructive sleep apnoea
Randerath, W. J., de Lange, J., Hedner, J. A., Ho, J. T. F., Marklund, M., Schiza, S., Steier, J. S., & Verbraecken, J. A. (2022) · ERJ Open Research · doi:10.1183/23120541.00126-2022 · Cited by 89
Self-citationInsomnia disorder: clinical and research challenges for the 21st century
Ferini‐Strambi, L., Auer, R., Bjorvatn, B., Castronovo, V., Franco, O. H., Gabutti, L., Galbiati, A., Hajak, G., Khatami, R., Kitajima, T., et al. (2021) · European Journal of Neurology · doi:10.1111/ene.14784 · Cited by 77
Self-citationHypoxic burden and heart rate variability predict stroke incidence in sleep apnoea
Blanchard, M., Gervès‐Pinquié, C., Feuilloy, M., Vaillant, M. L., Trzépizur, W., Meslier, N., Goupil, F., Pigeanne, T., Balusson, F., Oger, E., et al. (2020) · European Respiratory Journal · doi:10.1183/13993003.04022-2020 · Cited by 61
Metadata
- Authors
- 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.
- Affiliations
- Sechenov University (RU)
- University of Cologne (DE)
- Istituto delle Scienze Neurologiche di Bologna (IT)
- University of Bern (CH)
- National Research Council (IT)
- Sahlgrenska University Hospital (SE)
- Rigshospitalet (DK)
- Université de Lille (FR)
- University of Münster (DE)
- Istituto Giannina Gaslini (IT)
- McMaster University (CA)
- Leeds Teaching Hospitals NHS Trust (GB)
- Edinburgh Royal Infirmary (GB)
- University College Dublin (IE)
- University of Leeds (GB)
- ORCID
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 2020-04
- Volume
- 55
- Issue
- 4
- Pages
- 1901104
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W3017016793
- Cited by
- 132
- References
- 161
- Citations by year
- 2026: 15 · 2025: 21 · 2024: 22 · 2023: 25 · 2022: 20 · 2021: 16 · 2020: 13
- FWCI
- 11.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Respiratory Journal (publishedVersion)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion, other-oa)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Keywords
- sleep disorders, stroke, obstructive sleep apnea, continuous positive airway pressure, stroke risk, stroke recurrence, stroke mortality, insomnia, restless legs syndrome, periodic limb movements in sleep, post-stroke insomnia, stroke outcome, sleep apnea screening
- MeSH terms
- Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Prevalence, Sleep Apnea, Obstructive, Stroke, Continuous Positive Airway Pressure
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