Cited by 334Sleep and related disordersTraumatic Brain Injury ResearchObstructive Sleep Apnea Research

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Prevalence and Consequences of Sleep Disorders in Traumatic Brain Injury

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Castriotta, Richard J., Wilde, Mark C., Lai, Jenny M., Atanasov, Strahil, Masel, Brent E., Kuna, Samuel T.·2007·Journal of Clinical Sleep Medicine

DOI 10.5664/jcsm.26855PMC PMC1978308

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Abstract

Study objectives Determine prevalence and consequences of sleepiness and sleep disorders after traumatic brain injury (TBI). Methods Prospective evaluation with polysomnography (PSG), multiple sleep latency test (MSLT), Epworth Sleepiness Scale (ESS) and neuropsychological testing including Psychomotor Vigilance Test (PVT), Profile of Mood States (POMS), and Functional Outcome of Sleep Questionnaire (FOSQ). Setting Three academic medical centers with level I trauma centers, accredited sleep disorders centers, and rehabilitative medicine programs. Participants; Eighty-seven (87) adults at least 3 months post TBI. Measurements and results Abnormal sleep studies were found in 40 subjects (46%), including 20 (23%) with obstructive sleep apnea (OSA), 10 (11%) with posttraumatic hypersomnia (PTH), 5 (6%) with narcolepsy, and 6 (7%) with periodic limb movements in sleep (PLMS). Among all subjects, 22 (25%) were found to have objective excessive daytime sleepiness with MSLT score <10 minutes. There was no correlation between ESS score and MSLT (r = 0.10). There were no differences in age, race, sex, or education between the sleepy and non-sleepy subjects. Likewise, there were no differences in severity of injury or time after injury between sleepy and non-sleepy subjects. Sleepy subjects had a greater body mass index (BMI) than those who were not sleepy (p = 0.01). OSA was more common in obese subjects (BMI > or =30, p < 0.001). Sleepy subjects demonstrated poorer PVT scores (p < 0.05), better self-reported sleep related quality of life (FOSQ scores [p < 0.05]), and no differences in POMS. Conclusions There is a high prevalence of sleep disorders (46%) and of excessive daytime sleepiness (25%) in subjects with TBI. Sleepy subjects may be more impaired than comparable non-sleepy TBI subjects, yet be unaware of problems. Given the high prevalence of OSA (23%), PTH (11%), and narcolepsy (7%) in this population, there is a clinical indication for NPSG and MSLT.

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Authors: Castriotta, R. J., Wilde, M. C., Lai, J. M., Atanasov, S., Masel, B. E., & Kuna, S. T.
Affiliations: Memorial Hermann (US)
The University of Texas Medical Branch at Galveston (US)
Transitional Learning Center (US)
Philadelphia VA Medical Center (US)
ORCID: Castriotta, Richard J.
Masel, Brent E.
Kuna, Samuel T.
Venue: Journal of Clinical Sleep Medicine
Publisher: Springer Science and Business Media LLC
Published: 2007-06-15
Volume: 3
Issue: 4
Pages: 349-356
ISSN: 1550-9389 (ISSN-L)
1550-9397
DOI: 10.5664/jcsm.26855
PMC: PMC1978308
OpenAlex: W1962631311
Cited by: 334
References: 48
Citations by year: 2026: 8 · 2025: 18 · 2024: 8 · 2023: 10 · 2022: 21 · 2021: 19 · 2020: 20 · 2019: 19 · 2018: 28 · 2017: 11 · 2016: 22 · 2015: 27 · 2014: 20 · 2013: 32 · 2012: 19
FWCI: 17.98
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Journal of Clinical Sleep Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Moody Foundation
Pfizer
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Keywords: traumatic brain injury, sleep disorders, excessive daytime sleepiness, obstructive sleep apnea, narcolepsy, periodic limb movements in sleep, sleep quality, body mass index, obesity, polysomnography, multiple sleep latency test, Epworth Sleepiness Scale, psychomotor vigilance test, Profile of Mood States, neuropsychological deficits
MeSH terms: Adult, Affect, Brain Injuries, Cognition, Female, Humans, Disorders of Excessive Somnolence, Male, Narcolepsy, Neuropsychological Tests, Obesity, Prospective Studies, Psychomotor Performance, Quality of Life, Surveys and Questionnaires, Sleep Apnea Syndromes, Sleep Wake Disorders, Trauma Severity Indices, Comorbidity, Body Mass Index, Prevalence, Polysomnography

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Prevalence and Consequences of Sleep Disorders in Traumatic Brain Injury

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