EXPOSURE OF SLEEP DISORDERS AND INCIDENCE IN PATIENTS WITH STROKE- A PROSPECTIVE OBSERVATIONAL COHORT STUDY IN A TERTIARY CARE TEACHING HOSPITAL

A stroke is a medical condition in which poor blood flow to the brain results in poor oxygen and nutrition to the brain cells which ultimately leads to death of brain cells. A sleep disorder, or somnipathy, is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental, social and emotional functions. The aim of this study is to find the exposure of sleep disorder in patients, those who are newly diagnosed with stroke. The objectives of the study are: To determine the exposure and incidence of sleep disorders in patients with stroke. To assess the type of sleep disorder in patients with stroke. To assess how counselling plays an important role in improving the proper management of diseases. The methodology of the study involves, the subjects who satisfy the study category are taken into study and patient consent form was taken. Subject information was collected using data collection forms and details of the study were secured. Later the standard questionnaires are asked and filled before and after the treatment. The collected data from the subjects with the help of questionnaires are assessed to determine the exposure and incidence of sleep disorders in subjects who are newly diagnosed with stroke (both ischemic and hemorrhagic). Results obtained in our study concludes that Snoring is the most common sleep disorder in patients with stroke followed by Day time sleepiness followed by Sleep talking followed by Sleep apnea followed

by Night terrors followed by Sleep paralysis followed by Bruxism, Restless leg syndrome,

Nightmares and Narcolepsy. However, sleep disorders are self-limiting in the early stages, so by educating bringing awareness about medication usage, lifestyle modification, dietary modifications, and sleep hygiene counseling’s and providing patient information leaflets we observed there is a gradual decrease in symptoms.

Keywords: Stroke, sleep apnea, sleep disorders, bruxisum, night mares, Epworth scale, Berlin questionnaire, 

Pittsburgh Sleep Quality Scale, Sleep Quality Scale.