Correlation Analysis of Sleep Quality and Youth Ischemic Stroke

Abstract

Objective. To study risk factors related to ischemic stroke (IS) in youth and the influence of sleep quality on youth ischemic stroke incidence. Methods. 223 patients aged 18 to 45 years who were admitted to Puyang People's Hospital from June 2011 to February 2013 with a first-ever ischemic stroke were selected as the research cases. 158 young people with a normal physical examination were selected as the control group. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to analyse the correlation between sleep quality and youth IS incidence. The US National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (MRS) scores were used to assess cases' state of illness and prognosis three months after IS. Results. Univariate and multivariate logistic regression analysis showed that the association of these risk factors with youth IS incidence, from highest to lowest, was hypertension, hyperlipidaemia, smoking history, high homocysteine, the quality of sleep, family history of stroke, and alcoholism. Poor sleep quality ranked fifth among all risk factors and was positively correlated with poor prognosis for youth IS patients. Conclusion. The results of this study showed that sleep quality is an important factor in the pathogenesis and prognosis of youth IS.

Risk Factors Associated with Ischemic Stroke in a Young Non-Diabetic and Non-Hypertensive Population: A Retrospective Case-Control Study

“…Hyperhomocysteinemia is well known to be associated with elevated IS risk [34]. In line with our ndings, many prior studies have con rmed elevated HCY levels to be associated with IS risk in younger patient populations [35][36][37][38], with this correlation being strongest in younger individuals [35]. The risk of IS has been shown to be roughly two-fold higher in IS patients with high HCY levels relative to patients with low HCY levels [39,40].…”

A study on the sleep quality, pain, and instrumental activities of daily living of outpatients with chronic stroke

“…Each field is measured on a scale of 0 to 3, and the total score is in the range of 0–21 with a total score of 5 or higher indicating bad sleep quality. The reliability was Cronbach’s α=0.83, and the test-retest reliability was 0.8512, 13 ) . The Korean Instrumental Activities of Daily Living (K-IADL) was used to assess IADL.…”

Effects of the sleep quality of chronic stroke outpatients on patterns of activity performance and quality of life

“…Each component is measured on a scale of 0~3; and a score of 5 or above indicates bad sleep quality. The reliability was Cronbach's α=.83 and the test-retest reliability was .85 (Tang, Grace Laru, Mok, Ungvari & Wong, 2015;Zhang et al, 2014). The Occupational Questionnaire (OQ) was used to assess the subjects' pattern of activity performance as an assessment tool developed to check the subject's lifestyle through a timetable format designed to assess the daily pattern of activity performance (Smith, Kielhofner, & Watts, 1986).…”