{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:21:14Z","timestamp":1790799674375,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T00:00:00Z","timestamp":1540771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The research is supported by the State Research Funding (Southwest Hospital District, Finland)"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Sleep\u2010Disordered Breathing (<jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content>) is frequent in stroke patients. Polysomnography (<jats:styled-content style=\"fixed-case\">PSG<\/jats:styled-content>) and cardiorespiratory polygraphy are used to confirm <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content>, but the need for <jats:styled-content style=\"fixed-case\">PSG<\/jats:styled-content> exceeds the available resources for systematic testing. Therefore, a simple and robust pre\u2010screening instrument is necessary to identify the patients with an urgent need for a targeted <jats:styled-content style=\"fixed-case\">PSG<\/jats:styled-content>. The aim of this systematic review was to identify and evaluate the available methods to pre\u2010screen stroke patients possibly suffering from <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Eleven studies out of 3,561 studies met the inclusion criteria. The selected studies assessed the efficiency of seven instruments based on the data acquired clinically or by inquiries (Berlin Questionnaire, Epworth Sleepiness Scale, SOS, Modified Sleep Apnea Scale of the Sleep Disorders Questionnaire, STOP\u2010BANG, Four\u2010variable Screening Tool and Multivariate Apnea Index) and three physiological measures (capnography, nocturia, nocturnal oximetry). The instruments were used to predict SDB in patients after acute or subacute stroke. Either PSG or cardiorespiratory polygraphy was used as a standard to measure SDB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No independent studies using the same questionnaires, methods or criteria were published reducing generalizability. Overall, the questionnaires were quite sensitive in finding <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content> but not highly specific in identifying the non\u2010affected. The physiological measures (capnography) indicated promising results in predicting <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content>, but capnography is not an ideal pre\u2010screening instrument as it requires a specialist to interpret the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results of pre\u2010screening of <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content> in acute and subacute stroke patients are promising but inconsistent. The current pre\u2010screening methods cannot readily be referred to clinicians in neurologic departments. Thus, it is necessary to conduct more research on developing novel pre\u2010screening methods for detecting <jats:styled-content style=\"fixed-case\">SDB<\/jats:styled-content> after stroke.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.1146","type":"journal-article","created":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T12:24:20Z","timestamp":1540815860000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Pre\u2010screening of sleep\u2010disordered breathing after stroke: A systematic review"],"prefix":"10.1002","volume":"8","author":[{"given":"Mari","family":"Takala","sequence":"first","affiliation":[{"name":"Unit of Clinical Neurophysiology Satakunta Central Hospital Pori Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4033-1539","authenticated-orcid":false,"given":"Juha","family":"Puustinen","sequence":"additional","affiliation":[{"name":"Unit of Neurology Satakunta Central Hospital Pori Finland"},{"name":"Division of Pharmacology and Pharmacotherapy University of Helsinki Helsinki Finland"},{"name":"Social Security Centre of Pori Pori Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esa","family":"Rauhala","sequence":"additional","affiliation":[{"name":"Unit of Clinical Neurophysiology Satakunta Central Hospital Pori Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Holm","sequence":"additional","affiliation":[{"name":"Unit of Clinical Neurophysiology Satakunta Central Hospital Pori Finland"},{"name":"Faculty of Health and Welfare Satakunta University of Applied Sciences Pori Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.112.665414"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.47.5.1167"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.47.5.1167"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2015.12.013"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2006.01.017"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2013.03.003"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2014.03.026"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-010-5705-2"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31816d83e4"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/17.2.160"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1179\/016164105X18359"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNP.0b013e31824d96b0"},{"key":"e_1_2_7_14_1","unstructured":"ESO(2008).Guidelines for management of ischemic stroke. . 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