{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T03:15:02Z","timestamp":1776827702342,"version":"3.51.2"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-15-IDEX-02"],"award-info":[{"award-number":["ANR-15-IDEX-02"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-19-P3IA-0003"],"award-info":[{"award-number":["ANR-19-P3IA-0003"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-15-IDEX-02"],"award-info":[{"award-number":["ANR-15-IDEX-02"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-19-P3IA-0003"],"award-info":[{"award-number":["ANR-19-P3IA-0003"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Severe sleep apnea (SA) affects one-third of stroke patients. Sleepiness, one of the cardinal symptoms of SA, negatively impacts functional stroke outcomes. The impact of continuous positive airway pressure (CPAP) on post-stroke sleepiness is poorly described. We aimed to compare through a propensity score matching the trajectories of self-reported sleepiness post-stroke with matched individuals including SA patients adherent or not to CPAP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods:<\/jats:title>\n                    <jats:p>Sixty five (80.2%) ischemic stroke and 16 (19.8%) TIA patients (median [Q1;Q3] age\u2009=\u200967.0 [58.0;74.0] years, 70.4% male, body mass index [BMI]\u2009=\u200926.1 [24.5;29.8]\u2009kg\u00b7m\u22122, admission NIHSS\u2009=\u20093.0 [1.0;5.0]), with polysomnography and an Epworth Sleepiness Scale (ESS) performed within 1\u2009year following stroke and with a follow-up ESS (delay\u2009=\u2009236 [147;399]\u2009days) were included in the analysis. A 2:1 propensity score matching based on age, gender, BMI, and the apnea-hypopnea index was performed to identify 162 matched individuals referred for SA suspicion, free of stroke or TIA. Multivariable negative binomial regression models were performed to identify the determinants of sleepiness trajectories post-stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Baseline ESS was comparable between stroke\/TIA and matched individuals (median [Q1; Q3] ESS\u2009=\u20097 [4;10] versus 6 [4;10], p\u2009=\u20090.86). The range of improvement in ESS was higher in stroke patients compared to controls (\u2206ESS\u2009=\u2009\u22122 [\u22124;1] vs \u22121 [\u22123;2], p\u2009=\u20090.03). In multivariable analysis, comorbid SA and CPAP treatment did not influence trajectories of sleepiness post-stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and conclusion:<\/jats:title>\n                    <jats:p>Sleepiness improvement was unexpectedly higher in stroke patients compared to matched individuals, with no significant influence of comorbid SA and CPAP on its trajectory. Sleepiness may not be primarily indicative of SA in stroke or TIA patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23969873241227751","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T01:18:10Z","timestamp":1706145490000},"page":"451-459","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Trajectories of self-reported daytime sleepiness post-ischemic stroke and transient ischemic attack: A propensity score matching study versus non-stroke patients"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2348-6918","authenticated-orcid":false,"given":"S\u00e9bastien","family":"Baillieul","sequence":"first","affiliation":[{"name":"Univ. Grenoble Alpes, Inserm, U1300, CHU Grenoble Alpes, Service Universitaire de Pneumologie Physiologie, Grenoble, France 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1128-6529","authenticated-orcid":false,"given":"Renaud","family":"Tamisier","sequence":"additional","affiliation":[{"name":"Univ. Grenoble Alpes, Inserm, U1300, CHU Grenoble Alpes, Service Universitaire de Pneumologie Physiologie, Grenoble, France 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bastien","family":"G\u00e9vaudan","sequence":"additional","affiliation":[{"name":"Univ. Grenoble Alpes, Inserm, U1300, CHU Grenoble Alpes, Service Universitaire de Pneumologie Physiologie, Grenoble, France 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Alexandre","sequence":"additional","affiliation":[{"name":"Univ. Grenoble Alpes, Inserm, U1300, CHU Grenoble Alpes, Service Universitaire de Pneumologie Physiologie, Grenoble, France 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Detante","sequence":"additional","affiliation":[{"name":"Neurology Department, Grenoble Alpes University Hospital, Grenoble, France 2"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Dauvilliers","sequence":"additional","affiliation":[{"name":"National Reference Centre for Orphan Diseases Narcolepsy Rare Hypersomnias, Sleep Unit, Department of Neurology, CHU Montpellier, University of Montpellier, Montpellier, France 3"},{"name":"Institute for Neurosciences of Montpellier (INM), University of Montpellier, INSERM, Montpellier, France 4"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Bassetti","sequence":"additional","affiliation":[{"name":"Neurology Department, Inselspital, Bern University Hospital, Switzerland 5"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Louis","family":"P\u00e9pin","sequence":"additional","affiliation":[{"name":"Univ. Grenoble Alpes, Inserm, U1300, CHU Grenoble Alpes, Service Universitaire de Pneumologie Physiologie, Grenoble, France 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9bastien","family":"Bailly","sequence":"additional","affiliation":[{"name":"Univ. Grenoble Alpes, Inserm, U1300, CHU Grenoble Alpes, Service Universitaire de Pneumologie Physiologie, Grenoble, France 1"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,1]]},"reference":[{"key":"2026012113090125800_bibr1-23969873241227751","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1161\/STROKEAHA.120.029847","article-title":"Dynamic prevalence of sleep disorders following stroke or transient ischemic attack: systematic review and meta-analysis","volume":"52","author":"Hasan","year":"2021","journal-title":"Stroke"},{"key":"2026012113090125800_bibr2-23969873241227751","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/S1474-4422(21)00321-5","article-title":"Sleep apnoea and ischaemic stroke: current knowledge and future directions","volume":"21","author":"Baillieul","year":"2022","journal-title":"Lancet Neurol"},{"key":"2026012113090125800_bibr3-23969873241227751","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1111\/ene.14201","article-title":"EAN\/ERS\/ESO\/ESRS statement on the impact of sleep disorders on risk and outcome of stroke","volume":"27","author":"Bassetti","year":"2020","journal-title":"Eur J Neurol"},{"key":"2026012113090125800_bibr4-23969873241227751","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/j.neurol.2023.08.004","article-title":"The multifaceted aspects of sleep and sleep-wake disorders following stroke","volume":"179","author":"Baillieul","year":"2023","journal-title":"Rev Neurol"},{"key":"2026012113090125800_bibr5-23969873241227751","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S2213-2600(19)30198-5","article-title":"Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis","volume":"7","author":"Benjafield","year":"2019","journal-title":"Lancet Respir Med"},{"key":"2026012113090125800_bibr6-23969873241227751","doi-asserted-by":"crossref","DOI":"10.1016\/j.smrv.2020.101306","article-title":"Diagnosis of central disorders of hypersomnolence: a reappraisal by European experts","volume":"52","author":"Lammers","year":"2020","journal-title":"Sleep Med Rev"},{"key":"2026012113090125800_bibr7-23969873241227751","doi-asserted-by":"crossref","first-page":"15015","DOI":"10.1038\/nrdp.2015.15","article-title":"Obstructive sleep apnoea syndrome","volume":"1","author":"L\u00e9vy","year":"2015","journal-title":"Nat Rev Dis Primers"},{"key":"2026012113090125800_bibr8-23969873241227751","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1513\/AnnalsATS.202006-696FR","article-title":"Excessive daytime sleepiness in obstructive sleep apnea. Mechanisms and clinical management","volume":"18","author":"Lal","year":"2021","journal-title":"Ann Am Thorac Soc"},{"key":"2026012113090125800_bibr9-23969873241227751","doi-asserted-by":"crossref","first-page":"301","DOI":"10.5664\/jcsm.7638","article-title":"Treatment of adult obstructive sleep apnea with positive airway pressure: an American academy of sleep medicine systematic review, meta-analysis, and GRADE assessment","volume":"15","author":"Patil","year":"2019","journal-title":"J Clin Sleep Med"},{"key":"2026012113090125800_bibr10-23969873241227751","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1093\/sleep\/14.6.540","article-title":"A new method for measuring daytime sleepiness: the Epworth sleepiness scale","volume":"14","author":"Johns","year":"1991","journal-title":"Sleep"},{"key":"2026012113090125800_bibr11-23969873241227751","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.smrv.2013.08.002","article-title":"Evaluation of the measurement properties of the Epworth sleepiness scale: a systematic review","volume":"18","author":"Kendzerska","year":"2014","journal-title":"Sleep Med Rev"},{"key":"2026012113090125800_bibr12-23969873241227751","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1177\/1099800415625285","article-title":"Excessive daytime sleepiness in stroke survivors: an integrative review","volume":"18","author":"Ding","year":"2016","journal-title":"Biol Res Nurs"},{"key":"2026012113090125800_bibr13-23969873241227751","doi-asserted-by":"crossref","DOI":"10.1111\/jsr.13964","article-title":"Functional recovery after ischemic stroke: impact of different sleep health parameters","volume":"33","author":"Denis","year":"2024","journal-title":"J Sleep Res"},{"key":"2026012113090125800_bibr14-23969873241227751","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.sleep.2022.10.007","article-title":"Frequency and evolution of sleep-wake disturbances after ischemic stroke: a 2-year prospective study of 437 patients","volume":"101","author":"Duss","year":"2023","journal-title":"Sleep Med"},{"key":"2026012113090125800_bibr15-23969873241227751","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1161\/CIRCOUTCOMES.111.963801","article-title":"Daytime sleepiness and risk of stroke and vascular disease: findings from the Northern Manhattan Study (NOMAS)","volume":"5","author":"Boden-Albala","year":"2012","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"2026012113090125800_bibr16-23969873241227751","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1080\/02699050802189727","article-title":"Time to wake-up: sleep problems and daytime sleepiness in long-term stroke survivors","volume":"22","author":"Sterr","year":"2008","journal-title":"Brain Inj"},{"key":"2026012113090125800_bibr17-23969873241227751","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1002\/ana.410390409","article-title":"Hypersomnia following paramedian thalamic stroke: a report of 12 patients","volume":"39","author":"Bassetti","year":"1996","journal-title":"Ann Neurol"},{"key":"2026012113090125800_bibr18-23969873241227751","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1161\/STROKEAHA.107.494955","article-title":"Evolution of neurological, neuropsychological and sleep-wake disturbances after paramedian thalamic stroke","volume":"39","author":"Hermann","year":"2008","journal-title":"Stroke"},{"key":"2026012113090125800_bibr19-23969873241227751","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5664\/jcsm.6890","article-title":"Excessive daytime sleepiness in acute ischemic stroke: association with restless legs syndrome, diabetes mellitus, obesity, and sleep-disordered breathing","volume":"14","author":"\u0160iarnik","year":"2018","journal-title":"J Clin Sleep Med"},{"key":"2026012113090125800_bibr20-23969873241227751","doi-asserted-by":"crossref","DOI":"10.1161\/STROKEAHA.109.566463","article-title":"Dissociation of obstructive sleep apnea from hypersomnolence and obesity in patients with stroke","volume":"41","author":"Arzt","year":"2010","journal-title":"Stroke"},{"key":"2026012113090125800_bibr21-23969873241227751","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1080\/00273171.2011.568786","article-title":"An introduction to propensity score methods for reducing the effects of confounding in observational studies","volume":"46","author":"Austin","year":"2011","journal-title":"Multivariate Behav Res"},{"key":"2026012113090125800_bibr22-23969873241227751","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1378\/chest.14-0970","article-title":"International classification of sleep disorders-third edition: highlights and modifications","volume":"146","author":"Sateia","year":"2014","journal-title":"Chest"},{"key":"2026012113090125800_bibr23-23969873241227751","first-page":"862","article-title":"[Brief self-evaluation questionnaire for depressive, asthenic and anxious dimensions]","volume":"142","author":"Pichot","year":"1984","journal-title":"Ann Med Psychol"},{"key":"2026012113090125800_bibr24-23969873241227751","doi-asserted-by":"crossref","first-page":"479","DOI":"10.5664\/jcsm.6506","article-title":"Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American academy of sleep medicine clinical practice guideline","volume":"13","author":"Kapur","year":"2017","journal-title":"J Clin Sleep Med"},{"key":"2026012113090125800_bibr25-23969873241227751","doi-asserted-by":"crossref","first-page":"597","DOI":"10.5664\/jcsm.2172","article-title":"Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. Deliberations of the sleep apnea definitions task force of the American academy of sleep medicine","volume":"8","author":"Berry","year":"2012","journal-title":"J Clin Sleep Med"},{"key":"2026012113090125800_bibr26-23969873241227751","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1136\/thoraxjnl-2018-211959","article-title":"Minimum important difference of the Epworth sleepiness scale in obstructive sleep apnoea: estimation from three randomised controlled trials","volume":"74","author":"Crook","year":"2019","journal-title":"Thorax"},{"key":"2026012113090125800_bibr27-23969873241227751","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1310\/tsr2006-493","article-title":"Is the Epworth sleepiness scale suitable for use in stroke?","volume":"20","author":"Mills","year":"2013","journal-title":"Top Stroke Rehabil"},{"key":"2026012113090125800_bibr28-23969873241227751","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10050936","article-title":"CPAP therapy termination rates by OSA phenotype: a French nationwide database analysis","volume":"10","author":"P\u00e9pin","year":"2021","journal-title":"J Clin Med"},{"key":"2026012113090125800_bibr29-23969873241227751","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1111\/jsr.12039","article-title":"Residual sleepiness in sleep apnea patients treated by continuous positive airway pressure","volume":"22","author":"Gasa","year":"2013","journal-title":"J Sleep Res"},{"key":"2026012113090125800_bibr30-23969873241227751","doi-asserted-by":"crossref","DOI":"10.1212\/WNL.0000000000005262","article-title":"CPAP as treatment of sleep apnea after stroke: a meta-analysis of randomized trials","volume":"90","author":"Brill","year":"2018","journal-title":"Neurology"},{"key":"2026012113090125800_bibr31-23969873241227751","doi-asserted-by":"crossref","first-page":"511","DOI":"10.5664\/jcsm.7034","article-title":"Role of positive airway pressure therapy for obstructive sleep apnea in patients with stroke: a randomized controlled trial","volume":"14","author":"Gupta","year":"2018","journal-title":"J Clin Sleep Med"},{"key":"2026012113090125800_bibr32-23969873241227751","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1111\/ijs.12357","article-title":"Part I: frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies","volume":"9","author":"Hackett","year":"2014","journal-title":"Int J Stroke"},{"key":"2026012113090125800_bibr33-23969873241227751","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1177\/23969873211047681","article-title":"Prevalence of fatigue after stroke: a systematic review and meta-analysis","volume":"6","author":"Alghamdi","year":"2021","journal-title":"Eur Stroke J"}],"container-title":["European Stroke Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23969873241227751","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23969873241227751","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/esj\/article-pdf\/9\/2\/451\/64652553\/23969873241227751.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/esj\/article-pdf\/9\/2\/451\/64652553\/23969873241227751.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T18:09:46Z","timestamp":1769018986000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/esj\/article\/9\/2\/451\/8268950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,1]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,6,1]]}},"URL":"https:\/\/doi.org\/10.1177\/23969873241227751","relation":{},"ISSN":["2396-9873","2396-9881"],"issn-type":[{"value":"2396-9873","type":"print"},{"value":"2396-9881","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,6,1]]},"published":{"date-parts":[[2024,6,1]]}}}