ABSTRACT

Objective

The objective of this study was to investigate the impact and prevalence of sleep-wake disturbances among adult patients admitted for inpatient acquired brain injury rehabilitation.

Method

This was a retrospective cohort study involving all adults admitted for inpatient ABI neurocognitive rehabilitation at UHN-Toronto Rehabilitation Institute over a 12-month period (n = 165). The primary endpoint of the study was the comparison of functional independent measure efficiency and hospital length of stay between patients reporting sleep disturbance (e.g. increased sleep latency, obstructive sleep apnea [OSA], sleep maintenance insomnia) versus those with normal sleep.

Results

We found that more than half (58.2%) of patients experienced sleep disturbance based on a combination of self-report and clinical documentation. The most common sleep disturbance was increased sleep onset latency (28.5%), followed by mixed sleep onset/maintenance insomnia (14.5%) and obstructive sleep apnea (8.5%). Notably, OSA was associated with longer length of hospital stay and reduced functional independence measure (FIM) efficiency in the cognitive domain after accounting for age and number of medical comorbidities.

Implications

The results of this investigation underscore the importance of screening patients with brain injury for sleep disturbances due to its high prevalence and impact on rehabilitation efficiency.

中文翻译：

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获得性脑损伤康复治疗中的睡眠障碍和住院时间

摘要

客观的

本研究的目的是调查入院接受脑损伤康复治疗的成年患者睡眠-觉醒障碍的影响和患病率。

方法

这是一项回顾性队列研究，涉及所有在 UHN-多伦多康复研究所接受住院 ABI 神经认知康复治疗的成年人，为期 12 个月（n = 165）。该研究的主要终点是报告睡眠障碍（例如睡眠潜伏期增加、阻塞性睡眠呼吸暂停 [OSA]、睡眠维持性失眠）患者与正常睡眠患者之间的功能独立测量效率和住院时间的比较。

结果

我们发现，根据自我报告和临床文件的结合，超过一半 (58.2%) 的患者经历了睡眠障碍。最常见的睡眠障碍是入睡潜伏期延长 (28.5%)，其次是混合睡眠发作/维持性失眠 (14.5%) 和阻塞性睡眠呼吸暂停 (8.5%)。值得注意的是，在考虑年龄和合并症数量后，OSA 与更长的住院时间和认知领域的功能独立性测量 (FIM) 效率降低有关。

影响

这项调查的结果强调了筛查脑损伤患者睡眠障碍的重要性，因为睡眠障碍的发生率很高，而且对康复效率有影响。