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Cerebrovascular correlates of sleep disorders-rational and protocol of a door-to-door survey in rural Coastal Ecuador.
- Source :
-
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2014 May-Jun; Vol. 23 (5), pp. 1030-9. Date of Electronic Publication: 2013 Oct 06. - Publication Year :
- 2014
-
Abstract
- Background: Little is known on the role of sleep disorders in the increased prevalence of cerebrovascular diseases in the developing world.<br />Aims: The aim of this study is to assess the prevalence of major sleep disorders in a rural South American population and to determine whether these conditions are associated with stroke, ischemic heart disease, or with a poor cardiovascular health (CVH).<br />Design: Three-phase, population-based, door-to-door survey in Atahualpa. During phase I, all residents aged 40 years or older will be screened with validated Spanish versions of 5 questionnaires to evaluate major sleep disorders. In phase II, neurologists will examine persons suspected of having a sleep disorder and a random sample of negative individuals to assess the prevalence of these conditions and to validate the accuracy of questionnaires. In phase III, patients with a confirmed sleep disorder will undergo nocturnal polysomnography for achieving a more specific diagnosis. The occurrence of sleep disorders will be correlated with the CVH of the population and with the presence of stroke and ischemic heart disease.<br />Discussion: This epidemiologic study may prove cost-effective in improving sleep conditions of people living in rural areas of developing countries and may be used as a model for the evaluation of sleep disorders and their cerebrovascular correlates in these populations.<br /> (Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Cerebrovascular Disorders diagnosis
Cerebrovascular Disorders physiopathology
Developing Countries
Ecuador epidemiology
Female
Health Surveys
Humans
Male
Neurologic Examination
Polysomnography
Predictive Value of Tests
Prevalence
Prognosis
Reproducibility of Results
Risk Assessment
Risk Factors
Sleep Wake Disorders diagnosis
Sleep Wake Disorders physiopathology
Surveys and Questionnaires
Cerebrovascular Disorders epidemiology
Research Design
Rural Health
Sleep Wake Disorders epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8511
- Volume :
- 23
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
- Publication Type :
- Academic Journal
- Accession number :
- 24103661
- Full Text :
- https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.08.020