Model System:

TBI

Reference Type:

Journal

Accession No.:

J73838

Journal:


Journal of Spinal Cord Medicine - JSCM (formerly Journal of the American Paraplegia Society)

Year, Volume, Issue, Page(s):

, 39, 4, 374-382

Publication Website:

Abstract:

This literature review examined specific issues related to sleep disordered breathing (SDB) in spinal cord injury (SCI), including the incidence, prevalence, symptoms, evaluation, treatment, and outcomes. An extensive search of PubMed, Cochrane Library, CINAHL and Web of Science databases was conducted to identify relevant studies. Of the 703 articles identified, 13 met the criteria for inclusion in the review. Results indicate that the prevalence of SDB after SCI is high, approaching 60 percent in people with motor complete tetraplegia. Obstructive sleep apnea is best documented as the most common form of SDB, although some studies have indicated an appreciable prevalence of central sleep apnea (CPA) as well. CPA is more common in patients with tetraplegia than in patients with paraplegia. It is also well established that the development of sleep disordered breathing after SCI occurs early. Based on the findings, early formal sleep study in patients with acute complete tetraplegia is recommended. In patients with incomplete tetraplegia and with paraplegia, the incidence of SDB is significantly higher than the general population. With the lack of correlation between symptoms and SDB, formal study would be reasonable. There is insufficient evidence in the literature on the impact of treatment on morbidity, mortality, and quality of life outcomes.

Author(s):


Chiodo, Anthony E., Sitrin, Robert G., Bauman, Kristy A.

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