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Impact of Daytime Sleepiness on Rehabilitation Outcome in the Elderly

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Book cover Respiratory Regulation - Clinical Advances

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 755))

Abstract

Daytime sleepiness (DS) is associated with poor health, impaired physical functioning, as well as somatic and psychiatric morbidity. The impact of DS on functional outcome in the elderly is unknown. We investigated whether observed daytime sleepiness in geriatric patients with moderate to severe functional impairment was associated with functional clinical outcomes. We addressed the issue by determining the impact of observed daytime sleepiness, by means of the Essener Questionnaire of Age and Sleepiness (EQAS), on improvement in functional status – measured by the Barthel ADL Index – among disabled geriatric in-patients. We included 129 patients, 28 (22%) were male and 101 (78%) were female. Sleepiness according to EQAS scale was absent in 27 (21%) patients, mild in 71 (55%) patients and moderate to severe in 31 (24%) patients. The three patient groups did not differ in the Barthel ADL Index (BI) on admission or co-morbid conditions. Geriatric treatment was comparable across groups. Improvement in the BI of at least 1 standard deviation (SD) occurred in 23/27 (85%) of subjects without sleepiness, in 53/71 (75%) of subjects with mild to moderate sleepiness and in 15/31 (44%) of subject with severe sleepiness (p < 0.01). BI increased at least 2 SD in 20/27 (74%), 38/71 (54%) and 11/31 (35%) individuals, respectively (p < 0.02). We conclude that the daytime sleepiness predicts a poorer functional recovery rate in older patients during geriatric in-hospital rehabilitation. Furthermore, we found a significant association and a dose response relationship between severity of daytime sleepiness and improvement in Barthel ADL Index.

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Conflicts of Interest: The authors declare no conflicts of interest in relation to this article.

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Authors and Affiliations

  1. Zentrum für Altersmedizin, Kliniken Essen Mitte, Am Deimelsberg 34a, 45276, Essen, Germany

    H. Frohnhofen

  2. Faculty of Health, School of Medicine, University Witten-Herdecke, Witten, Germany

    H. Frohnhofen

  3. Department of Psychiatry and Psychotherapy, University Medical Center, Regensburg, Germany

    R. Popp

  4. Zentrum für Altersmedizin, Kliniken Essen Mitte, Essen, Germany

    K. Frohnhofen

  5. Max Planck Institute of Psychiatry, Munich, Germany

    S. Fulda

Authors
  1. H. Frohnhofen
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  2. R. Popp
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  3. K. Frohnhofen
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  4. S. Fulda
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Corresponding author

Correspondence to H. Frohnhofen .

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Editors and Affiliations

  1. Medical Research Center, Respiratory Research, Polish Academy of Sciences, Pawinskiego 5, Warsaw, 02-106, Poland

    Mieczyslaw Pokorski

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Frohnhofen, H., Popp, R., Frohnhofen, K., Fulda, S. (2013). Impact of Daytime Sleepiness on Rehabilitation Outcome in the Elderly. In: Pokorski, M. (eds) Respiratory Regulation - Clinical Advances. Advances in Experimental Medicine and Biology, vol 755. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4546-9_14

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