Evidence map›Paper›PMID 40326398›Full record

Trial reportNeurorehabilitation and neural repair2025

Sleep Following a Stroke: Multimodal Evaluation of Sleep Health and Disruptions and Impact on Recovery During Acute Inpatient Rehabilitation.

Jacob Sindorf, Silvia Campagnini, Megan K O'Brien, Aashna Sunderrajan, Kristen L Knutson, Phyllis C Zee, Lisa Wolfe, Vineet M Arora, Arun Jayaraman

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04254484 (SIESTA), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04254484 nacompletednot on this map

SIESTA (Sleep of Inpatients: Empower Staff to Act) for Acute Stroke Rehabilitation

TypeinterventionalSponsorUniversity of ChicagoRan2020 to 2025Enrolled400ConditionsSleep, Sleep Disordered Breathing, StrokeArmsSIESTA Rehab Education, ApneaLink
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jacob SindorfMax Näder Center for Rehabilitation Technologies & Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.ORCID 0009-0000-9570-3953
Silvia CampagniniMax Näder Center for Rehabilitation Technologies & Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.ORCID 0000-0001-5732-1399
Megan K O'BrienMax Näder Center for Rehabilitation Technologies & Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.ORCID 0000-0001-8069-365X
Aashna SunderrajanUniversity of Chicago School of Medicine, Chicago, IL, USA.
Kristen L KnutsonNorthwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Phyllis C ZeeNorthwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Lisa WolfeNorthwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Vineet M AroraUniversity of Chicago School of Medicine, Chicago, IL, USA.
Arun JayaramanMax Näder Center for Rehabilitation Technologies & Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA.ORCID 0000-0002-9302-6693

Funding

PATHOPHYSIOLOGY AND REHABILITATION OF NEURAL DYSFUNCTIONT32HD007418 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Levi John Hargrove · 1992 to 2026
$6.5M
SIESTA (Sleep of Inpatients: Empower Staff to Act) for Acute Stroke Rehabilitation - Resubmission 01R01HD097786 · NICHD · UNIVERSITY OF CHICAGO · PI ARORA, VINEET, JAYARAMAN, ARUN · 2020 to 2024
$3.7M
NICHD NIH HHS R01 HD097786NICHD NIH HHS T32 HD007418
6 · The paper itself

Abstract

BackgroundOur understanding of sleep during early stroke care and its impact on rehabilitation outcomes remains limited. The objectives of this work were to (1) evaluate multidimensional sleep health and disruptions during acute inpatient rehabilitation for individuals with stroke, and (2) explore the relationship between sleep health/disruptions and functional recovery.MethodsData from 103 individuals with stroke were analyzed during acute inpatient rehabilitation. Sleep health/disruptions were assessed via patient reports, actigraphy, and biometric sensors. Functional outcomes were measured at admission and discharge. Generalized Linear Models (GLMs) were used to describe changes in sleep health over time, and multivariate regressions analyzed sleep disruptions and sleep-related predictors of functional recovery.ResultsOver inpatient stays, sleep improved with a 23% reduction in wake after sleep onset and 15% fewer multiple overnight disruptions. GLMs revealed that improved sleep quality was associated with reduced overnight activity and increased heart rate over time. Poor initial sleep quality and cognitive status were associated with more overnight disruptions. Lastly, minimal associations were found between sleep health and functional recovery.ConclusionsSleep health during inpatient stroke rehabilitation is generally poor, though improves over time. Sleep is affected by neurological recovery and hospital environment. Overnight activity and autonomic biomarkers were associated with perceived sleep health, and both physiological and environmental factors triggered disruptions. The association between functional recovery and indirect indicators of sleep health requires further investigation. These findings reveal new insights about inpatient sleep which can inform early, targeted sleep interventions to optimize post-stroke outcomes.SIESTA, ClinicalTrials.gov (NCT04254484).

Indexed as

Outcome Assessment, Health CareRecovery of FunctionSleepSleep QualitySleep Wake DisordersStrokeStroke RehabilitationActigraphyAdultAgedAged, 80 and overFemaleHumansInpatientsMaleMiddle Agedactigraphyneurorehabilitationsleep disorderssleep monitoringstrokewearable sensors

Identifiers

PMID40326398
PMCPMC12256198

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.