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Stroke Research and Treatment
Volume 2011 (2011), Article ID 936298, 7 pages
Research Article

Sleep-Wake Patterns during the Acute Phase after First-Ever Stroke

1Department of Health Sciences, Buskerud University College, P.O. Box 7053, 3007 Drammen, Norway
2Department of Behavioral Medicine, Faculty of Medicine, University of Oslo, 0316 Oslo, Norway
3Department of Family Health Care Nursing, University of California at San Francisco, San Francisco, CA 94143-0606, USA
4Centre for Clinical Nursing Research, Lovisenberg Deaconal University College, 0456 Oslo, Norway
5Research Centre and Division of Medicine, Department of Gastroenterology, Oslo University Hospital, 0424 Oslo, Norway

Received 29 September 2010; Revised 21 February 2011; Accepted 13 April 2011

Academic Editor: Alison Baird

Copyright © 2011 Linda N. Bakken et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study describes the pattern of day and night sleep and explores relationships between these patterns and sociodemographic and clinical factors as well as sleep environmental context and the patient's subjective sleep quality. Data from 110 patients with first-ever stroke was collected by structured interview surveys, medical record, and objective estimated sleep data from wrist actigraphy. The variability in estimated sleep is large. Half the patients slept either <6 hours or >8 hours per night, and 78% had more than nine awakenings per night. Men slept less than women, and patients sleeping at home had fewer awakenings than those who slept in hospital. It was estimated sleep during daytime in all, except 4, patients. Longer stay in hospital was related to more daytime sleep, and the subjective sleep quality correlated with estimated sleep time, wake time, and wake percentage.