SLEep APnea Screening Using Mobile Ambulatory Recorders After TIA/Stroke "SLEAP SMART"

Recruiting

Phase N/A Results N/A

Eligibility Criteria

Inclusion Criteria

- Imaging-confirmed stroke or stroke-neurologist diagnosed TIA at any time in the past, and
- Outpatients being managed at the Sunnybrook Stroke Prevention clinic or inpatients on the Sunnybrook Stroke Unit who will not require further inpatient care upon discharge.

Exclusion Criteria

- Prior diagnosis of OSA within the past 2 years
- Current use of CPAP
- Life expectancy less than 12 months
- The presence of conditions known to compromise the accuracy of portable sleep monitoring, such as moderate to severe pulmonary disease or congestive heart failure
- Oxygen therapy (eg. nasal prongs), a nasogastric tube, or other medical devices that would interfere with the placement of the sensors of the sleep monitoring device and/or CPAP
- Physical impairment, aphasia, or language barrier restricting ability to complete study assessments, overnight sleep monitoring, and/or comply with CPAP therapy, and no caregiver available to assist the patient with the study requirements
- Facial or bulbar weakness or trauma restricting the ability to create a seal with a CPAP mask
- Pregnancy
- Occupation that would make randomization to the standard of care arm unethical
- Not covered by Ontario health insurance plan (OHIP)
- Unable to attend follow-up assessments