OBJECTIVES: To determine the prevalence, demographics, and causes of excessive @entity25 in adults with @entity1545 after the acute phase of their injury and to investigate the relations between self-report and objective measures of @entity2147 . DESIGN: A case series of @entity1 enrolled consecutively into a residential rehabilitation program. SETTING: University sleep laboratory, live-in rehabilitation center. @entity1 : Adults with @entity1545 (n = 71); mean time +/- standard deviation from injury to study, 38 +/- 60 months. INTERVENTIONS: A polysomnogram and Multiple Sleep Latency Test (MSLT) were performed in each subject. Each subject also completed the Epworth Sleepiness Scale (ESS) and Pittsburgh Sleep Quality Index (PSQI) questionnaires. MAIN OUTCOME MEASURES: Sleep patterns, by polysomnogram. Daytime @entity2147 , diagnosed by mean sleep latency on the MSLT <or= 10 minutes. Sleep @entity27 , diagnosed by @entity27 greater than 10 events/hr. @entity10522 , diagnosed by a Periodic Leg Movement Index greater than 10 events/hr. RESULTS: Mean sleep latency was <or= 10 minutes in 47% of the cohort and <or= 5 minutes in 18.3%. Subjects were classified into 3 groups: nonhypersomnolent (n = 38, 53%), @entity2147 with abnormal indices (n = 12, 17%), or @entity2147 with normal indices (n = 21, 30%). Among the 3 groups, no significant differences were present in Glasgow @entity772 Scale score, length of @entity772 , or time since @entity1545 . No differences across groups were found in nature of the injury, gender, or medications. No significant correlation existed between the ESS or PSQI results and mean sleep latency on the MSLT. CONCLUSIONS: @entity2147 is common in adults with @entity1545 , with a relatively high prevalence of @entity27 , @entity10522 , and @entity28142 . Subjects with objectively measured sleepiness were not identified on self-reporting questionnaires, suggesting their inability to perceive their @entity2147 .

Excessive @entity25 in adults with XXXX .

@entity1545 :: ('MESH:D020214', 'Disease') :: ['brain injuries', 'brain injury'] @entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity10522 :: ('MESH:D020189', 'Disease') :: ['periodic limb movement disorder', 'Periodic limb movement disorder'] @entity27 :: ('MESH:D020181', 'Disease') :: ['sleep apnea-hypopnea syndrome', 'apnea-hypopnea syndrome', 'Apnea-Hypopnea Index'] @entity2147 :: ('MESH:D006970', 'Disease') :: ['hypersomnolence', 'hypersomnolent', 'Hypersomnia'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Coma', 'coma'] @entity28142 :: ('MESH:D020919', 'Disease') :: ['posttraumatic hypersomnia'] @entity25 :: ('MESH:D012893', 'Disease') :: ['daytime sleepiness']
@entity1545 :: (MESH:D020214,Disease) :: ['brain injuries']
