IMPACT OF STROKE-ASSOCIATED PNEUMONIA AND OBSTRUCTIVE SLEEP APNEA SYNDROME ON PHYSICAL PERFORMANCE AND REHABILITATION OUTCOMES IN SPORTS MEDICINE

Abstract

Objective: This study investigates the clinical characteristics of stroke-associated pneumonia (SAP) complicated by obstructive sleep apnea (OSA) to improve patient management and rehabilitation strategies. Methods: A retrospective analysis was conducted on 29 SAP patients admitted to the First Hospital of Jilin University from January 2023 to January 2024. Polysomnography identified OSA presence and severity, while clinical features, stroke location, respiratory support needs, and risk factors were evaluated. Results: Eleven patients had OSA, including 8 severe and 3 mild-to-moderate cases. Brainstem stroke was present in 7 patients, while 8 required advanced respiratory support. Common risk factors such as hypertension, diabetes, smoking, and high BMI showed no significant differences between OSA and non-OSA patients. Conclusion: The high prevalence of severe OSA in SAP patients, particularly those with brainstem stroke, underscores the need for early diagnosis and respiratory management. Incorporating respiratory therapy into stroke rehabilitation could enhance recovery outcomes, with potential applications in sports and physical activity rehabilitation programs.