scholarly journals Concordance between current American Academy of Sleep Medicine and Centers for Medicare and Medicare scoring criteria for obstructive sleep apnea in hospitalized persons with traumatic brain injury: a VA TBI Model System study

2020 ◽  
Vol 16 (6) ◽  
pp. 879-888
Author(s):  
Risa Nakase-Richardson ◽  
Marie N. Dahdah ◽  
Emily Almeida ◽  
Peter Ricketti ◽  
Marc A. Silva ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Obstructive Sleep Apnea ◽  
Brain Injury ◽  
Sleep Apnea ◽  
American Academy ◽  
Sleep Medicine ◽  
Model System ◽  
System Study ◽  
Obstructive Sleep ◽  
Model System Study

806 Barriers to screening and diagnosis of obstructive sleep apnea during inpatient traumatic brain injury rehabilitation

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A314-A315
Author(s):  
Bridget Cotner ◽  
Risa Nakase-Richardson ◽  
Becky Gius ◽  
Lauren Fournier ◽  
Alexa Watach ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Obstructive Sleep Apnea ◽  
Brain Injury ◽  
Sleep Apnea ◽  
Inpatient Rehabilitation ◽  
Screening Tools ◽  
Diagnostic Tools ◽  
Evidence Based ◽  
Implementation Barriers ◽  
Obstructive Sleep

Abstract Introduction Obstructive Sleep Apnea (OSA) is prevalent after moderate to severe traumatic brain injury (TBI) and may diminish recovery when left untreated. Despite the demonstrated importance of treating OSA following TBI, assessment for OSA during or soon after inpatient rehabilitation for TBI is limited. Little is known about barriers to implementing OSA screening and early diagnosis during inpatient rehabilitation thus hindering the translation of evidence-based OSA assessment procedures into clinical practice and potentially delaying necessary OSA treatment. The current analysis explored facilitators and barriers to implementing OSA screening tools in an inpatient rehabilitation setting from the perspectives of end user stakeholders. Methods Patients, families, industry, clinical providers and administrators participated in a two-day meeting following completion of a diagnostic clinical trial of OSA screening and diagnostic tools during inpatient rehabilitation. Stakeholders were provided with open ended questions generated by study investigators and given the opportunity to respond on paper or a “graffiti wall” (i.e., white board). Example questions include “What are the greatest needs of the healthcare system related to sleep apnea and TBI?” and “What are the key things we need to consider to move results into real-world practice?” Qualitative content analyses using a rapid matrix approach were conducted from stakeholder feedback obtained during the two-day meeting, which included a guided review of emerging OSA research and discussion of potential implementation barriers of OSA assessment during inpatient rehabilitation. Results Improved screening and treatment practices for OSA were the greatest needs identified. To meet these needs, stakeholders identified the importance of improving patient, family, and staff understanding of OSA (e.g., health literacy) and other sleep disorders through education; inpatient rehabilitation access to resources (technology; sleep providers); and reimbursement for additional inpatient procedures. Conclusion Although treatment of OSA is crucial for recovery during inpatient rehabilitation following TBI, barriers to earlier recognition, diagnosis, and treatment of OSA exists across several different domains, including education, resources, and funding policies. Findings support future implementation efforts to translate evidence-based care into practice to improve patient outcomes. Support (if any) PCORI-NCT03033901

scholarly journals Medical Cannabis and the Treatment of Obstructive Sleep Apnea: An American Academy of Sleep Medicine Position Statement

2018 ◽  
Vol 14 (04) ◽  
pp. 679-681 ◽  
Author(s):  
Kannan Ramar ◽  
Ilene M. Rosen ◽  
Douglas B. Kirsch ◽  
Ronald D. Chervin ◽  
Kelly A. Carden ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
American Academy ◽  
Position Statement ◽  
Sleep Medicine ◽  
Medical Cannabis ◽  
Obstructive Sleep

scholarly journals Polysomnography for Obstructive Sleep Apnea Should Include Arousal-Based Scoring: An American Academy of Sleep Medicine Position Statement

2018 ◽  
Vol 14 (07) ◽  
pp. 1245-1247 ◽  
Author(s):  
Raman K. Malhotra ◽  
Douglas B. Kirsch ◽  
David A. Kristo ◽  
Eric J. Olson ◽  
Rashmi N. Aurora ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
American Academy ◽  
Position Statement ◽  
Sleep Medicine ◽  
Obstructive Sleep

The Use of Nasal Trumpet in a Traumatic Brain Injury Patient With Obstructive Sleep Apnea

PM&R ◽  
2009 ◽  
Vol 1 (10) ◽  
pp. 977-979 ◽  
Author(s):  
Jaspal R. Singh ◽  
Miriam Segal ◽  
Richard Malone ◽  
Mohammed Zubair
Keyword(s):  
Traumatic Brain Injury ◽  
Obstructive Sleep Apnea ◽  
Brain Injury ◽  
Sleep Apnea ◽  
Traumatic Brain Injury Patient ◽  
Obstructive Sleep ◽  
Injury Patient
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