Sleep Medicine: X最新文献

{"title":"The predictive value of supervised machine learning models for insomnia symptoms through smartphone usage behavior","authors":"Laura Simon ,&nbsp;Yannik Terhorst ,&nbsp;Caroline Cohrdes ,&nbsp;Rüdiger Pryss ,&nbsp;Lisa Steinmetz ,&nbsp;Jon D. Elhai ,&nbsp;Harald Baumeister","doi":"10.1016/j.sleepx.2024.100114","DOIUrl":"https://doi.org/10.1016/j.sleepx.2024.100114","url":null,"abstract":"<div><h3>Introduction</h3><p>Digital phenotyping can be an innovative and unobtrusive way to improve the detection of insomnia. This study explores the correlations between smartphone usage features (SUF) and insomnia symptoms and their predictive value for detecting insomnia symptoms.</p></div><div><h3>Methods</h3><p>In an observational study of a German convenience sample, the Insomnia Severity Index (ISI) and smartphone usage data (e.g., time the screen was active, longest time the screen was inactive in the night) for the previous 7 days were obtained. SUF (e.g., min, mean) were calculated from the smartphone usage data. Correlation analyses between the ISI and SUF were conducted. For the specification of the machine learning models (ML), 80 % of the data was allocated to training, 20 % to testing, and five-fold cross-validation was used. Six algorithms (support vector machine, XGBoost, Random Forest, k-Nearest-Neighbor, Naive Bayes, and Logistic Regressions) were specified to predict ISI scores ≥15.</p></div><div><h3>Results</h3><p>752 participants (51.1 % female, mean ISI = 10.23, mean age = 41.92) were included in the analyses. Small correlations between some of the SUF and insomnia symptoms were found. In the ML models, sensitivity was low, ranging from 0.05 to 0.27 in the testing subsample. Random Forest and Naive Bayes were the best-performing algorithms. Yet, their AUCs (0.57, 0.58 respectively) in the testing subsample indicated a low discrimination capacity.</p></div><div><h3>Conclusions</h3><p>Given the small magnitude of the correlations and low discrimination capacity of the ML models, SUFs, as measured in this study, do not appear to be sufficient for detecting insomnia symptoms. Further research is necessary to explore whether examining intra-individual variations and subpopulations or employing alternative smartphone sensors yields more promising outcomes.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"7 ","pages":"Article 100114"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590142724000120/pdfft?md5=4c8eadb46d2a544879cda1875f5a4516&pid=1-s2.0-S2590142724000120-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective review of treatment outcomes and costs in children with sleep disordered breathing assessed with multi-channel studies","authors":"Michael Yanney ,&nbsp;Nicola Rowbotham ,&nbsp;Christabella Ng ,&nbsp;Muhammad Zulkifli ,&nbsp;Ahmed Shehata ,&nbsp;Alagappan Chidambaram ,&nbsp;Paraskevi Tsirevelou ,&nbsp;Neil Fergie ,&nbsp;Pathik Thakkar ,&nbsp;Emma Crookes ,&nbsp;Roy Dean ,&nbsp;Andrew Prayle","doi":"10.1016/j.sleepx.2024.100115","DOIUrl":"10.1016/j.sleepx.2024.100115","url":null,"abstract":"<div><p>Current UK guidance on OSA management recommends only <em>selective</em> use of sleep studies - when there is diagnostic uncertainty, in children with comorbidities or to evaluate perioperative risk in those with suspected severe OSA. Routine use of sleep studies to confirm a diagnosis of obstructive sleep apnoea (OSA) in children before adenotonsillectomy is not currently recommended. We report the findings of a novel paediatric sleep service based on routine use of multi-channel sleep studies (MCSS) before adenotonsillectomy and present the results of a service evaluation assessing the impact of our practise on treatment outcomes and cost.</p><p>We conducted a retrospective study of 264 children with sleep disordered breathing seen in our centre between July 2018–June 2019, using medical records and a sleep study database to determine treatment outcomes and costs. Using responses from a questionnaire completed by otolaryngologists for a separate prospective study, we compare our costs with estimates of those associated with a standard UK model of care i.e. with selective use of sleep studies.</p><p>We estimate that our routine use of MCSS reduced the number of adenotonsillectomies by 44 % but at higher monetary costs than those estimated for the standard model of care. We note however, that reconfiguring our service to arrange a sleep study <em>before</em> the initial appointment, rather than after, would result in the service being cost neutral compared with the standard model. We also estimate that use of home multi-channel studies in our service would bring a significant cost saving (∼£50,000 - £80,000 per annum) compared to standard care.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"7 ","pages":"Article 100115"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590142724000132/pdfft?md5=726fe6d01800a47bbbb1f950cfa35cf7&pid=1-s2.0-S2590142724000132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep health among medical students in Abakaliki Nigeria: A descriptive study","authors":"Chukwuemeka Eze","doi":"10.1016/j.sleepx.2024.100103","DOIUrl":"10.1016/j.sleepx.2024.100103","url":null,"abstract":"<div><h3>Background</h3><p>Sleep health focuses on those measurable characteristics of sleep that are most clearly associated with physical, mental, and neurobehavioral well-being, and not necessarily the absence of sleep disorder. Sleep health is characterised by subjective satisfaction, appropriate timing, adequate duration, high efficiency, and sustained alertness during waking hours. Adequate and restful sleep is particularly crucial for medical students, who face unique challenges due to the demanding nature of their academic and clinical responsibilities. There is limited data on sleep health among medical students in Nigeria.</p></div><div><h3>Objectives</h3><p>This research study investigated the pattern of sleep health among medical students in Abakaliki Nigeria.</p></div><div><h3>Methods</h3><p>This cross-sectional observational study was undertaken among the medical students of 2 public institutions in Abakaliki Nigeria from 16th to 23^rd June 2023.</p></div><div><h3>Results</h3><p>Out of the 288 medical students (males- 53.1 %, females- 46.9 %), good sleep health was recorded in 6.6 %. The mean SATED sleep score was 4.9 ± 1.7 (male- 4.9 ± 1.8, female- 4.9 ± 1.6) (p-value = 1) and it was significantly lower among the final-year students. Age difference, sex difference, and presence of chronic headache did not significantly affect the SATED sleep score. The mean sleep duration was 6.1 ± 1.5 hours (male- 6.1 ± 1.6, female- 6.0 ± 1.4). Sleep duration (54.5 %) had the best rating while sleep efficiency (44 %) had the lowest rating among the assessed sleep domains.</p></div><div><h3>Conclusion</h3><p>Sleep health is poor among medical students in Abakaliki Nigeria and significantly poorer among final-year medical students.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"7 ","pages":"Article 100103"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590142724000016/pdfft?md5=b6926fac2934266baf7bc1824965cb64&pid=1-s2.0-S2590142724000016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alterations of sleep initiation in NREM parasomnia after sleep deprivation – A multimodal pilot study","authors":"E. Miletínová ,&nbsp;M. Piorecký ,&nbsp;V. Koudelka ,&nbsp;S. Jiříček ,&nbsp;D. Tomeček ,&nbsp;M. Brunovský ,&nbsp;J. Horáček ,&nbsp;J. Bušková","doi":"10.1016/j.sleepx.2023.100086","DOIUrl":"10.1016/j.sleepx.2023.100086","url":null,"abstract":"<div><h3>Objectives</h3><p>NREM parasomnias also known as disorders of arousal (DOA) are characterised by abnormal motor and autonomic activation during arousals primarily from slow wave sleep. Dissociative state between sleep and wake is likely responsible for clinical symptoms of DOA. We therefore investigated potential dissociation outside of parasomnic events by using simultaneous 256-channel EEG (hdEEG) and functional magnetic resonance imaging (fMRI).</p></div><div><h3>Methods</h3><p>Eight DOA patients (3 women, mean age = 27.8; SD = 4.2) and 8 gender and age matched healthy volunteers (3 women, mean age = 26,5; SD = 4.0) were included into the study. They underwent 30–32 h of sleep deprivation followed by hdEEG and fMRI recording. We determined 2 conditions: falling asleep (FA) and arousal (A), that occurred outside of deep sleep and/or parasomnic event. We used multimodal approach using data obtained from EEG, fMRI and EEG-fMRI integration approach.</p></div><div><h3>Results</h3><p>DOA patients showed increase in delta and beta activity over postcentral gyrus and cuneus during awakening period. This group expressed increased connectivity between motor cortex and cingulate during arousals unrelated to parasomnic events in the beta frequency band. They also showed lower connectivity between different portions of cingulum. In contrast, the greater connectivity was found between thalamus and some cortical areas, such as occipital cortex.</p></div><div><h3>Conclusion</h3><p>Our findings suggest a complex alteration in falling asleep and arousal mechanisms at both subcortical and cortical levels in response to sleep deprivation. As this alteration is present also outside of slow wave sleep and/or parasomnic episodes we believe this could be a trait factor of DOA.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"6 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/74/1b/main.PMC10511487.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The predictive values of BOAH and No-apnea score for screening obstructive sleep apnea in rotating shift worker drivers","authors":"Luiz Antônio Alves de Menezes-Júnior ,&nbsp;Virgínia Capistrano Fajardo ,&nbsp;Raimundo Marques do Nascimento Neto ,&nbsp;Silvia Nascimento de Freitas ,&nbsp;Fernando Luiz Pereira de Oliveira ,&nbsp;Fausto Aloísio Pedrosa Pimenta ,&nbsp;George Luiz Lins Machado-Coelho ,&nbsp;Adriana Lúcia Meireles","doi":"10.1016/j.sleepx.2023.100084","DOIUrl":"10.1016/j.sleepx.2023.100084","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the BOAH (Body mass index, Observed apnea, Age, and Hypertension) and No-apnea score's diagnostic values for detecting obstructive sleep apnea (OSA) risk in shift workers.</p></div><div><h3>Methods</h3><p>Cross-sectional study with male rotating shift workers and drivers of heavy off-road machinery. The BOAH score is based on body mass index, witnessed apneas during sleep, age, and hypertension. The No-apnea score is based on neck circumference and age. Based on the apnea-hypopnea index (AHI), the severity of OSA was categorized as least mild OSA (AHI ≥5/h), moderate to severe OSA (AHI ≥15/h), and severe OSA (AHI ≥30/h). Sensitivity, specificity, positive predictive value, negative predictive value, and areas under the curve (AUC) were calculated.</p></div><div><h3>Results</h3><p>Among 119 workers evaluated, 84.0% had AHI ≥5, 46.2% had AHI ≥15, and 14.3% had AHI ≥30. BOAH score with 2 points for AHI ≥5, the AUC was 0.679, and sensitivity and specificity were 41.0% and 94.7%, respectively. No-apnea score with 3 points AHI ≥5, the AUC was 0.692, and sensitivity and specificity were 70.0% and 68.4%, respectively. Furthermore, using at least one of the positive scores, the AUC was higher when compared to the single tests for AHI ≥5 (AUC = 0.727). And when both scores were positive, the AUC was higher for AHI ≥30 (AUC = 0.706).</p></div><div><h3>Conclusion</h3><p>In rotating shift workers and drivers of heavy off-road machinery, BOAH, and No-apnea scores can be helpful tools in identifying individuals at risk for sleep apnea. In addition, matching the scores may increase the prediction of OSA.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"6 ","pages":"Article 100084"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/7b/main.PMC10497842.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10270965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience with the use of a digital sleep diary in symptom management by individuals with insomnia -a pilot mixed method study","authors":"Thea Christine Thorshov ,&nbsp;Caroline Tonje Øverby ,&nbsp;Diana Dobran Hansen ,&nbsp;Way Kiat Bong ,&nbsp;Knut Skifjeld ,&nbsp;Petter Hurlen ,&nbsp;Toril Dammen ,&nbsp;Anne Moen ,&nbsp;Harald Hrubos-Strøm","doi":"10.1016/j.sleepx.2023.100093","DOIUrl":"10.1016/j.sleepx.2023.100093","url":null,"abstract":"<div><h3>Background</h3><p>Insomnia is the most common sleep disorder. The recommended treatment is cognitive behavioural therapy for insomnia (CBTi). A sleep diary is a core tool in CBTi. We have developed a digital sleep diary with a standardised feedback function.</p></div><div><h3>Aim</h3><p>To study feasibility of the digital sleep diary in participants of the Akershus Sleep Apnea (ASAP) cohorts with difficulties falling asleep or maintaining sleep. To describe sleep diary engagement and explore experiences with the digital sleep diary with potential influences in insomnia symptom management.</p></div><div><h3>Material and methods</h3><p>Twenty participants were recruited from the ASAP. All filled out a digital sleep diary up to 12 weeks. Treatment options provided were a self-help book (N = 11) or electroencephalography neurofeedback (N = 9) in addition to the sleep diary standardised feedback function. We collected quantitative data from the sleep diary reports and we sub-divided insomnia by sleep onset insomnia and non-sleep onset insomnia. Finally, we performed qualitative interviews.</p></div><div><h3>Results</h3><p>The median number of entries to the sleep diary was 81 (25th quartile: 26, 75th quartile 84). In the qualitative analysis, we identified two main themes; “structure and overview” and “usability and digital features”.</p></div><div><h3>Conclusion</h3><p>The sleep diary was found to be feasible when distributed in combination with a self-help book or electroencephalography neurofeedback. The qualitative results emphasised the importance of a timely graphical overview and visualisations of self-recorded sleep.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"6 ","pages":"Article 100093"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590142723000332/pdfft?md5=886ad7d76d8c0d3a0aac595238c897ec&pid=1-s2.0-S2590142723000332-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep disruption, use of sleep-promoting medication and circadian desynchronization in spaceflight crewmembers: Evidence in low-Earth orbit and concerns for future deep-space exploration missions","authors":"Manuel Albornoz-Miranda ,&nbsp;Diego Parrao ,&nbsp;Maximiliano Taverne","doi":"10.1016/j.sleepx.2023.100080","DOIUrl":"10.1016/j.sleepx.2023.100080","url":null,"abstract":"<div><h3>Introduction</h3><p>The spaceflight environment presents unique demands on human physiology; among those demands, is sleep. Sleep loss and circadian desynchronization is a major concern for future deep-space exploration plans, including long-term crewed missions to the Moon and Mars.</p></div><div><h3>Aims</h3><p>Analyze evidence of sleep disruption in crewmembers during low-Earth orbit missions, identify the use of sleep-promoting medication among crewmembers and deepen the comprehension of challenges to sleep physiology for future missions to the Moon and Mars.</p></div><div><h3>Results</h3><p>Evidence consistently indicates a loss of sleep and circadian rhythm disruption during low-Earth orbit missions. Sleep duration is shortened especially the night before a critical operation and during circadian-misaligned sleep episodes. The prevalence of sleep-promoting medication ranges between 71% and 78%; medication is more frequently taken on circadian-misaligned sleep episodes. Regarding the Moon, Apollo astronauts had variable sleep duration. For some, sleep was restful while others had poor-quality sleep. Many reported fatigue and errors due to the lack of rest. A loss of the 24-h light/dark might be expected due to the Moon's complex illumination characteristics. Regarding Mars, one main challenge will consist in synchronizing the circadian clock to a Martian day (24.65 h).</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"6 ","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/e9/main.PMC10391686.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between typical dreams and mental health of residents in village-in-city","authors":"Yuhang Li ,&nbsp;Wenwen Zhang ,&nbsp;Le Han ,&nbsp;Mei Li ,&nbsp;Huihui Jing ,&nbsp;Hongbin Lu ,&nbsp;Ning Liu ,&nbsp;Xueyang Han ,&nbsp;Mingzhu Su ,&nbsp;Tao Yang ,&nbsp;Fang Yin ,&nbsp;Bin Xie ,&nbsp;Xue Zou","doi":"10.1016/j.sleepx.2023.100081","DOIUrl":"10.1016/j.sleepx.2023.100081","url":null,"abstract":"<div><h3>Aim</h3><p>This study aimed to explore the relationship between typical dreams and the mental health of residents in village-in-city.</p></div><div><h3>Methods</h3><p>This study used the Chinese version of the Typical Dreams Questionnaire and Symptom Checklist 90 (SCL-90) to investigate the mental health status and typical dream themes of 1,190 residents recruited through random sampling from a village-in-city in Xi'an. Correlation analysis, <em>t</em>-test, and binary regression analysis were performed on the data using SPSS 24.0.</p></div><div><h3>Results</h3><p>The five most frequent dream themes among residents in the village-in-city were \"falling\"; \"school, teacher, study\"; \"being chased but not physically injured\"; \"enjoying delicious food\"; and \"repeatedly trying to do something,\" in the given order. The most frequent dream theme with negative SCL-90 factors was \"falling\" and with positive SCL-90 factors was \"school, teacher, study.\" Typical dreams on different themes were significantly correlated with SCL-90 factors. The theme of \"enjoying delicious food\" was not significantly associated with most factors in SCL-90.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"6 ","pages":"Article 100081"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/03/main.PMC10382657.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BASET scoring: A novel simple biometric score for screening and grading obstructive sleep apnea","authors":"Abdelbaset M. Saleh ,&nbsp;Magda A. Ahmed ,&nbsp;Eman A. El Said ,&nbsp;Nabil J. Awadalla ,&nbsp;Amira A.M.M. Attia","doi":"10.1016/j.sleepx.2023.100083","DOIUrl":"10.1016/j.sleepx.2023.100083","url":null,"abstract":"<div><h3>Background</h3><p>Polysomnography (PSG) is the gold-standard diagnostic tool for Obstructive Sleep Apnea (OSA). However, the availability of PSG is limited, and OSA is widely underdiagnosed; more than 80% of most developed nations undiagnosed. There is no diagnostic validated simple tool with clear cutoff point for predicting and roll out patient with OSA in primary care clinics significantly alters clinical outcomes.</p></div><div><h3>Objectives</h3><p>Our study aimed to assess the validity of BASET scoring as a new potential tool for screening and grading the severity of OSA patients.</p></div><div><h3>Methods</h3><p>After institution review board approval and formal patient consent, 144 subjects for suspected OSA and their relatives were enrolled. All subjects were subjected to a full night PSG study after history taking, sleep questionnaires, and physical examination, including BASET score components: <strong>B</strong>= Body Mass Index (BMI), <strong>A</strong>= Abdominal circumference (AC), S = Snoring, <strong>E</strong>= Epworth Sleepiness Scale, and T= Tongue teeth imprint. ROC analysis that used to assess the optimal cutoff point of the BASET score and to compare its accuracy for predicting OSA with Berlin and STOP-Bang scores.</p></div><div><h3>Results</h3><p>This study included 63 OSAS patients, 33 (52.38%) males and 30 (47.62%) females, and 81 controls; 22 (27.16%) males and 50 (72.84%) females. The Cronbach's alpha for the 5 BASET score components was 0.846, indicating the internal consistency reliability of the scale. Moreover, BASET score has a moderately strong positive significant correlation (r = 0.778, p&lt;0.001) with AHI. By ROC analysis, the accuracy of the three measures was generally high, with BASET score predicting OSA most accurately (AUC=0.984, 95%CI: 0.956–0.999), followed by STOP-Bang (AUC=0.939, 95%CI: (0.887–0.972) and Berlin (AUC=0.901, 95%CI: 0.841–0.945). The AUC of BASET score was significantly higher compared to the Berlin score (difference= 0.0825, 95%CI: 0.039–0.125) and STOP-Bang score (difference= 0.0447, 95%CI: 0.011–0.078). On the other hand, there was no difference between the AUC of Berlin and STOP-Bang scores (difference=0.0378, 95%CI: 0.006 - 0.081 4). BASET score was significantly (p&lt;0.001) associated with OSA grades,</p></div><div><h3>Conclusion</h3><p>BASET score is a convenient, reliable, and valid tool for diagnosing OSA. BASET score is more accurate for predicting OSA than Berlin and STOP-Bang scores, while there is no difference between Berlin and STOP-Bang scores. BASET score indicates OSA grades.</p></div><div><h3>Registration of clinical trials by number</h3><p>NCT05511974.</p></div><div><h3>Name of the registry</h3><p>ClinicalTrials.gov URL: <span>https://clinicaltrials.gov/</span><svg><path></path></svg></p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"6 ","pages":"Article 100083"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/28/main.PMC10457551.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10463570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude, and practices of Filipino adult neurologists on obstructive sleep apnea among stroke patients","authors":"Pearl Angeli Diamante ,&nbsp;Maria Cecilia Jocson ,&nbsp;Artemio Roxas Jr.","doi":"10.1016/j.sleepx.2023.100091","DOIUrl":"https://doi.org/10.1016/j.sleepx.2023.100091","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to describe the knowledge, attitudes, and practices of Filipino adult neurologists in the recognition and treatment of obstructive sleep apnea (OSA) among patients presenting with acute stroke.</p></div><div><h3>Methodology</h3><p>A prospective cross-sectional study was conducted using a web-based survey from April to June 2022 among active locally-practicing adult neurology fellows of the Philippine Neurological Association. The 18-item knowledge statements from the validated “Obstructive Sleep Apnea Knowledge and Attitudes (OSAKA) Questionnaire was used as survey instrument. There were also eight additional items assessing knowledge, six items assessing attitudes, and ten items assessing practices that were included.</p></div><div><h3>Results</h3><p>A total of 119 neurologists participated in the survey. Two-thirds of the respondents were females, and 70 % were between 31 and 40 years old. Majority of the respondents are General Neurologists (57.1 %) followed by Neurophysiologists (10 %) and Stroke Specialists (10 %). Forty-seven percent of neurologists got more than or equal to 75 % of the knowledge statements included in the OSAKA questionnaire correctly. Less than half of the respondents correctly answered the questions on (1) uvulopalatopharyngoplasty as curative for majority of patients with OSA (32.8 %), (2) continuous positive airway pressure (CPAP) therapy can cause nasal congestion (42.9 %), (3) laser-assisted uvuloplasty as treatment for severe OSA (16.8 %), and (4) less than 5 apneas is normal in adults (48.7 %). Majority (&gt;80 %) of the respondents were able to correctly answer the statements relating OSA and stroke. Almost all agreed that OSA as a clinical disorder (95 %) is important and that acute stroke patients with possible OSA needs to be identified (94.1 %) and further evaluated (96.6 %). On the other hand, less than half of the respondents feel confident in: identifying patients at-risk for OSA (47.9 %), ability to manage acute stroke patients with OSA (34.5 %), and ability to manage acute stroke patients with OSA on CPAP therapy (21 %). Most neurologists would sometimes screen OSA among their patients with acute stroke (55.5 %). Most respondents would only educate their patients on OSA sometimes (43.7 %). With regards to the diagnosis (42 %), risk factors (42 %), and treatment options for OSA (40.3 %), most would discuss them with their patients.</p></div><div><h3>Conclusion</h3><p>Less than half of neurologists were able to get at least 75 % of the knowledge questions. Majority had difficulty with statements pertaining to surgery as cure for OSA, CPAP therapy causing nasal congestion, and OSA severity classification. Almost all has a positive attitude towards the importance of OSA diagnosis and management; however, there is low confidence among them with regards to their practice in identification and handling of these patients.</p></div>","PeriodicalId":37065,"journal":{"name":"Sleep Medicine: X","volume":"6 ","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49816418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}