Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine

STUDY OBJECTIVES: This meta-analysis aimed to investigate the feasibility and effectiveness of continuous positive airway pressure (CPAP) treatment in stroke patients with sleep apnea. METHODS: PubMed, EMBASE, and the Cochrane Library were searched from inception until July 28, 2022, for randomized controlled trials comparing the use of CPAP and usual treatment in patients with stroke or transient ischemic attack and sleep apnea. The primary outcome measures were the feasibility of CPAP therapy, neurological function, and functional status...

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No abstract text is available yet for this article.

The modern practice of sleep medicine in China was introduced in the 1980s and has undergone significant development over the past few decades. The field has witnessed an increase in sleep laboratories, the publication of guidelines for the diagnosis and treatment of sleep disorders, and the establishment of several sleep medicine associations. Despite these achievements, there is still much to be done in this field. By utilizing original national survey data, this study comprehensively discusses the current practice of sleep medicine in China, including sleep medicine training, diagnostic capacity, multidisciplinary care, clinical competence and standardization, sleep telemedicine, barriers to the practice of sleep medicine, and costs of sleep medicine...

STUDY OBJECTIVES: Polycystic ovary syndrome (PCOS) confers a high risk of obstructive sleep apnea (OSA). Here we investigated the effect of OSA on first in vitro fertilization (IVF) cycle metrics and outcomes in PCOS patients. METHODS: This was a prospective cohort study of PCOS patients undergoing first IVF at a single tertiary center between October 1, 2021 and September 30, 2022. Patients were screened for OSA before IVF and grouped accordingly. Clinical and IVF cycle data were compared between groups...

STUDY OBJECTIVES: Sleep disturbances are common in people with Alzheimer's disease (AD), with a reduction in slow-wave activity (SWA) being the most striking underlying change. Acoustic stimulation has emerged as a promising approach to enhance SWA in healthy adults and people with amnestic mild cognitive impairment. In this phase 1 study we investigated, for the first time, the feasibility of acoustic stimulation in AD and piloted the effect on slow-wave sleep (SWS). METHODS: Eleven adults with mild to moderate AD first wore the DREEM2 headband (DH) for two nights to establish a baseline registration...

Hallucinations are false sensory perceptions that occur in the absence of an external stimulus. Three cases of hallucinations related to OSAHS are reported, two of which improved with the initiation of CPAP therapy. So far there are no published reports in the literature that account for this relationship in the absence of primary or structural mental pathology. All 3 reported patients had visual hallucinations that were uncomfortable and frightening. Polysomnography showed moderate to severe OSAHS with severe oxygen desaturation...

STUDY OBJECTIVES: Upper airway stimulation (UAS) is a hybrid surgical-medical device used to treat moderate-to-severe obstructive sleep apnea (OSA). Comorbid insomnia and obstructive sleep apnea (COMISA) is present in ~50% of these patients. Our aim was to study UAS outcomes and adherence in COMISA patients. METHODS: Retrospective review of 379 OSA patients who underwent UAS implantation at a single institution between 2014-2021. Demographics, OSA severity metrics, and insomnia data were collected...

STUDY OBJECTIVES: Postoperative respiratory complications (PORC) can occur following supraglottoplasty (SGP) for obstructive sleep apnea (OSA). However, there are very limited data on risk factors associated with these complications. This study aims to evaluate the occurrence of PORC in children undergoing SGP and to assess clinical factors and polysomnographic (PSG) parameters predicting these complications. METHODS: A retrospective study was performed in children with laryngomalacia who underwent SGP with preoperative PSG...

STUDY OBJECTIVES: The aim of this study was to evaluate gender-related differences in symptoms of sleep disorders, sleep-related impairment, psychiatric symptoms, traumatic brain injury (TBI), and polysomnographic (PSG) variables in treatment-seeking military personnel diagnosed with insomnia, obstructive sleep apnea (OSA), or comorbid insomnia and OSA (COMISA). METHODS: Participants were 372 military personnel (46.2% women, 53.8% men) with an average age of 37...

STUDY OBJECTIVES: Obstructive sleep apnea and poor quality of sleep negatively impacts health-related quality of life (HR-QoL) in adults, but few studies have evaluated the association between sleep disturbance (e.g., obstructive sleep apnea, inadequate sleep) and HR-QoL domains (e.g., family relations, life satisfaction) in children. METHODS: Children ages 8-17 years referred to a sleep center for routine polysomnography from 04/2022 to 08/2022 were approached to participate in the study, and children visiting the department of pediatrics for their wellness visit were recruited for comparisons...

The dacryocystorhinostomy (DCR) procedure creates a direct passageway between the lacrimal sac and nasal cavity, bypassing any nasolacrimal duct obstruction. Use of a continuous positive airway pressure (CPAP) device after DCR can cause nasolacrimal air regurgitation. Here, we report a case of air regurgitation after DCR that was successfully treated with placement of a Mini Monoka device, a silicone stent used in nasolacrimal surgery to prevent closure of the passageway, in a patient using a CPAP machine. Following the procedure, the patient was able to resume use of her CPAP device...

STUDY OBJECTIVES: This study evaluated the effects of early time-restricted eating (eTRE) on shifting the timing of sleep among late sleepers. Primary outcomes included actigraphy- and sleep diary-derived sleep onset, mid-sleep phase, and wake time with total sleep time as a secondary outcome. METHODS: Fifteen healthy adults with habitual late sleep timing were randomized to receive either eTRE or sleep and nutrition hygiene (control) via one, 30-minute synchronous video session...

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STUDY OBJECTIVES: To determine the differences in sleep patterns between preterm infants who received caffeine and those who didn't and to evaluate the effects of caffeine therapy on early neurodevelopment. Secondarily, actigraphy and polysomnography were compared to evaluate the sleep of preterm infants. METHODS: Twenty-eight preterm infants aged between 28-34 weeks admitted to a single center level III NICU between May 2020- May 2021 were included. Sleep was assessed by actigraphy for 72 hours with Respironics Mini-Mitter® Actiwatch-2 and Brief Infant Sleep Questionnaire (BISQ) at six months corrected age (CA)...

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STUDY OBJECTIVES: Children with Down syndrome (DS) are at very high risk for obstructive sleep apnea (OSA). Current OSA treatments have limited effectiveness in this population. We evaluated the effectiveness of atomoxetine and oxybutynin (ato-oxy) to treat OSA in children with DS. METHODS: Children aged 6-17 years old with DS and OSA participated in a double-blind cross-over clinical trial evaluating two dose regimens of ato-oxy. Participants received low dose ato-oxy (0...

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Falling asleep at the wheel is attributed to sleepiness, and obstructive sleep apnea (OSA) is a significant cause of sleepiness that increases the risk of motor vehicle collisions (MVCs) due to falling asleep at the wheel. Although continuous positive airway pressure therapy for OSA reduces the risk of MVCs, similar evidence for alternatives such as oral appliance therapy (OAT) is lacking. We discuss two truck collisions attributed to microsleep confirmed with dashcam video footage of commercial drivers with OSA...

STUDY OBJECTIVES: Chronic disruptions to sleep in childhood are associated with increased prevalence of psychiatric disease later in development. When sleep disruptions remit before adolescence, the increased prevalence of psychiatric disease is no longer observed, highlighting the importance of early detection and intervention. Clinicians typically rely on caregiver report for diagnosis and management of childhood sleep challenges. We examined if findings on polysomnogram (PSG) can offer similar insight into childhood sleep difficulties and the risk of subsequent psychiatric illness...