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Sleep bruxism and associated physiological events in children with obstructive sleep apnea: a polysomnographic study.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

The aim of this study was to evaluate the physiological events associated with sleep bruxism (Sleep Bruxism [SB]; presence of mandibular movement activity) and the control window (4 minutes prior to SB event, where no mandibular movement activity was detected) in a polysomnography study in children with mild sleep apnea. Polysomnography data from c...

The OSA patient journey: pathways for diagnosis and treatment among commercially insured individuals in the United State...

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

The aims of this study were to characterize obstructive sleep apnea (OSA) care pathways among commercially insured individuals in the United States and to investigate between-groups differences in population, care delivery, and economic aspects. We identified adults with OSA using a large, national administrative claims database (January 1, 2016-Fe...

Identifying clusters of patient comorbidities associated with obstructive sleep apnea using electronic health records.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

The objectives of this study were to understand the relative comorbidity burden of obstructive sleep apnea (OSA), determine whether these relationships were modified by sex or age, and identify patient subtypes defined by common comorbidities. Cases with OSA and noncases (controls) were defined using a validated electronic health record (EHR)-based...

Performance of cardiorespiratory-based sleep staging in patients using beta blockers.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

Automatic sleep staging based on cardiorespiratory signals from home sleep monitoring devices holds great clinical potential. Using state-of-the-art machine learning, promising performance has been reached in patients with sleep disorders. However, it is unknown whether performance would hold in individuals with potentially altered autonomic physio...

Sleep medicine clinical pearls: understanding the dynamic changes in sleep apnea during pregnancy due to hormonal shifts...

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

Evaluating insomnia queries from an artificial intelligence chatbot for patient education.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

We evaluated the accuracy of ChatGPT in addressing insomnia-related queries for patient education and assessed ChatGPT's ability to provide varied responses based on differing prompting scenarios. Four identical sets of 20 insomnia-related queries were posed to ChatGPT. Each set differed by the context in which ChatGPT was prompted: no prompt, pati...

The ethics of hypopnea scoring.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

In February of 2023, the American Academy of Sleep Medicine issued a "recommended" way to score hypopneas using 1A criteria (scoring of hypopneas using a ≥ 3% oxygen desaturation from pre-event baseline) that is at odds with the Centers for Medicare & Medicaid Services mandate of scoring hypopneas using a ≥ 4% oxygen desaturation from pre-event bas...

Comparing actigraphy and diary to measure daily and average sleep in firefighters: a Bland-Altman analysis.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

This study sought to examine the relationship between actigraphy and the Consensus Sleep Diary to contribute information on their concurrent validity in a sample of career firefighters. Sixty firefighters were recruited from a large, urban fire department in the southwest United States that utilizes a fire-based emergency medical services system an...

A rare case of tongue biting during sleep in childhood.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

Bleeding tongue-biting episodes during sleep are a rare and alarming situation that can negatively impact the child's and parents' sleep, affecting their quality of life. Although highly suggestive of epilepsy, a differential diagnosis should be made with sleep-related movement disorders such as bruxism, hypnic myoclonus, facio-mandibular myoclonus...

To the Editor: Early school start times in middle and high schools have profound implications for children and teens.

Published in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

This letter to the editor aims to prompt medical students, residents, and sleep medicine fellows to actively support the implementation of delayed school start times in middle and high schools, considering the significant impact it holds for children and adolescents. During puberty, research has demonstrated that circadian changes result in a sleep...