SPECIAL SYMPOSIUM: Improving Access to Sleep Apnea Diagnosis in Acute TBI to Maximize Neurorehabilitation Outcome (769491)

Wednesday, October 21, 2020

2:15 PM – 3:30 PM EST

Presenter(s)

Cherry Junn, MD

Assistant Professor, PMRS
University of Washington
Seattle, Washington
Joseph Coulter

Stakeholder
Tampa, Florida

Presentation Slides Presentation + Audio

Given that sleep is critical for neural repair and disordered sleep may play a role in slowing

functional recovery and prolonging rehabilitation, early detection of sleep apnea is critical.

Minimal guidance exists informing TBI and sleep medicine physicians regarding assessment of

sleep disorders in the acute rehabilitation setting. The Agency for Healthcare Research and

Quality’s (AHRQ) Comparative Effectiveness Review highlighted insufficient comparative

effectiveness evidence for diagnostic and screening tools for sleep apnea. This symposium will

present primary and secondary analyses from a Patient Centered Outcomes Research

Institute’s Comparative Effectiveness clinical trial of sleep apnea screening and diagnostic tools
during hospitalization.

1. Discuss the incidence and severity of sleep apnea observed in the comparative effectiveness clinical trial of screening and diagnostic tests during inpatient rehabilitation.
2. Identify the best screening tools for determining risk for sleep apnea during inpatient neurorehabilitation for TBI.
3. Understand the sensitivity and specificity of portable polysomnography compared to fully-attended, Level 1 polysomnography traditionally conducted in sleep laboratories.