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Abstract| Volume 99, ISSUE 11, e129, November 2018

American Academy of Sleep Medicine Versus CMS Criteria for Obstructive Sleep Apnea in Acute TBI

      Sleep disturbances including sleep apnea are prevalent in the acute stage of TBI and associated with worse neurologic outcome. Eligibility for treatment of OSA with continuous positive airway pressure (CPAP) depends on the severity of the apnea-hypopnea index (AHI). There is divergence in scoring rules for hypopneas between the American Academy of Sleep Medicine (AASM) and Center for Medicare and Medicaid Services (CMS), the latter being more restrictive. A prior study in the general population comparing this divergence approximates 22%, with largest discrepancy occurring in subjects <65 years old (28%). To date, no study has compared the scoring rules in a TBI sample during a stage of critical neural repair.
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