AASM takes the pulse of the sleep field and responds to COVID-19

Ramar, Kannan

doi:10.5664/jcsm.8846

Cited by 8 publications

(7 citation statements)

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“…A survey done primarily in America showed a large increase in the use of telemedicine, with the majority of respondents expecting the use of telehealth to endure in the future [23] . Similarly, the AASM pulse survey found that 62.07% of the respondents favored the continuation of telemedicine services after COVID-19 is resolved, provided they are adequately reimbursed [16] . The AASM practice guideline, updated before the COVID-19 pandemic, also suggested telemonitoring-guided interventions during the initial period of PAP therapy in adults with OSA [29] .…”

Section: Discussionmentioning

confidence: 99%

“…Data from 40 sleep centers in Europe indicated that sleep medicine services were reduced by almost 80% during the first 1 to 2 months of the COVID-19 pandemic [7] . Results from the American Academy of Sleep Medicine (AASM) COVID-19 survey conducted in July and August of 2020 showed that 66% of the sleep centers reported lower patient volume after the start of the pandemic, and 36% reported a need for financial assistance due to the COVID-19 pandemic [16] . Fortunately, Korea has passed the peak of local epidemics well within National Health System capabilities with a low fatality rate [17] .…”

Section: Discussionmentioning

confidence: 99%

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Impacts of the COVID-19 pandemic on sleep center operations and sleep apnea treatment in Korea

Kim

et al. 2021

Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impacts of the COVID-19 pandemic on sleep center operations and sleep apnea treatment in Korea

Kim

et al. 2021

Medicine

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“…Unresolved issues include how to best manage special circumstances (e.g., pediatric patients), widening disparities in sleep center access, and a strained provider workforce. Workforce fatigue, burnout, and financial pressures have been reported, with 36% of 551 sleep providers surveyed applying for financial assistance to maintain their practices ( 10 ).…”

Section: Sleep Center Management In the Era Of Coronavirus Diseasementioning

confidence: 99%

ATS Core Curriculum 2021. Adult Sleep Medicine: Sleep Apnea

et al. 2021

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The American Thoracic Society Sleep Core Curriculum updates clinicians on important sleep topics, presented during the annual meeting, and appearing in summary here. This year’s sleep core theme is sleep-disordered breathing and its management. Topics range from pathophysiological mechanisms for the association of obstructive sleep apnea (OSA) and metabolic syndrome, surgical modalities of OSA treatment, comorbid insomnia and OSA, central sleep apnea, and sleep practices during a pandemic. OSA has been associated with metabolic syndrome, independent of the role of obesity, and the pathophysiology suggests a role for sleep fragmentation and intermittent hypoxia in observed metabolic outcomes. In specific patient populations, surgical treatment modalities for OSA have demonstrated large reductions in objective disease severity compared with no treatment and may facilitate adherence to positive airway pressure treatment. Patient-centered approaches to comorbid insomnia and sleep apnea include evaluating for both OSA and insomnia simultaneously and using shared-decision making to determine the order and timing of positive airway pressure therapy and cognitive behavioral therapy for insomnia. The pathophysiology of central sleep apnea is complex and may be due to the loss of drive to breathe or instability in the regulatory pathways that control ventilation. Pandemic-era sleep practices have evolved rapidly to balance safety and sustainability of care for patients with sleep-disordered breathing.

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“…However, there still remains significant gaps in knowledge regarding the socio-contextual determinants of a child's sleep [4] . Answering questions on the societal determinants of sleep has become even more pressing in present-day COVID-19 public policy decision-making [5] , [6] , [7] .…”

Section: Introductionmentioning

confidence: 99%

Daily concordance between ecological stressors and sleep in young minority children during the pre-COVID-19 outbreak period

2021

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Objective As the COVID-19 pandemic brings widespread changes in families, the sociology of sleep becomes noticeable. Yet, the socio-contextual determinants of a biopsychosocial phenomenon as sleep are poorly investigated. We examine changes concomitantly occurring in the child's sleep per familial and community stressors. Methods During the pre-COVID-19 outbreak period, in 24 minority children (5.4±1.7 years old, 54.2% girls), sleep was objectively measured 24-hours for two consecutive weeks, and this was repeated three times over the study period of three months. The caregiver filled out questionnaires surveying sociodemographic, community and family aspects. Results Children went to bed at 22:26 and woke up at 07:04, with each a variability of about 50 minutes. Money and time were revealed as related key stressors to sleep. Five dimensions best fitted their association. In general, concurrent changes within the individual child indicate that mean sleep variables seem to relate to predominantly features of the stressors (explained variance of 34.7% to 56.7%), while variability of sleep tends to associate to situational aspects of the stressors (explained variance of 30.4% to 61.8%). Associations were best explained in terms of the 24-hour dimension, particularly exposing sleep variability. Conclusion Individual variabilities in a child's sleep are associated with familial resources, such as caregiver's time to self, money and basic needs. Time spent in bed, a modifiable factor by society and shaper of sleep quantity and quality, plays a key role in stressor-sleep associations. Insights from biopsychosocial perspectives may be valuable for understanding COVID-19 sleep studies, and the development of (post-)COVID-19 sleep recommendations.

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AASM takes the pulse of the sleep field and responds to COVID-19

Cited by 8 publications

References 0 publications

Impacts of the COVID-19 pandemic on sleep center operations and sleep apnea treatment in Korea

Impacts of the COVID-19 pandemic on sleep center operations and sleep apnea treatment in Korea

ATS Core Curriculum 2021. Adult Sleep Medicine: Sleep Apnea

Daily concordance between ecological stressors and sleep in young minority children during the pre-COVID-19 outbreak period

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