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Abstract Details

Don’t Sleep On It: Underrecognized Sleep Disorders in Patients with Neuromuscular Disease
Sleep
P9 - Poster Session 9 (11:45 AM-12:45 PM)
4-001
Report on increased screening for sleep disorders in patients with symptomatic neuromuscular disease (NMD) following the addition of sleep specialists to multidisciplinary NMD clinic model
Neuromuscular multidisciplinary clinical care models are becoming common in the management of NMD. Despite high prevalence of comorbid sleep disorders, sleep medicine is not included in the standard NMD clinic model. Clinical practice guidelines published by The American College of Chest Physicians (CHEST) emphasize the importance of sleep medicine involvement by recommending screening for hypoventilation with polysomnogram (PSG) in patients with symptomatic neuromuscular weakness.

Sleep medicine physicians joined a pre-established NMD multidisciplinary clinic at our military treatment facility. The clinic was attended monthly from March 2023 to March 2024. Patients with symptomatic NMD not previously screened with PSG were identified using clinical history and chart review. The Insomnia Severity Index (ISI) was completed by patients. When indicated, patients were referred to our sleep disorders center to obtain diagnostic PSG with CO2 monitoring.

Twelve NMD patients were evaluated with 75% (n=9) having no prior insomnia screening and 50% having no prior PSG. The average ISI was 8.25 and 58.3% (n=7) were diagnosed with chronic insomnia disorder. After one year, 100% of the patient population had been screened for insomnia and PSG acquisition had improved to 100%.

Recommended PSG and insomnia screening improved to 100% following implementation of sleep physicians into multidisciplinary NMD clinic model. The detection of previously undiagnosed hypoventilation, SDB, and insomnia is clinically meaningful to this population. Sleep medicine specialists are an underutilized but potentially vital resource in the NMD multidisciplinary clinic model.
Authors/Disclosures
Alexander Williams, MD (San Antonio Uniformed Services Health 好色先生 Consortium)
PRESENTER 		Dr. Williams has nothing to disclose.
Matthew Brock, MD (United States Air Force) Dr. Brock has received research support from Department of Defense, Defense Health Program, Congressionally Directed Medical Research Programs.
Timothy R. Fullam, MD, FAAN Dr. Fullam has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Amylyx. Dr. Fullam has received publishing royalties from a publication relating to health care. Dr. Fullam has received personal compensation in the range of $500-$4,999 for serving as a ALS CDRMP Programmatic Panel with Department of War.
Zahari Tchopev, MD (Brooke Army Medical Center Department of Neurology) Dr. Tchopev has nothing to disclose.