Research Letter: Impact of Obstructive Sleep Apnea Disease Duration on Neuropsychological Functioning After Traumatic Brain Injury: A Veterans Affairs TBI Model Systems Study.

J Head Trauma Rehabil

Mental Health and Behavioral Sciences Section, James A. Haley Veterans' Hospital, Tampa, Florida (Drs Silva, Lee, Garcia, and Nakase-Richardson); Departments of Internal Medicine (Drs Silva and Nakase-Richardson) and Psychiatry and Behavioral Neurosciences (Dr Silva), University of South Florida, Tampa; Traumatic Brain Injury Center of Excellence, Tampa, Florida (Dr Garcia); Departments of Rehabilitation and Human Performance and Neurology, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Dams-O'Connor).

Published: November 2022

AI Article Synopsis

  • The study aims to investigate how long-term obstructive sleep apnea (OSA) affects cognitive functioning, particularly in individuals with a history of traumatic brain injury (TBI).
  • Researchers hypothesized that longer OSA duration would lead to worse cognitive performance, especially in verbal memory.
  • The results showed that longer duration of OSA was indeed linked to poorer delayed verbal memory, suggesting that timely diagnosis and treatment of OSA may benefit TBI patients.

Article Abstract

Objective: To examine the relationship between obstructive sleep apnea (OSA) disease duration and cognitive functioning in those with a history of traumatic brain injury (TBI). We hypothesized that longer OSA duration would predict poorer cognitive performance.

Setting: Inpatient brain injury units at a Veterans Affairs (VA) Polytrauma Rehabilitation Center.

Participants: Participants in the VA TBI Model Systems multicenter longitudinal study who enrolled in a modular substudy (April 15, 2018, to January 15, 2021) examining cognition following TBI. All participants had received inpatient rehabilitation for TBI and reported a diagnosis of OSA ( n = 89, mean age = 40.8 years, 97% male, 81% White). Reported duration of OSA ranged from 2 to 7 years (mean = 4.2; SD = 3.9).

Design: Retrospective analysis of prospective cohort, cross-sectional.

Main Measures: Brief Test of Adult Cognition by Telephone (BTACT).

Results: Controlling for age, education, and time to follow commands, OSA disease duration was negatively associated with delayed verbal memory ( R2Δ = 0.053, F(1,84) = 5.479, P = .022). Performance in other cognitive domains was not significantly associated with OSA disease duration.

Conclusion: This study provides preliminary evidence that longer duration of OSA (ie, time since diagnosis) has a negative impact on verbal memory in those with a history of hospitalized TBI. This finding extends the literature (which focused on the general population) on the cognitive impact of OSA and is consistent with hypothesized mechanisms such as hippocampal damage and secondary impact of fatigue. Findings suggest that early OSA identification and treatment may be prudent for persons with TBI.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10249369PMC
http://dx.doi.org/10.1097/HTR.0000000000000797DOI Listing

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