{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:07:14Z","timestamp":1790806034961,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2025,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Obstructive sleep apnea (OSA), common in geriatric patients, has been associated with neurocognitive memory disorders such as Alzheimer's disease and other related dementias. An unusual pattern of memory testing has been found to be associated with OSA in a retrospective study (Dexter and Ebert, 2019). This atypical pattern is reported when immediate memory performance is lower than delayed memory performance on the repeatable battery for the assessment of neurological status (RBANS). The current study examines this cognitive testing results pattern coupled with snoring for predicting OSA in geriatric memory patients presenting to a university\u2010based memory clinic.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A convenience sample of patients presenting to the University of Wisconsin Hospitals and Clinics geriatric memory clinic from 2016\u20102020 for cognitive assessments comprised the study population. Patients completed the mini\u2010mental state examination (MMSE) and obtained a score of 25 out of 30 points or greater and the patients were given the RBANS. Patients were referred for a sleep evaluation if they snored and their immediate memory index score was one or more points lower than their delayed memory index score on the RBANS. No other test score requirements were utilized to trigger the referral.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of the 251 patients (138 men; 113 women) referred based only on these two criteria to the associated sleep clinic, 158 (80%) were found to have OSA.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The prevalence of positive sleep studies suggests that memory clinic patients who snore and present this unusual pattern of results on the RBANS should be referred for a sleep evaluation for possible OSA.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/brb3.71097","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:13:59Z","timestamp":1766474039000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Neuropsychological Test Pattern Associated With a High Percentage of Sleep Apnea Diagnosis"],"prefix":"10.1002","volume":"15","author":[{"given":"Robert J.","family":"Przybelski","sequence":"first","affiliation":[{"name":"Department of Medicine University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna G.","family":"Przybelski","sequence":"additional","affiliation":[{"name":"Center for Psychedelic and Consciousness Research Johns Hopkins University Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith E.","family":"Rumble","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David T.","family":"Plante","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alissa M.","family":"Irwin","sequence":"additional","affiliation":[{"name":"Jesse Brown Department of Veterans Affairs Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana E.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.486"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201004\u20100654OC"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31816d83e4"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.00043.2008"},{"issue":"1","key":"e_1_2_10_6_1","first-page":"27","article-title":"A Unique Pattern on Memory Testing in Dementia Screening Predicts Obstructive Sleep Apnea","volume":"118","author":"Dexter D. D.","year":"2019","journal-title":"Wmj: Official Publication of the State Medical Society of Wisconsin"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD\u2010201066"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1076\/jcen.25.4.459.14416"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2011.05.006"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(15)00090\u20109"},{"issue":"10","key":"e_1_2_10_11_1","first-page":"1447","article-title":"Association of Sleep Disordered Breathing With Cognitive Function and Decline: The Sleep Heart Health Study","volume":"36","author":"Koo B. B.","year":"2013","journal-title":"Sleep"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2002.0261"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389\u20109457(03)00063\u20104"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/t15149-000"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101843.2012.02255.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2016.02.012"}],"container-title":["Brain and Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.71097","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/brb3.71097","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/brb3.71097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:43:13Z","timestamp":1789980193000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/brb3.71097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/brb3.71097"],"URL":"https:\/\/doi.org\/10.1002\/brb3.71097","archive":["Portico"],"relation":{},"ISSN":["2162-3279","2162-3279"],"issn-type":[{"value":"2162-3279","type":"print"},{"value":"2162-3279","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71097"}}