{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T23:41:03Z","timestamp":1761176463248,"version":"build-2065373602"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sleep Breath"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1007\/s11325-025-03477-y","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T10:38:05Z","timestamp":1759574285000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical predictors of underlying severe obstructive sleep apnea in patients undergoing gastrointestinal endoscopy under conscious sedation"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6115-1193","authenticated-orcid":false,"given":"Kosuke","family":"Kashiwabara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fujiho","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takenori","family":"Yamanouchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoki","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Ando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,4]]},"reference":[{"issue":"no. 3","key":"3477_CR1","doi-asserted-by":"publisher","first-page":"479","DOI":"10.5664\/JCSM.6506","volume":"13","author":"VK Kapur","year":"2017","unstructured":"Kapur VK et al (2017) Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American academy of sleep medicine clinical practice guideline. J Clin Sleep Med 13(3):479\u2013504. https:\/\/doi.org\/10.5664\/JCSM.6506","journal-title":"J Clin Sleep Med"},{"issue":"3","key":"3477_CR2","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1159\/000491385","volume":"99","author":"K Ohata","year":"2019","unstructured":"Ohata K et al (2019) Efficacy of upper gastrointestinal endoscopic examination to identify patients with obstructive sleep apnea syndrome: a retrospective cross-sectional study. Digestion 99(3):252\u2013259. https:\/\/doi.org\/10.1159\/000491385","journal-title":"Digestion"},{"issue":"2","key":"3477_CR3","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/S11325-025-03289-0","volume":"29","author":"K Kashiwabara","year":"2025","unstructured":"Kashiwabara K, Tanaka F, Yamanouchi T, Yoshida M, Yoshida T, Ando M (2025) Severity of obstructive sleep apnea diagnosed incidentally during gastrointestinal endoscopy under conscious sedation. Sleep Breath 29(2):139. https:\/\/doi.org\/10.1007\/S11325-025-03289-0","journal-title":"Sleep Breath"},{"issue":"no. 9464","key":"3477_CR4","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1016\/s0140-6736(05)71141-7","volume":"365","author":"JM Marin","year":"2005","unstructured":"Marin JM, Carrizo SJ, Vicente E, Agusti AGN (2005) Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365(9464):1046\u20131053. https:\/\/doi.org\/10.1016\/s0140-6736(05)71141-7","journal-title":"Lancet"},{"issue":"4","key":"3477_CR5","doi-asserted-by":"publisher","first-page":"481","DOI":"10.20524\/AOG.2016.0054","volume":"29","author":"G Harvin","year":"2016","unstructured":"Harvin G et al (2016) Airway observations during upper endoscopy predicting obstructive sleep apnea. Ann Gastroenterol 29(4):481\u2013486. https:\/\/doi.org\/10.20524\/AOG.2016.0054","journal-title":"Ann Gastroenterol"},{"issue":"no. 6","key":"3477_CR6","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1016\/J.GIE.2009.05.036","volume":"70","author":"VS Khiani","year":"2009","unstructured":"Khiani VS, Salah W, Maimone S, Cummings L, Chak A (2009) Sedation during endoscopy for patients at risk of obstructive sleep apnea. Gastrointest Endosc 70(6):1116\u20131120. https:\/\/doi.org\/10.1016\/J.GIE.2009.05.036","journal-title":"Gastrointest Endosc"},{"issue":"no. 3","key":"3477_CR7","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1007\/S11325-010-0346-3","volume":"15","author":"MJ Mador","year":"2011","unstructured":"Mador MJ, Abo Khamis M, Nag N, Mreyoud A, Jallu S, Mehboob S (2011) Does sleep apnea increase the risk of cardiorespiratory complications during endoscopy procedures? Sleep Breath 15(3):393\u2013401. https:\/\/doi.org\/10.1007\/S11325-010-0346-3","journal-title":"Sleep Breath"},{"issue":"8","key":"3477_CR8","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1007\/S00405-011-1633-8","volume":"268","author":"EJ Kezirian","year":"2011","unstructured":"Kezirian EJ, Hohenhorst W, De Vries N (2011) Drug-induced sleep endoscopy: the VOTE classification. Eur Arch Otorhinolaryngol 268(8):1233\u20131236. https:\/\/doi.org\/10.1007\/S00405-011-1633-8","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"1","key":"3477_CR9","doi-asserted-by":"publisher","first-page":"2909","DOI":"10.1080\/07853890.2022.2134586","volume":"54","author":"A Viana","year":"2022","unstructured":"Viana A, Estev\u00e3o D, Zhao C (2022) The clinical application progress and potential of drug-induced sleep endoscopy in obstructive sleep apnea. Ann Med 54(1):2909\u20132920. https:\/\/doi.org\/10.1080\/07853890.2022.2134586","journal-title":"Ann Med"},{"key":"3477_CR10","doi-asserted-by":"publisher","first-page":"2151","DOI":"10.2147\/NSS.S340950","volume":"14","author":"MT Scharf","year":"2022","unstructured":"Scharf MT (2022) Reliability and efficacy of the epworth sleepiness scale: is there still a place for it? Nat Sci Sleep 14:2151\u20132156. https:\/\/doi.org\/10.2147\/NSS.S340950","journal-title":"Nat Sci Sleep"},{"issue":"1","key":"3477_CR11","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1007\/S11325-015-1199-6","volume":"20","author":"S Gaddam","year":"2016","unstructured":"Gaddam S, Gunukula SK, Mador MJ (2016) Post-gastrointestinal endoscopy complications in patients with obstructive sleep apnea or at high risk for sleep apnea: a systematic review and meta-analysis. Sleep Breath 20(1):155\u2013166. https:\/\/doi.org\/10.1007\/S11325-015-1199-6","journal-title":"Sleep Breath"},{"issue":"11","key":"3477_CR12","doi-asserted-by":"publisher","first-page":"552","DOI":"10.4253\/WJGE.V9.I11.552","volume":"9","author":"CM Andrade","year":"2017","unstructured":"Andrade CM, Patel B, Vellanki M, Kumar A, Vidyarthi G (2017) Safety of gastrointestinal endoscopy with conscious sedation in obstructive sleep apnea. World J Gastrointest Endosc 9(11):552\u2013557. https:\/\/doi.org\/10.4253\/WJGE.V9.I11.552","journal-title":"World J Gastrointest Endosc"},{"issue":"6","key":"3477_CR13","doi-asserted-by":"publisher","first-page":"1541","DOI":"10.1111\/COA.13213","volume":"43","author":"A De Vito","year":"2018","unstructured":"De Vito A et al (2018) European position paper on drug-induced sleep endoscopy: 2017 update. Clin Otolaryngol 43(6):1541\u20131552. https:\/\/doi.org\/10.1111\/COA.13213","journal-title":"Clin Otolaryngol"},{"issue":"19","key":"3477_CR14","doi-asserted-by":"publisher","first-page":"5849","DOI":"10.3390\/JCM11195849","volume":"11","author":"I Vukovi\u0107","year":"2022","unstructured":"Vukovi\u0107 I, Duplan\u010di\u0107 B, Benzon B, \u0110oga\u0161 Z, Kova\u010d R, Pecoti\u0107 R (2022) Midazolam versus dexmedetomidine in patients at risk of obstructive sleep apnea during urology procedures: a randomized controlled trial. J Clin Med 11(19):5849. https:\/\/doi.org\/10.3390\/JCM11195849","journal-title":"J Clin Med"},{"issue":"3","key":"3477_CR15","doi-asserted-by":"publisher","first-page":"93","DOI":"10.3390\/HEALTHCARE7030093","volume":"7","author":"M Carrasco-Llatas","year":"2019","unstructured":"Carrasco-Llatas M, Matarredona-Quiles S, De Vito A, Chong KB, Vicini C (2019) Drug-induced sleep endoscopy: technique, indications, tips and pitfalls. Healthc Basel (Switzerland) 7(3):93. https:\/\/doi.org\/10.3390\/HEALTHCARE7030093","journal-title":"Healthc Basel (Switzerland)"},{"issue":"2","key":"3477_CR16","doi-asserted-by":"publisher","first-page":"149","DOI":"10.21053\/CEO.2020.01704","volume":"14","author":"CSJ Cheong","year":"2021","unstructured":"Cheong CSJ, Loke W, Thong MKT, Toh ST, Lee CH (2021) The emerging role of drug-induced sleep endoscopy in the management of obstructive sleep apnea. Clin Exp Otorhinolaryngol 14(2):149\u2013158. https:\/\/doi.org\/10.21053\/CEO.2020.01704","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"3","key":"3477_CR17","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1007\/S00408-011-9367-3","volume":"190","author":"G Bachar","year":"2012","unstructured":"Bachar G et al (2012) Novel grading system for quantifying upper-airway obstruction on sleep endoscopy. Lung 190(3):313\u2013318. https:\/\/doi.org\/10.1007\/S00408-011-9367-3","journal-title":"Lung"},{"issue":"no. 7","key":"3477_CR18","doi-asserted-by":"publisher","first-page":"1224","DOI":"10.1016\/J.GIE.2009.11.049","volume":"71","author":"AI Sharara","year":"2010","unstructured":"Sharara AI et al (2010) Persistent snoring under conscious sedation during colonoscopy is a predictor of obstructive sleep apnea. Gastrointest Endosc 71(7):1224\u20131230. https:\/\/doi.org\/10.1016\/J.GIE.2009.11.049","journal-title":"Gastrointest Endosc"},{"issue":"4","key":"3477_CR19","doi-asserted-by":"publisher","first-page":"335","DOI":"10.4046\/TRD.2019.0007","volume":"82","author":"J Cho","year":"2019","unstructured":"Cho J, Choi SM, Park YS, Lee CH, Lee SM, Lee J (2019) Snoring during bronchoscopy with moderate sedation is a predictor of obstructive sleep apnea. Tuberc Respir Dis (Seoul) 82(4):335\u2013340. https:\/\/doi.org\/10.4046\/TRD.2019.0007","journal-title":"Tuberc Respir Dis (Seoul)"},{"issue":"7","key":"3477_CR20","doi-asserted-by":"publisher","first-page":"zsy071","DOI":"10.1093\/SLEEP\/ZSY071","volume":"41","author":"T Matsumoto","year":"2018","unstructured":"Matsumoto T et al (2018) Impact of sleep characteristics and obesity on diabetes and hypertension across genders and menopausal status: the Nagahama study. Sleep 41(7):zsy071. https:\/\/doi.org\/10.1093\/SLEEP\/ZSY071","journal-title":"Sleep"},{"issue":"5","key":"3477_CR21","doi-asserted-by":"publisher","first-page":"e0231528","DOI":"10.1371\/JOURNAL.PONE.0231528","volume":"15","author":"ML Coussa-Koniski","year":"2020","unstructured":"Coussa-Koniski ML, Saliba E, Welty FK, Deeb M (2020) Epidemiological characteristics of obstructive sleep apnea in a hospital-based historical cohort in Lebanon. PLoS One 15(5):e0231528. https:\/\/doi.org\/10.1371\/JOURNAL.PONE.0231528","journal-title":"PLoS One"},{"key":"3477_CR22","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/J.SMRV.2016.07.002","volume":"34","author":"CV Senaratna","year":"2017","unstructured":"Senaratna CV et al (2017) Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev 34:70\u201381. https:\/\/doi.org\/10.1016\/J.SMRV.2016.07.002","journal-title":"Sleep Med Rev"}],"container-title":["Sleep and Breathing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11325-025-03477-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11325-025-03477-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11325-025-03477-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:12:46Z","timestamp":1761127966000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11325-025-03477-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["3477"],"URL":"https:\/\/doi.org\/10.1007\/s11325-025-03477-y","relation":{},"ISSN":["1520-9512","1522-1709"],"issn-type":[{"type":"print","value":"1520-9512"},{"type":"electronic","value":"1522-1709"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"21 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 August 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 September 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 October 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee (name of institute\/committee) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This article does not contain any studies with human participants performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers' bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"306"}}