Barriers to and facilitators of implementing obstructive sleep apnea screening in stroke patients: a scoping review protocol
Bibliographic record
Abstract
Introduction: Obstructive sleep apnea (OSA) is a highly prevalent but frequently undiagnosed sleep disorder among stroke patients. It is associated with increased risks of stroke recurrence, reduced rehabilitation effectiveness, and elevated mortality. Despite guideline recommendations for routine OSA screening in stroke care, implementation remains inconsistent in clinical practice. As a modifiable sleep-related risk factor with significant implications for neurological outcomes, better integration of OSA screening in post-stroke care is urgently needed. Thus, this scoping review protocol outlines a systematic approach to identifying barriers to and facilitators of OSA screening in stroke populations. Methods and analysis: This scoping review will follow the methodological framework provided by the Joanna Briggs Institute (JBI) and will be reported using Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The search will be performed on CNKI, WanFang, SinoMed, PubMed, Embase, Web of Science, the Cochrane Library, CINAHL, ProQuest Dissertations, OpenGrey, and Google Scholar. Targeted searches of international organization websites will also be conducted. No restrictions will be imposed based on study design or year of publication. Data will be synthesized using the content analysis approach and mapped onto the Ottawa Model of Research Use (OMRU), including domains such as evidence-based innovation, potential adopters, practice environment, implementation process, and adoption outcomes. Discussion: The findings are expected to inform future research and support the integration of sleep disorder screening into stroke care pathways. Ultimately, the review will improve stroke outcomes by addressing sleep health as a critical but often overlooked component of post-stroke management. Scoping review registration: Open science framework (osf.io/tb7z8).
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.086 | 0.067 |
| Meta-epidemiology (narrow) | 0.005 | 0.006 |
| Meta-epidemiology (broad) | 0.012 | 0.016 |
| Bibliometrics | 0.014 | 0.010 |
| Science and technology studies | 0.005 | 0.005 |
| Scholarly communication | 0.007 | 0.007 |
| Open science | 0.006 | 0.007 |
| Research integrity | 0.009 | 0.006 |
| Insufficient payload (model declined to judge) | 0.072 | 0.011 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".