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Tired to Death America’s need for sleep & wellness. The Need for Sleep Diagnostics. Approximately 70 million people in the United States are affected by a sleep problem. SD/SD costs $100 billion annually in lost productivity, medical expenses, sick leave and property and environmental damage.
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The Need for Sleep Diagnostics • Approximately 70 million people in the United States are affected by a sleep problem. • SD/SD costs $100 billion annually in lost productivity, medical expenses, sick leave and property and environmental damage. • Estimates indicate that untreated sleep apnea may cause $3.4 billion in additional medical costs. • More than two-thirds of all children (69%) experience one or more sleep problems at least a few nights a week (2004 Sleep in America poll). • Sleep Apnea, affects as many as 18 million people, according to NIH. Approximately 12 million Americans have restless legs syndrome, a sleep and movement disorder. • NHTSA conservatively estimates that 100,000 police-reported crashes are caused by drowsy drivers each year. These crashes result in more than 1,500 fatalities and 71,000 injuries and result in an estimated $12.5 billion in diminished productivity and property loss.
CORPORATE LIABILITY INSURANCE & WORKERS COMP CLAIMS WORKER EFFICIENCY OPERATIONAL COSTS COMPANY PRODUCTIVITY The Cost of Fatigue • In “Excess of $12 billion a year “ Source: Dr. Martin Moore-Ede, Personal Interview, National News (Aug 2003).
Who should be referred? MAIN SYMPTOMS • loud snoring • morning headaches • chest pulls in during sleep in young children • high blood pressure • overweight, but not always • a dry mouth upon awakening • depression • difficulty concentrating • excessive perspiring during sleep • heartburn • reduced libido • insomnia • frequent trips to the bath room during the night • restless sleep • rapid weight gain SNORING SLEEPINESS SPOUSAL ARROUSAL • Reference: • American Cardiology Assn (2004) • American Family Physician (2005) 3/1/2005, (71)Issue 5: 861-2
Newsweek April 24, 2006 Forbes February 27, 2006 Time Magazine December 20, 2004 Business Week March 7, 2005 Time Magazine December 17, 1990 In the News – Media/Medical
In the News – NFL Athletes Source: American Academy of Sleep Medicine, 2004 Source: New England Journal of Medicine, 2003
UPSTREAM DIAGNOSTICS DOWNSTREAM Sleep Testing Pathway EDUCATION ADVOCACY SCREENING SLEEP TESTING HOME TESTING TREATMENT FOLLOW UP AFTERCARE SOLUTIONS
Sample Sleep Study Data What is a sleep study?
Where can a study be done? Freestanding sleep lab (IDTF) Hospital sleep lab
Screening Tool Provided Results Provided Proper Treatment Initiated Portable Screening Sleep Lab Testing The Portable Testing Option Patient Identified
Treatment Options – Non-Surgical • Behavioral • Weight loss • Avoidance of supine position • Avoidance of exacerbating substances (e.g. ETOH) • Devices • Nasal CPAP • Nasal bilevel PAP • Auto CPAP • Oral appliances
Treatment Options - Surgical • Surgery • Bariatric surgery for morbidly obese • Tracheotomy • UP3 • Maxillomandibular advancement
Treatment Options - Respiratory • Positive Airway Pressure (PAP) Therapy • CPAP – Constant PAP • BiPAP – BiLevel PAP • APAP – Auto-adjusting PAP