Sleep Apnea: Treatment and Research in the Veterans Health Administration
|
|
|
- Osborne Adam Morris
- 6 years ago
- Views:
Transcription
1 Sleep Apnea: Treatment and Research in the Veterans Health Administration Daniel J. Gottlieb, MD, MPH VA Boston Healthcare System Harvard Medical School
2 Disorders Affecting Veterans Sleep Health PTSD insomnia, nightmares TBI hypersomnia Chronic pain sleep fragmentation Sleep apnea hypersomnia hypertension CAD, stroke, death
3 Definition of Obstructive Sleep Apnea Recurrent collapse of the upper airway during sleep, resulting in: sleep fragmentation hypoxemia
4 Sleep Apnea Prevalence General adult population prevalence of OSA 5-10% moderate-to-severe 2-4% severe Estimated up to 4-fold higher prevalence in U.S. veteran population
5 Treatment of Obstructive Sleep Apnea Treatment options include: Positive airway pressure (CPAP) Surgery Oral appliances Weight loss
6 Number of VA outpatient visits with sleepdisordered breathing codes 300, , , , ,000 Encounters Uniques 50,000 0
7 Examples of VA Sleep Apnea Research Observational cohort studies Comparative effectiveness research Health services research
8 Examples of VA Sleep Apnea Research Observational cohort studies Very large, integrated health care network Uniform electronic medical record Comparative effectiveness research Health services research
9 Observational Cohort Studies Obstructive sleep apnea present in 56% of stroke patients Only 9% of cases are diagnosed under usual care Diagnosis and Treatment of Sleep Apnea in Cerebrovascular Disease (GoToSleep) HSRD IIR , PI: Bravata (Indianapolis, IN) Prospective study of cardiovascular risk in sleep apnea 2400 sleep apnea patients recruited from 3 VA sites over 4 years Determining Risk of Vascular Events by Apnea Monitoring (DREAM) CSRD IIR-S2406, PI: Yaggi (West Haven, CT)
10 Examples of VA Sleep Apnea Research Observational cohort studies Comparative effectiveness research Only vested interest is finding the most effective therapy Health services research
11 Central Sleep Apnea in Heart Failure Central sleep apnea present in ⅓ of heart failure patients Untreated sleep apnea increases heart failure mortality Javaheri, JACC 2007 There are three accepted therapies: CPAP, adaptive ventilation, and oxygen There have been no direct comparisons of these three treatment options! Oxygen versus PAP for treatment of sleep apnea in chronic heart failure (OPTIMAL-HF) CSRD I01 CX000578, PI: Gottlieb (Boston, MA)
12 Examples of VA Sleep Apnea Research Observational cohort studies Comparative effectiveness research Health services research Evaluating models of care Assessing new technologies Disseminating effective approaches
13 Health Services Research Technology Assessment Improving OSA Management via Wireless Telemonitoring HSRD IIR , PI: Stepnowsky (San Diego, CA) Increased utilization by 15% Telemedicine Interventions for Obstructive Sleep Apnea HSRD IIR , PI: Sparrow (Boston, MA) Models of Care Diagnosis and Treatment of Sleep Apnea in Cerebrovascular Disease (GoToSleep) HSRD IIR , PI: Bravata (Indianapolis, IN) Increased rate of diagnosis 10-fold A Pilot Study of CPAP Adherence Promotion by Peer Buddies with Sleep Apnea HSRD PPO , PI: Parthasarathy (Tucson, AZ) Cost Effective Strategy to Evaluate Veterans with Sleep Apnea HSRD IIR , PI: Kuna (Philadelphia, PA)
14 Laboratory-based polysomnography is the gold standard for the diagnosis of sleep apnea Accurate Expensive, inconvenient
15 Home Sleep Testing Simple, inexpensive Patient-centered
16 Home versus laboratory-based testing Home Sleep Testing Laboratory Testing Adherence (hrs/night) Sleepiness (ESS) Functional status (FOSQ) Cost Effective Strategy to Evaluate Veterans with Sleep Apnea HSRD IIR , PI: Kuna
17 Implementation is Important! Quality Enhancement Research Initiative (QUERI) Facilitate adoption of evidence-based treatments and models of care HSR&D Centers of Excellence Center for Information Dissemination & Education Resources Center for Organization, Leadership & Management Research VA Center for Innovation Innovation competitions Entrepreneur in Residence Veterans Engineering Resource Centers
18 It may not help me, but if it might help another Vet someday, I ll do it
Sleep Apnea: Vascular and Metabolic Complications
Sleep Apnea: Vascular and Metabolic Complications Vahid Mohsenin, M.D. Professor of Medicine Yale University School of Medicine Director, Yale Center for Sleep Medicine Definitions Apnea: Cessation of
Designing Clinical Trials in Perioperative Sleep Medicine
Designing Clinical Trials in Perioperative Sleep Medicine A Rationale and Pragmatic Approach Daniel J. Gottlieb, MD, MPH Director, Sleep Disorders Center, VA Boston Healthcare System Program in Sleep and
Clinical Trials in OSA
24th ANNUAL ADVANCES IN SLEEP APNEA AND SNORING February 16-17, 2018 Grand Hyatt on Union Square San Francisco, California Clinical Trials in OSA Samuel T. Kuna, MD Department of Medicine Center for Sleep
In-Patient Sleep Testing/Management Boaz Markewitz, MD
In-Patient Sleep Testing/Management Boaz Markewitz, MD Objectives: Discuss inpatient sleep programs and if they provide a benefit to patients and sleep centers Identify things needed to be considered when
Index SLEEP MEDICINE CLINICS. Note: Page numbers of article titles are in boldface type.
549 SLEEP MEDICINE CLINICS Sleep Med Clin 1 (2007) 549 553 Note: Page numbers of article titles are in boldface type. A Abdominal motion, in assessment of sleep-related breathing disorders, 452 454 Adherence,
A New, Clinically Proven Sleep Apnea Therapy for people unable to use CPAP.
A New, Clinically Proven Sleep Apnea Therapy for people unable to use CPAP. Take Heart. If You Have OSA, You re Not Alone. Like you, more than 18 million Americans are estimated to have Obstructive Sleep
Lipolysis and Metabolic Impairment in Community-Based Sample with Obstructive Sleep Apnea
Lipolysis and Metabolic Impairment in Community-Based Sample with Obstructive Sleep Apnea R. Nisha Aurora, MD Assistant Professor of Medicine Division of Pulmonary & Critical Care Medicine Group 4 Obstructive
Telemedicine in OSA. New Approaches to Diagnosis and Management. Katie Sarmiento, MD MPH February 16, 2018
Telemedicine in OSA New Approaches to Diagnosis and Management Katie Sarmiento, MD MPH February 16, 2018 Telemedicine Video Teleconferencing Store and Forward of data Remote monitoring of patient physiologic
Obstructive Sleep Apnea
Obstructive Sleep Apnea Definition: Repetitive episodes of upper airway obstruction (complete or partial) that occur during sleep and are associated with arousals or desaturations +/or daytime sleepiness.
Sleep Labs are Obsolete for Perioperative Assessment of Sleep-Disordered Breathing: Pro
Sleep Labs are Obsolete for Perioperative Assessment of Sleep-Disordered Breathing: Pro Lawrence J. Epstein, MD Brigham and Women s Hospital Harvard Medical School Welltrinsic Sleep Network Conflicts of
Mario Kinsella MD FAASM 10/5/2016
Mario Kinsella MD FAASM 10/5/2016 Repetitive episodes of apnea or reduced airflow Due to upper airway obstruction during sleep Patients often obese Often have hypertension or DM 1 Obstructive apneas, hypopneas,
Circadian Variations Influential in Circulatory & Vascular Phenomena
SLEEP & STROKE 1 Circadian Variations Influential in Circulatory & Vascular Phenomena Endocrine secretions Thermo regulations Renal Functions Respiratory control Heart Rhythm Hematologic parameters Immune
Inspire Therapy for Sleep Apnea
Inspire Therapy for Sleep Apnea Take Heart. If you have OSA, you re not alone. More than 18 million Americans are estimated to have Obstructive Sleep Apnea (OSA). OSA occurs when the tongue and other soft
Sleep and the Heart. Physiologic Changes in Cardiovascular Parameters during Sleep
Sleep and the Heart Rami N. Khayat, MD Professor of Internal Medicine Medical Director, Department of Respiratory Therapy Division of Pulmonary, Critical Care and Sleep Medicine The Ohio State University
Sleep and the Heart. Rami N. Khayat, MD
Sleep and the Heart Rami N. Khayat, MD Professor of Internal Medicine Medical Director, Department of Respiratory Therapy Division of Pulmonary, Critical Care and Sleep Medicine The Ohio State University
THE SLEEP APNEA EPIDEMIC
THE SLEEP APNEA EPIDEMIC DIAGNOSE AND TREAT WITH SLEEP TECH IN YOUR OFFICE Integrative Healthcare Symposium February 2018, New York City Jordan Stern, MD Founder & CEO, BlueSleep Founder and CEO of BlueSleep
Index. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Accidents. See Motor vehicle accidents. Acetazolamide, in OSA therapy, 531 Acetylcholinesterase inhibitors, in OSA therapy, 532 533 Acromegaly,
RESEARCH PACKET DENTAL SLEEP MEDICINE
RESEARCH PACKET DENTAL SLEEP MEDICINE American Academy of Dental Sleep Medicine Dental Sleep Medicine Research Packet Page 1 Table of Contents Research: Oral Appliance Therapy vs. Continuous Positive Airway
Polysomnography (PSG) (Sleep Studies), Sleep Center
Policy Number: 1036 Policy History Approve Date: 07/09/2015 Effective Date: 07/09/2015 Preauthorization All Plans Benefit plans vary in coverage and some plans may not provide coverage for certain service(s)
Welcome to the SBSM Practice and Consultation Webinar
Welcome to the SBSM Practice and Consultation Webinar CPAP Adherence We will be joined by our Presenter: Melanie Leggett, PhD, CBSM VA Medical Center Durham, NC Our Discussant is Christi Ulmer, PhD, CBSM
Supplementary Online Content
Supplementary Online Content Marklund M, Carlberg B, Forsgren L, Olsson T, Stenlund H, Franklin KA. Oral appliance therapy in patients with daytime sleepiness and snoring or mild to moderate sleep apnea:
Obstructive Sleep Apnea:
Obstructive Sleep Apnea: A Physiological Approach Robert L. Owens, MD February 2018 Outline Cause(s) of OSA Can we measure the causes in an individual? Is that useful? 1 Thoracic pressure swings ( LV a
Sleep Medicine. Paul Fredrickson, MD Director. Mayo Sleep Center Jacksonville, Florida.
Sleep Medicine Paul Fredrickson, MD Director Mayo Sleep Center Jacksonville, Florida Fredrickson.Paul@mayo.edu DISCLOSURES No relevant conflicts to report. Obstructive Sleep Apnea The most common sleep
Update in Sleep Medicine. Katie Sarmiento VA San Diego Healthcare System May 15, 2016
Update in Sleep Medicine Katie Sarmiento VA San Diego Healthcare System May 15, 2016 Year CSP ISP SSP Sat NP 2012 31 51 10 10 19 2014 51 50 12 7 6 FTEE 2012 2014 Physician 112.1 241 Psychologist - 31 Nurse
OBSTRUCTIVE SLEEP APNEA and WORK Treatment Update
OBSTRUCTIVE SLEEP APNEA and WORK Treatment Update David Claman, MD Professor of Medicine Director, UCSF Sleep Disorders Center 415-885-7886 Disclosures: None Chronic Sleep Deprivation (0 v 4 v 6 v 8 hrs)
Sleep Apnea Treatment Options, A Year After ASV
Sleep Apnea Treatment Options, A Year After ASV Nancy Collop, MD, FAASM Emory University Associated Professional Sleep Societies, LLC 1 Conflict of Interest Disclosures for Speakers x 1. I do not have
AHA Sleep Apnea and Cardiovascular Disease. Slide Set
AHA 2008 Sleep Apnea and Cardiovascular Disease Slide Set Based on the AHA 2008 Scientific Statement Sleep Apnea and Cardiovascular Disease Virend K. Somers, MD, DPhil, FAHA, FACC Mayo Clinic and Mayo
Evaluation, Management and Long-Term Care of OSA in Adults
Evaluation, Management and Long-Term Care of OSA in Adults AUGUST 2015 Providing diagnostic tools and therapies that are evidence-based is a key part of a successful sleep practice. This resource outlines
How We Breathe During Sleep Affects Health, Wellness and Longevity
How We Breathe During Sleep Affects Health, Wellness and Longevity Susan Redline, MD, MPH Peter C. Farrell Professor of Sleep Medicine Program Director- Sleep Medicine Epidemiology Harvard Medical School
Inspire Therapy for Sleep Apnea
Inspire Therapy for Sleep Apnea Patient Guide Giving You the FREEDOM TO SLEEP Like Everyone Else Take Comfort. Inspire therapy can help. Inspire therapy is a breakthrough implantable treatment option for
The value of stratified economic analysis in cohort-level models: A case study on interventions for obstructive sleep apnea
The value of stratified economic analysis in cohort-level models: A case study on interventions for obstructive sleep apnea BERNICE TSOI AND KAREN LEE CADTH Disclosure No actual or potential conflict of
The Clinician s Role in Educating Patients with Sleep Apnea
The Clinician s Role in Educating Patients with Sleep Apnea Cindy Altman, RPSGT, R.EEG/EP T. Alegent Creighton Clinic/Omaha, NE Immediate Past President/BRPT The Early Years in Sleep 1929 1930 1950 s 1968
3/10/2014. Pearls to Remember. 1) Consequences of OSA related to both arousals and hypoxia. 2) Arousals provoke increased
Cardiovascular disease and Sleep Disorders Timothy L. Grant, M.D.,F.A.A.S.M. Medical Director Baptist Sleep Center at Sunset Medical Director Baptist Sleep Education Series Medical Director Sleep Division
Sleep Apnea: Diagnosis & Treatment
Disclosure Sleep Apnea: Diagnosis & Treatment Lawrence J. Epstein, MD Sleep HealthCenters Harvard Medical School Chief Medical Officer for Sleep HealthCenters Sleep medicine specialty practice group Consultant
Research Article Accuracy of Positive Airway Pressure Device Measured Apneas and Hypopneas: Role in Treatment Followup
Sleep Disorders Volume 213, Article ID 314589, 6 pages http://dx.doi.org/1.1155/213/314589 Research Article Accuracy of Positive Airway Pressure Device Measured Apneas and Hypopneas: Role in Treatment
National Sleep Disorders Research Plan
Research Plan Home Foreword Preface Introduction Executive Summary Contents Contact Us National Sleep Disorders Research Plan Return to Table of Contents SECTION 5 - SLEEP DISORDERS SLEEP-DISORDERED BREATHING
Treatment of OSA with CPAP Is Associated with Improvement in PTSD Symptoms among Veterans
pii: jc-00140-16 http://dx.doi.org/10.5664/jcsm.6388 SCIENTIFIC INVESTIGATIONS Treatment of OSA with CPAP Is Associated with Improvement in PTSD Symptoms among Veterans Jeremy E. Orr, MD 1 ; Carolina Smales,
Asleep at the Wheel Understanding and Preventing Drowsy Driving
LIFESAVERS April 23, 2018 San Antonio, TX 2:15 3:45 PM Room 214 D Sleepiness and Accidents: A Crash Course EVOLVING SAFETY PRIORITIES AND SOLUTIONS Asleep at the Wheel Understanding and Preventing Drowsy
Management of OSA in the Acute Care Environment. Robert S. Campbell, RRT FAARC HRC, Philips Healthcare May, 2018
Management of OSA in the Acute Care Environment Robert S. Campbell, RRT FAARC HRC, Philips Healthcare May, 2018 1 Learning Objectives Upon completion, the participant should be able to: Understand pathology
Sleep Disordered Breathing
Sleep Disordered Breathing SDB SDB Is an Umbrella Term for Many Disorders characterized by a lack of drive to breathe Results n repetitive pauses in breathing with no effort Occurs for a minimum of 10
EXPLORE NEW POSSIBILITIES
EXPLORE NEW POSSIBILITIES TREATING SNORING AND SLEEP APNOEA HAS CHANGED FOREVER Introducing the Oventus O 2 Vent, a custom made, comfortable oral appliance with a unique airway design for the treatment
Positive Airway Pressure and Oral Devices for the Treatment of Obstructive Sleep Apnea
Positive Airway Pressure and Oral Devices for the Treatment of Obstructive Sleep Apnea Policy Number: Original Effective Date: MM.01.009 11/01/2009 Line(s) of Business: Current Effective Date: HMO; PPO
HHS Public Access Author manuscript Respirology. Author manuscript; available in PMC 2017 October 01.
Connecting insomnia, sleep apnoea and depression Michael A. Grandner, PhD, MTR 1 and Atul Malhotra, MD 2 1 Sleep and Health Research Program, Department of Psychiatry, University of Arizona College of
11/13/2017. Jeremy Tabak MD, FAASM Medical Director Baptist Hospital Sleep Lab Medical Director Baptist Sleep Lab at Galloway
Jeremy Tabak MD, FAASM Medical Director Baptist Hospital Sleep Lab Medical Director Baptist Sleep Lab at Galloway HypnoLaus study: OSA effect on mortality US Preventive Services Task Force recommendations
The Future of Sleep Medicine
Sleep HealthCenters Harvard Medical School Richard A. Ferber Pediatric Sleep Medicine Course October 5-6, 2012 Report of Financial Relationships (past 12 months) with commercial entities producing, marketing,
Perioperative Management of Obstructive Sleep Apnea
Perioperative Management of Obstructive Sleep Apnea Charles W. Atwood Jr, MD, FCCP, FAASM Associate Professor of Medicine Director, Sleep Medicine Program, VA Pittsburgh Healthcare System; Sleep Medicine
Medicare CPAP/BIPAP Coverage Criteria
Medicare CPAP/BIPAP Coverage Criteria For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment
What is SDB? Obstructive sleep apnea-hypopnea syndrome (OSAHS)
Have a Good Sleep? Estimated 70 million Americans have clinically significant sleep problems Chronic insomnias report decreased quality of life, memory and attention problems, decreased physical health
Sleep Apnea Equipment s for Obstructive Sleep Apnea
The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library Geschke Center Master's Projects and Capstones Theses, Dissertations, Capstones and Projects Fall 12-29-2016 Sleep
Sleep 101. Kathleen Feeney RPSGT, RST, CSE Business Development Specialist
Sleep 101 Kathleen Feeney RPSGT, RST, CSE Business Development Specialist 2016 Why is Sleep Important More than one-third of the population has trouble sleeping (Gallup) Obstructive Sleep Apnea Untreated
HHS Public Access Author manuscript Stroke. Author manuscript; available in PMC 2015 September 11.
Auto-Titrating Continuous Positive Airway Pressure for Patients with Acute Transient Ischemic Attack: A Randomized Feasibility Trial Dawn M. Bravata, MD 1,2,4, John Concato, MD 5,6,7, Terri Fried, MD 5,7,
Upper Airway Muscle Stimulation for Obstructive Sleep Apnea
Upper Airway Muscle Stimulation for Obstructive Sleep Apnea M. Safwan Badr, MD, MBA Chair, Department of Medicine, Wayne State University School of Medicine. Staff Physician, John D. Dingell VA Medical
Positive Airway Pressure and Oral Devices for the Treatment of Obstructive Sleep Apnea
Positive Airway Pressure and Oral Devices for the Treatment of Obstructive Sleep Apnea Policy Number: Original Effective Date: MM.01.009 11/01/2009 Line(s) of Business: Current Effective Date: HMO; PPO;
Coding for Sleep Disorders Jennifer Rose V. Molano, MD
Practice Coding for Sleep Disorders Jennifer Rose V. Molano, MD Accurate coding is an important function of neurologic practice. This section of is part of an ongoing series that presents helpful coding
Pediatric OSA. Pediatric OSA: Treatment Options Beyond AT. Copyright (c) 2012 Boston Children's Hospital 1
Pediatric OSA Treatments Options Beyond AT Report of Financial Relationships (past 12 months) with commercial entities producing, marketing, re selling, or distributing health care goods or services consumed
Fabrice Czarnecki, M.D., M.A., M.P.H., FACOEM I have no disclosures to make.
Maryland College of Occupational and Environmental Medicine April 2014 Fabrice Czarnecki, M.D., M.A., M.P.H., FACOEM fczarnecki@gablesgroup.com I have no disclosures to make. Guidelines 2006: Joint Task
GOALS. Obstructive Sleep Apnea and Cardiovascular Disease (OVERVIEW) FINANCIAL DISCLOSURE 2/1/2017
Obstructive Sleep Apnea and Cardiovascular Disease (OVERVIEW) 19th Annual Topics in Cardiovascular Care Steven Khov, DO, FAAP Pulmonary Associates of Lancaster, Ltd February 3, 2017 skhov2@lghealth.org
Polysomnography and Sleep Studies
Polysomnography and Sleep Studies Policy Number: Original Effective Date: MM.02.016 09/14/2004 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 05/01/2014 Section: Medicine Place(s)
Outcome Measures in OSA Defining Our Treatment Goal. Defining common outcome metrics in OSA Al-Shawwa Sleep Med Rev 2008
Outcome Measures in OSA Defining Our Treatment Goal Disclosures Apnicure Minor stock holder sleep apnea device Siesta Medical Minor stock holder sleep apnea device Patent Pending 61/624,105 Sinus diagnostics
Can we do it? Yes we can! Managing Obstructive Sleep Apnea in Primary Care. Dr Andrea Loewen MD, FRCPC, DABIM (Sleep)
Can we do it? Yes we can! Managing Obstructive Sleep Apnea in Primary Care Dr Andrea Loewen MD, FRCPC, DABIM (Sleep) Financial disclosures No conflict of interest Objectives When and how to order home
Obstructive Sleep Apnea Syndrome. Common sleep disorder causes high blood pressure and heart attacks
Obstructive Sleep Apnea Syndrome Common sleep disorder causes high blood pressure and heart attacks Message: Sleep apnea is very common. It is estimated that 158 million people worldwide suffer from sleep
Healthy Sleep. Frederick Tolle, M.D., dabsm Community Health Network
Healthy Sleep Frederick Tolle, M.D., dabsm Community Health Network Adults should sleep 7 or more hours per night on a regular basis to promote optimal health. Getting less than 7 hours of sleep on average
Use of Technology in the Assessment of Type 2 Diabetes and Sleep Apnea
Use of Technology in the Assessment of Type 2 Diabetes and Sleep Apnea Eileen R. Chasens, PhD Associate Professor University of Pittsburgh September 3, 2014 Disclosure I do not own a Smart Phone, I have
Update on Sleep Apnea Diagnosis and Treatment
Update on Sleep Apnea Diagnosis and Treatment Damien Stevens MD Pulmonary/Critical Care/Sleep Medicine Medical Director KU Medical Center Sleep Laboratory Objectives Discuss physiology of sleep and obstructive
Rediscover the power of sleep
Rediscover the power of sleep Patient Copy Apnea solutions for all ages Mobile Sleep Services Who We Are An experienced and well trained team of sleep care professionals consisting of Registered Sleep
Sleep Quiz & Referral Form Inside
Sleep Quiz & Referral Form Inside Rediscover the power of sleep Apnea solutions for all ages Mobile Sleep Services Who We Are An experienced and well trained team of sleep care professionals consisting
PORTABLE OR HOME SLEEP STUDIES FOR ADULT PATIENTS:
Sleep Studies: Attended Polysomnography and Portable Polysomnography Tests, Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing MP9132 Covered Service: Prior Authorization Required: Additional
Management Issues in Hypoglossal Stimulation for OSA. A Sleep Medicine view of surgery
Management Issues in Hypoglossal Stimulation for OSA Kingman P Strohl M.D. Professor of Medicine, Physiology & Biophysicis, and Oncology Center for sleep Disorders Reseach Case Western Reserve University,
The Effect of Sleep Deprivation on Health & Productivity
The Effect of Sleep Deprivation on Health & Productivity Andy Rosa, AmeriGas Jean Tyrell, RN, AmeriGas Scott Mattes, AmeriGas Allan Pack, MBChB, PhD, UPenn Learning Objectives The Science Basic sleep/circadian
Sleep Disorders and the Metabolic Syndrome
Sleep Disorders and the Metabolic Syndrome Tom V. Cloward, M.D. Intermountain Sleep Disorders Center LDS Hospital Objectives Describe how sleep disorders impact your daily medical practice Don Don t do
Did you know more than a million Australians suffer from severe sleep apnoea?
Did you know more than a million Australians suffer from severe sleep apnoea? Your comprehensive guide to curing sleep apnoea www.futuredental.com.au 1 Contents What is Obstructive Sleep Apnoea? 2 What
Diana Corzine, MD ABMS Sleep Chief MT VA Sleep Medicine Common Sleep Disorders
Diana Corzine, MD ABMS Sleep Chief MT VA Sleep Medicine 2018 Common Sleep Disorders Objectives: Understand Understand how Sleep Disorders affects health. Describe Describe some Common Sleep Disorders.
Presenter Disclosure Information
Interventions That Yield Major Health Benefits 9:30 10:30am Obstructive Sleep Apnea: Interventions That Will Help Your Patients Sleep Better Presenter Disclosure Information The following relationships
International Journal of Scientific & Engineering Research Volume 9, Issue 1, January ISSN
International Journal of Scientific & Engineering Research Volume 9, Issue 1, January-2018 342 The difference of sleep quality between 2-channel ambulatory monitor and diagnostic polysomnography Tengchin
Inspire Therapy for Sleep Apnea
Inspire Therapy for Sleep Apnea Patient Guide Giving You the FREEDOM TO SLEEP Like Everyone Else Take Comfort. Inspire therapy can help. Inspire therapy is a breakthrough implantable treatment option for
Todays Topics For Discussion. Learning Objectives. What is Obstructive Sleep Apnea (OSA)? Why Obstruction Occurs During Sleep
Learning Objectives Todays Topics For Discussion Implement practice-based procedures to screen and manage patients at risk for or with evidence of obstructive sleep apnea Co-manage patients with OSA and
Inspire. therapy for sleep apnea. Giving you the freedom to sleep like everyone else
Inspire therapy for sleep apnea Giving you the freedom to sleep like everyone else Take Comfort. Take Action. Inspire therapy can help. Here are some reasons people like you have chosen Inspire therapy
Index. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Actigraphy, 475, 485, 496 Adolescents, sleep disorders in, 576 578 Adults, sleep disorders in, 578 580 Advanced sleep phase disorder, 482 Age,
CPAP The Treatment of Choice for Patients with OSA
CPAP The Treatment of Choice for Patients with OSA Samuel T. Kuna, M.D. Department of Medicine Center for Sleep and Respiratory Neurobiology University of Pennsylvania Pulmonary, Critical Care & Sleep
CHANGING SHAPE OF SLEEP STUDIES
CHANGING SHAPE OF SLEEP STUDIES JAMES C. O BRIEN MD FCCP, FAASM MEDICAL DIRECTOR, PROHEALTH PHYSICIANS SLEEP CENTERS 10/19/2107 GOALS OF MY TALK-- Review the types of sleep studies Provide clinical information
Premier Health Plan considers Oral Appliances for Obstructive Sleep Apnea (OSA) medically necessary for the following indications:
Premier Health Plan POLICY AND PROCEDURE MANUAL MP.063.PH - al Appliances for Obstructive Sleep Apnea This policy applies to the following lines of business: Premier Commercial Premier Employee Premier
Oireachtas Joint Committee on Health and Children 7 th February 2013
Page1 The (ISAT) is a voluntary, non-profit making, non-political advocacy and patient support group for sufferers (and their families) of Sleep Apnoea. ISAT was formed in 2000, following a patient meeting
Pulmonary Year in Review
Pulmonary Year in Review Rachel Givelber, MD University of Pittsburgh SOM Pulmonary, Allergy, Critical Care and Sleep Medicine Rachel Givelber, MD Assistant Professor of Medicine PACCM, UPSOM Disclosures
Sleep Apnea in Women: How Is It Different?
Sleep Apnea in Women: How Is It Different? Grace Pien, MD, MSCE Division of Pulmonary and Critical Care Department of Medicine Johns Hopkins School of Medicine 16 February 2018 Outline Prevalence Clinical
Balboa Island Dentistry (949)
Do You Snore? Are you always tired? Snoring is no laughing matter! It may be more than an annoying habit. It may be a sign of. How well do you sleep? Just about everyone snores occasionally. Even a baby
WAKE UP AND TAKE SNORING SERIOUSLY. TAP SCREENING TM SNORING VS. OBSTRUCTIVE SLEEP APNEA FACTS TO SLEEP ON. tapintosleep.com
TAP SYSTEM TM AN INTRODUCTION TO MODERN SLEEP CARE. TAP METHOD TM CPAP DOES NOT FIT ALL. Just like people, no two sleep experiences are the same. For a From predictor appliance to custom solutions, the
Update on Obstructive Sleep Apnea (OSA) With Oral Appliance Therapy (OAT) for the Health Care Professional
Update on Obstructive Sleep Apnea (OSA) With Oral Appliance Therapy (OAT) for the Health Care Professional By Dr. Steven E. Todd, DMD, MaCSD, ABOI/ID Introduction and Objectives Discuss the impact of OSA
Sleep and the Heart Reversing the Effects of Sleep Apnea to Better Manage Heart Disease
1 Sleep and the Heart Reversing the Effects of Sleep Apnea to Better Manage Heart Disease Rami Khayat, MD Professor of Internal Medicine Director, OSU Sleep Heart Program Medical Director, Department of
Oventus: Innovators in Sleep Apnoea Treatment Investor lunch presentation Tattersall s Club, Brisbane
Oventus: Innovators in Sleep Apnoea Treatment Investor lunch presentation Tattersall s Club, Brisbane February 2018 Twitter: @OventusLtd About Oventus (ASX: OVN) Oventus is commercialising its Airway Technology
Tired of being tired?
Tired of being tired? Narval CC MRD ResMed.com/Narval Sleepiness and snoring are possible symptoms of sleep apnea. Did you know that one in every four adults has some form of sleep disordered-breathing
3/13/2014. Home Sweet Home? New Trends in Testing for Obstructive Sleep Apnea. Disclosures. No relevant financial disclosures
2014 Big Sky Pulmonary Conference Home Sweet Home? New Trends in Testing for Obstructive Sleep Apnea Eric Olson, MD Associate Professor of Medicine Co-Director, Center for Sleep Medicine Mayo Clinic olson.eric@mayo.edu
Obstructive Sleep Apnoea. Dr William Man Thoracic and Sleep Medicine, Harefield Hospital
Obstructive Sleep Apnoea Dr William Man Thoracic and Sleep Medicine, Harefield Hospital Obstructive Sleep Apnoea Common Condition (Syndrome) 3 7% of adult males, 2 5% females Prevalence expected to rise
NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE FOR OBSTRUCTIVE SLEEP APNEA IN CHILDREN. Dr. Nguyễn Quỳnh Anh Department of Respiration 1
1 NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE FOR OBSTRUCTIVE SLEEP APNEA IN CHILDREN Dr. Nguyễn Quỳnh Anh Department of Respiration 1 CONTENTS 2 1. Preface 2. Definition 3. Etiology 4. Symptoms 5. Complications
Sleep Studies: Attended Polysomnography and Portable Polysomnography Tests, Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing
Portable Polysomnography Tests, Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing MP9132 Covered Service: Yes when meets criteria below Prior Authorization Required: Yes as indicated
THN. Sleep Therapy Study. ImThera. Information for Participants. Caution: Investigational device. Limited by United States law to investigational use.
THN Sleep Therapy Study Information for Participants Caution: Investigational device. Limited by United States law to investigational use. ImThera Obstructive sleep apnea (OSA) is a very serious condition.
PEDIATRIC SLEEP GUIDELINES Version 1.0; Effective
MedSolutions, Inc. Clinical Decision Support Tool Diagnostic Strategies This tool addresses common symptoms and symptom complexes. Requests for patients with atypical symptoms or clinical presentations
ASX Investor Presentation
ASX Investor Presentation Sydney, Australia Dr Peter Neustadt Executive Chairman and CEO November 2014 Copyright and registered trademark notice ASX Investor Presentation Page 0 Who we are SomnoMed Limited
Does Positive Airway Pressure Therapy Result in Improved Sleep Quality?
Health, 2014, 6, 2416-2424 Published Online October 2014 in SciRes. http://www.scirp.org/journal/health http://dx.doi.org/10.4236/health.2014.618278 Does Positive Airway Pressure Therapy Result in Improved
Sleep Disorders The Effect on our Lives Every Day
Sleep Disorders The Effect on our Lives Every Day Julie Hatleli, RN Sheri Krenz, RN Regional Sleep Disorders Center-Mankato, MN 2016 MFMER slide-1 Agenda Sleep Stages Sleep Apnea Sleep Disorders DOT requirements
Obesity, Diabetes and Obstructive Sleep Apnea Syndrome (OSAS ) Jaakko Tuomilehto. Prof. MD, MA, PhD, FRCP (Edin)
Obesity, Diabetes and Obstructive Sleep Apnea Syndrome (OSAS ) Jaakko Tuomilehto Prof. MD, MA, PhD, FRCP (Edin) Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki,