Tagged: Sleep Review

Sleep Is Key, But Are You Getting Too Much? 0

Sleep Is Key, But Are You Getting Too Much?

Real Simple shares information on over-sleeping and what sleeping more than 9 hours can imply.

If you find it hard to drag yourself out of bed even after nine hours of sleep, it could be a sign of an underlying medical condition—such as untreated sleep apnea, which can make sleep more shallow and therefore of poor quality—says Grandner. “This can lead to a desire to sleep more because sleep isn’t restful enough,” he adds. It could also be a sign of depression, which can drain your energy and make it difficult to get out of bed.  Grandner advises anyone who feels like they need more than nine hours of sleep to feel rested should consult a doctor to determine what could be going on.

realsimple.com

from Sleep Review https://www.sleepreviewmag.com/sleep-health/parameters/quantity/sleep-is-key-but-are-you-getting-too-much/…

How to Be Confident in Your Dental Sleep Medicine Practice 0

How to Be Confident in Your Dental Sleep Medicine Practice

Newly installed AADSM president David Schwartz, DDS, has worked in a collaborative sleep medicine setting for more than a decade. And he wants other dentists to enjoy the benefits of multidisciplinary colleagues too.

By Sree Roy

David Schwartz, DDS, was aware enough of the therapy options for primary snoring that when an ear-nose-throat specialist recommended he have a uvulopalatopharyngoplasty, Schwartz declined the surgery and instead made himself an oral appliance. “It worked really well to control the snoring. I used that at the time as kind of a launching pad for me to become more involved in sleep medicine,” says Schwartz. That formative experience occurred about a quarter of a century ago.

Now the 58-year-old married father of three has been installed as the president of the American Academy of Dental Sleep Medicine (AADSM) and has embarked on a two-year term. He previously served on myriad AADSM committees and “the last thing that I remember is I was on a committee for the board review course, which was being run by two doctors who were on the board of directors. …

8 Anticipated Highlights of Virtual SLEEP 2020 0

8 Anticipated Highlights of Virtual SLEEP 2020

A plenary session will discuss sleep and Alzheimer’s disease. Blues Night will be a tribute to Bill Dement, MD, PhD.

Virtual SLEEP 2020, the 34th annual meeting of the Associated Professional Sleep Societies LLC (APSS), is Aug 27-30, 2020, in a new online-only format. The meeting has live-streamed content as well as on-demand recorded sessions to view even after the conference ends.

The Virtual SLEEP 2020 scientific program begins with the plenary session on Thursday evening, Aug 27. The general sessions include abstract presentations, symposia, clinical workshops, and discussion groups on topics ranging from artificial intelligence and wearable technology to health disparities and sleep analytics. Clinical sleep specialists will discuss current practices in the diagnosis and treatment of sleep disorders such as insomnia, obstructive sleep apnea, and narcolepsy. Download the Virtual Sleep Guide for complete details.

E-poster presentations will be on display 24-hours a day from Aug 28-30, available on-demand. The Virtual SLEEP 2020 exhibit hall will be open starting on Aug 28. Attendees can access the exhibit hall through Aug. 1, 2021.

Highlights include:

  1. The unofficial kickoff starts
Socioeconomic Status Key Factor in CPAP Adherence in Older Adults 0

Socioeconomic Status Key Factor in CPAP Adherence in Older Adults

Lower socioeconomic status and comorbidities are independent risk factors for nonadherence to continuous positive airway pressure (CPAP) therapy, according to a large study of older Medicare patients.

“[The] present results represent the largest study to date of rates and predictors of CPAP adherence among older adults in the United States. In our national sample of Medicare beneficiaries, adherence rates were generally lower than previously reported in smaller, clinic-based studies,” Emerson M. Wickwire, PhD, of the Sleep Disorders Center and division of pulmonary and critical care medicine at the University of Maryland, Baltimore, and colleagues wrote in Sleep.

Dr. Wickwire and colleagues estimated CPAP machine adherence using a 5% sample of Medicare claims data, identifying 3,229 Medicare beneficiaries with OSA who began CPAP therapy between 2009 and 2011. Individuals in the sample were aged at least 65 years with a new diagnosis of OSA, 88.1% of beneficiaries were white, and 52.3% were male.

The researchers applied objective adherence criteria set by the Centers for Medicare & Medicaid Services, which defines CPAP adherence as a patient using CPAP for at least

Does Upper Airway Stimulation Decrease the Burden of Sleep Apnea? 0

Does Upper Airway Stimulation Decrease the Burden of Sleep Apnea?

The burden of obstructive sleep apnea (OSA) improved more in patients who received upper airway stimulation (UAS) compared with those who did not, according to research published in Annals of the American Thoracic Society.

Investigators conducted a prospective, parallel-arm, multinational, experimental study (ClinicalTrials.gov Identifier: NCT02907398) to compare OSA measures and patient-reported outcomes in individuals who received approval for UAS (n=230; therapy arm) vs those who received an insurance denial (n=100; no-therapy arm or comparator arm). The study was conducted at 9 academic medical centers — 6 in the United States and 3 in Germany — between October 2017 and January 2019.

The primary study end point was posttreatment apnea hypopnea index (AHI) and Epworth Sleepiness Scale (ESS) at final follow-up in both the therapy and the comparator arms. Secondary end points included a comparison of the Functional Outcomes of Sleep Questionnaire (FOSQ-10) and Clinical Global Impression between the 2 groups at the final visit.

Get the full story at pulmonaryadvisor.com.

from Sleep Review https://www.sleepreviewmag.com/sleep-treatments/therapy-devices/upper-airway-stimulation-sleep-apnea/…

Expand Your Catchment Area with Outsourced Home Sleep Testing Services 0

Expand Your Catchment Area with Outsourced Home Sleep Testing Services

Have you considered diagnosing and managing sleep apnea patients who live hours away by letting an HST vendor handle some of the work?

By Lindsey Nolen

Assigning certain aspects of your home sleep testing (HST) program to a vendor with logistical expertise makes sense in some scenarios. After all, ensuring that the needed single-use items accompany the device and navigating the back-and-forth of the HST and its data can become an inefficient use of resources. During the pandemic in particular, outsourced mail-order HST has become a lifeline for patients and providers.

Some sleep care providers are finding that outsourcing HST logistics—which can include everything from mailing devices, patient education, on up to scoring and analysis—can have benefits beyond increased efficiency. They are using mail-order HST to grow their patient bases beyond their facility’s geographic area—diagnosing and treating people with sleep apnea they could not have reached otherwise.

“Reaching out to underserved populations, like rural areas, is clearly is a worthwhile pursuit,” says Hani Kayyali, CEO at CleveMed, which offers the SleepView Direct mail-order program. “Reaching out to affluent areas …

Fisher & Paykel Launches myMask App for New CPAP Users 0

Fisher & Paykel Launches myMask App for New CPAP Users

Medical device manufacturer Fisher & Paykel recently launched the F&P’s myMask App to guide sleep apnea patients who are new to CPAP therapy through the initial set-up process.

The smartphone app, now available on iOS and Android devices, is a resource for patients on understating how to get started on therapy, how to adjust the mask, and how to properly clean their CPAP equipment.

For every step of the initial set-up, there are short video clips to help patients through the initial steps.

“Patients don’t need to read, memorize instructions or try to vaguely recollect what the RT/clinical staff have told them in their telehealth video appointment. They can simply refer to the app as and when they need,” says Subbarao Potharaju, director of marketing at Fisher & Paykel.

from Sleep Review https://www.sleepreviewmag.com/sleep-treatments/therapy-devices/cpap-pap-devices/fisher-paykel-mymask-app-cpap/…

French Company Is Developing a T-Shirt to Monitor Sleep Apnea 0

French Company Is Developing a T-Shirt to Monitor Sleep Apnea

As part of the Coalition Innovation Santé – Crise Sanitaire initiative, Chronolife and Servier are collaborating to accelerate the deployment of a noninvasive telemonitoring solution which aims to facilitate remote monitoring of chronic patients during the COVID-19 pandemic and enable healthcare professionals to provide better patient care.

Due to high hospital bed occupancy rates in intensive care units, usual monitoring of vulnerable patients with chronic diseases is more difficult. To improve patient care, medical devices using trackers, blood pressure monitors, thermometers, and scales are often used to improve disease management, allowing for better long-term monitoring, and reduced avoidable re-hospitalizations. However, their constraints often result in problems with patient compliance.

So Paris, France-based Chronolife has developed a smart t-shirt integrating multiple sensors and a smartphone application for the remote monitoring of patients. Keesense is a medical device marked CE Class IIa that allows for the continuous monitoring of 6 physiological parameters (electrocardiogram, physical activity, abdominal and thoracic breathing, skin temperature, and pulmonary impedance to detect edemas). Chronolife expects to receive FDA clearance for its Keesense solution by next year (2021), to …

How One Health System Sparked Thousands of Conversations About Sleep [Editor’s Message] 0

How One Health System Sparked Thousands of Conversations About Sleep [Editor’s Message]

By Sree Roy

A major challenge for the sleep medicine subspecialty is the huge number of people who are unaware that they have sleep apnea. Meanwhile, people with undiagnosed sleep apnea are frequently weighed down by the sleep disorder’s daytime symptoms and/or comorbidities, without realizing that efficacious treatments are available, if only they knew to seek them out. In the communities of central Pennsylvania and northern Maryland, integrated health system WellSpan Health has made a sizable dent in the number of undiagnosed cases.

WellSpan sleep program director asked about creating an online screening tool for sleep apnea after taking a WellSpan-created risk assessment for breast cancer screening. “I reached out to marketing, and we moved forward from there,” says program director Tammy Sterner, RN, BSN, MEd, NE-BC. “A web designer internal to WellSpan developed the concept.”

Sterner hoped the health risk assessment would create public awareness, information, and demographic data, and most importantly provide people with a starting point to have conversations with their primary care physician (PCP) about sleep. Since May of 2019, 2,082 people have completed the online …

Sleep Disorders & Neurodegeneration in Traumatic Brain Injury Patients: Could Sleep Care Mitigate Risks? 0

Sleep Disorders & Neurodegeneration in Traumatic Brain Injury Patients: Could Sleep Care Mitigate Risks?

New research shows a correlation between poor sleep in TBI patients and elevated markers of neuronal injury.

By Lisa Spear

Could treating sleep disorders in traumatic brain injury patients lead to fewer cases of neurodegenerative disease down the road in this population? 

The answer to this question has not yet been determined, but new research shows that this hypothesis is worth exploring further. A recent abstract reveals elevated markers of neuronal injury and cognitive deficits accompanying sleep complaints and obstructive sleep apnea risk in veterans with traumatic brain injury. According to the authors, this possibly identifies treatable pathophysiological mediators for traumatic neurodegenerative progression, but further research is needed to confirm this theory. 

“If sleep is related, certainly that would be a good target for intervention to prevent progression,” says author neurologist and neuroscientist Kent Werner, MD, PhD.

The American Academy of Sleep Medicine (AASM) honored Werner for his work with the 2020 Trainee Investigator Award, which recognizes exceptional scientific discovery in the field of sleep medicine. 

“I do want to thank the AASM. I think they deserve recognition for …