Sleep Apnea Awarenes

Breathe Medical (866) 535-2727 Compression Therapy Sleep Apnea Awareness Prevalence of Sleep Apnea 9% 25% Approximately 42 million American adults have SDB 9% of middle-aged women and 25% of middle-aged men suffer from OSA 1 in 5 adults has mild OSA 1 in 15 has moderate to severe OSA Prevalence similar to asthma (20 million) and diabetes (23.6 million of US population) 75% of severe SDB cases remain undiagnosed Prevalence of Sleep Apnea * 丫 总 Male gender Obesity (BMI >30) Diagnosis of hypertension Excessive use of alcohol or sedatives Upper airway or facial abnormalities Endocrine and Family history of OSA Large neck circumference (>17" men; >16" women) Smoking metabolic disorders Cardiovascular Links 76% 5.7 million people in the US have heart failure (American Heart Association) Approximately 76% of congestive heart failure patients have SDB OSA noted in 49% of atrial fibrillation patients10 and 30% of cardiovascular patients Heart failure is the most expensive disorder to treat 70% 52% OSA presents in 70% of heart attack patients with AHI 25 and 52% of heart attack patients with AHI >10 HYPERTENSION LINKS Studies have shown that sleep apnea is an independent risk factor for hypertension 30-83% of patients with hypertension have sleep apnea 43% of patients with mild OSA and 69% of patients with severe ÖSA have hypertension AHA guidelines on drug-resistant hypertension have shown treatment of sleep apnea with CPAP likely improves blood pressure control TYPE 2 DIABETES LINKS 48% of type 2 diabetes sufferers have sleep apnea OSA may have a causal role in the development of type 2 diabetes OSA is associated with insulin resistance (independent of obesity) 30% of patients presented to a sleep clinic have impaired glucose intolerance Mild forms of SDB may be important in predicting risk of pre-diabetes 86% of obese type 2 diabetic patients suffer from sleep apnea STROKE RISK 粉 65% of stroke patients have SDB Up to 70% of patients in rehabilitation therapy following stroke have significant SDB (AHI >10) MORTALITY LINKS SDB is associated with a 3-fold increase in mortality risk There is an independent association of moderate to severe OSA with increased mortality risk Sleep apnea raises death risk by 46% Health Care Costs (Economic consequences of untreated SDB) Undiagnosed patients used $200,000 more in the two-year period prior to diagnosis than matched controls 24 to sleep apnea diagnosis, patients utilized 23-50% more medical resources 25 Total economic cost of sleepiness = approximately $43-56 billion 26 Undiagnosed moderate to severe sleep apnea in middle-aged adults may cause $3.4 billion in additional medical costs in the US 27 Traffic Accidents People with moderate to severe sleep apnea have an up to 15-fold increase of being involved in a traffic accident People with sleep apnea are at twice the risk of having a traffic accident Treating all US drivers suffering from sleep apnea would save $11.1 billion in collision costs and save 980 lives annually + REFERENCES 1. Young et al. New Engl J Med 1993 19. Stamatakis et al. Sleep 2008 2. Young et al.J Am Med Assoc 2004 20. Foster et al. Diabetes Care 2009 3. Marshall et al. Sleep 2008 21. Dyken et al. Stroke 1996 4. US Dept Health and Human Services, Centers for Disease Control and Prevention 2008 22. Good et al. Stroke 1996 5. Young et al. Sleep 2008 6. Logan et al. J Hypertens 2001 23. Punjabi et al. PLOS Medicine 2009 7. O'Keeffe & Patterson. Obes Surg 2004 24. Kryger et al. Sleep 1996 8. Oldenburg et al. Eur J Heart Fail 2007 25. Smith et al. Chest 2002 9. Garrigue et al. Circulation 2007 26. Leger et al. Sleep 1994 10. Gami et al. Circulation 2004 27. Kapur et al. Sleep 1999 11. Einhorn et al. Endocr Pract 2007 28. Horstmann et Sleep 2000 12. Sjostrom et al. Thorax 2002 29. Teran-Santos et al. New Engl J Med 1999 13. Schafer et al. Cardiology 1999 30. Sassani et al. Sleep 2004 14. Medicare - $20.4 billion p.a. 31. Becker et al. Circulation 2003 15. Kuniyoshi et al. J Am Coll Cardiol 2008 32. Peker et al. Am J Respir Crit Care Med 1997 16. Reichmuth et al. Am J Respir Crit Care Med 2005 33. Kaneko et al. New Engl J Med 2003 17. Punjabi et al. Am J Respir Crit Care Med 2002 34. Babu et al. Arch Intern Med 2005 18. Meslier et al. Eur Respir J 2003 35. Harsch et al. Am J Respir Crit Care Med 2004 (866) 535-2727 Breathe Medical www.breathemed.com Compression Therapy