January 2013 Issue» Download this issue of EISC's Sleep Smartz newsletter (PDF)
In this issue
The Provider’s Corner:Sleep Aids Hot Topic: Split Study Criteria What’s New: Drowsy Driving Data What’s Coming: Sleep Technology Upgrade Access: Manchester & Anamosa
EISC Core Values
To our patients, their families, and partners, we are committed to uphold the following values:
- Service that is unparalleled
- Listening and creating individualized treatment
- Excellence in quality, professional care
- Efficient and welcoming, with easy access
- Patient-centered, innovative & compassionate care
January 2013 VOLUME 2 ISSUE 1
Eastern Iowa Sleep Center 600 7th St. SE, 2nd floor Cedar Rapids, IA 52401 Phone 319-362-4433 877-361-4433 Fax 319-362-4466 Office hours: 8am-4:30pm
Eastern Iowa Sleep Center - a New Year!
EISC wishes you a Happy New Year. We look forward to serving our community in 2013.
Did you know that there are healthy sleep routines that can improve your sleep? They are simple and easy. You can start tonight! For more information visit our site: www.iowasleepcenter.com/resources/good-sleep-guide/.
The Provider’s Corner
Sleep Aids–prescribe or not to prescribe, that is the question. Sleep aids affect patients differently. Sleep aids are not mandatory for a sleep study but can be helpful. Patients may be anxious about their new sleeping environment let alone the fact they will be videotaped and monitored.
It can be helpful to give a patient 2-3 doses of sleep aid. One to two doses to try at home and one dose for the study night, is suggested so the patient understands the effect prior to the study in the lab. Giving clear instructions to your patients regarding the sleep aid prescribed or OTC can encourage safe driving, reduce patient anxiety and produce a better study for diagnosis. Special Note: Patients should be instructed to take the sleep aid after they arrive at EISC and ONLY when the technician instructs them to.
Health care cost are everyone’s concern. Undiagnosed moderate to severe apnea in middle-aged adults may cause $3.4 billion in additional medical cost in the US. Approximately 76% of CHF patients, 65% of stroke patients, 48% of type 2 diabetes sufferers, 30-83% hypertension patients have Sleep-Disordered Breathing (SDB). Ask your patients about their sleep habits to see if they qualify for sleep study. This could save future costs and give your patient an improved quality of life in the long run.
Hot Topic: Split Study Criteria
A common question to our sleep lab is: Why did EISC not trial a CPAP (Split Study) to a patient during their first sleep study? The answer: criteria must be met in order to qualify. Some criteria is insurance driven and some is AASM scoring related. The following information may help:
The technician may choose to begin a Split Night titration if:
- The study exhibits at least 20 respiratory events per hour and at least 40 respiratory events recorded. Respiratory events in this case are apneas/hypopneas. This does not include RERAs (respiratory events related arousals).
- And if positional apnea has been excluded.
- Or a life-threatening arrhythmia associated with obstructive events.
It is inappropriate to perform a Split Night titration for:
- An AHI (see chart) of less than 20 events per hour.
- Restless Leg Syndrome, unless severe apneas is also present.
- O2 desaturations in REM without arousals.
- Arousals without respiratory events.
- Low oxygenation level or baseline.
- If 4 hours has passed and patient has not met criteria.
What’s New: Drowsy Driving Data
CDC analysis found sleeping for 6 hours or less and self-reported snoring were related independently to drowsy driving. CDC encourages drivers to seek treatment for sleep disorders. “Drowsy driving is a serious risk to personal health and public safety. Snoring is an important warning sign that should not be ignored”, said AASM President Dr. Sam Fleishman. AAA Foundation of Traffic Safety estimates more than 16% of fatal crashes involve a drowsy driver. Treating all U.S. drivers suffering from sleep apnea could save $11.1 billion in collision costs and save 980 lives annually.
What’s Coming: Sleep Technology
EISC is excited about the upcoming sleep technology upgrade to Nihon Kohden Version 9. Technical upgrades that improve patient care are: upgrade of desaturation analysis, added Note area for communication from technician to physician, tracking turn-around-time throughout the entire study process, and electronic wait list are just a few of the long list improvements.
Jones Regional Medical Center in Anamosa and Regional Medical Center in Manchester continue to grow. Outreach access for sleep studies to local residents has made a positive impact. Overall patient surveys are positive regarding their accommodations hospital staff, and EISC Technician. Information can be found at www.iowasleepcenter.com/services/.