Home sleep testing devices have become popular among medical providers to  determine whether or not patients may have obstructive sleep apnea.  Left  untreated, sleep apnea can account for higher risks of accidents, obesity, heart  disease, diabetes, and even colon cancer.

Medical professionals upload raw data  off the machine through the pm-Assist?  service that is scored by Registered Polysomnographic Technicians (RPSGT),  interpreted by Board Certified Sleep Physicians, and in as little as 24 hours  receive a diagnostic report.

“The growth of our pm-Assist program parallels the growth of home sleep  testing in the industry,” commented Dr. Benjamin Gerson, Chief Medical Director  of University Services, the parent  company of pm-Assist. Read the rest of this entry

As the number of patients diagnosed with sleep apnea is increasing the costs related to the health insurance is also increasing exponentially. This skyrocketing of the insurer’s sleep apnea related costs has now compelled the insurance companies to change their health coverage policies for the disorder.

A sleep apnea diagnosis usually requires patients undergo tests overnight in a sleep lab; some patients spend two nights in the lab to separately test for sleep apnea and to try a continuous positive airway pressure (CPAP) machine. Insurers often spend $1,900 for one overnight stay.

As a result of this increased spending, some experts are concerned that overnight tests to diagnose apnea are over-prescribed. Medicare payments for sleep testing increased from $62 million in 2001 to $235 million in 2009.

This contrasts effective home sleep tests that cost less than a fifth of the lab version. Although Medicare began paying for home sleep tests in 2008, the tests have had only modest growth. Read the rest of this entry

Sleep disorders often remain undiagnosed. Untreated sleep disorders among police officers may adversely affect their health and safety and pose a risk to the public.

Researchers examined and evaluated associations between sleep disorder risk and self-reported health, safety, and performance outcomes in police officers.

Cross-sectional and prospective cohort study of North American police officers participating in either an online or an on-site screening (n=4957) and monthly follow-up surveys (n=3545 officers representing 15 735 person-months) between July 2005 and December 2007. A total of 3693 officers in the United States and Canada participated in the online screening survey, and 1264 officers from a municipal police department and a state police department participated in the on-site survey.             Read the rest of this entry

Sleep apnea is a dangerous problem that can lead to heart attacks, strokes, excessive daytime sleepiness, short-term memory loss and increases in motor vehicle accidents. It is essential to diagnose and treat sleep apnea. One study showed a 36% decrease in 8 year survival comparing treated and untreated sleep apnea.

A problem frequently experienced is that the cost of health, life and disability insurance policies can increase exponentially following diagnosis of sleep apnea. This is problematic for owners of small businesses and wealthy individuals who utilize life insurance to protect their estates. Read the rest of this entry

Sleep apnea screening is rare among psychiatric patients at present, but it’s important to diagnose obstructive sleep apnea (OSA) because it can make mental illness worse, contributing to depression and possibly to the risk of manic episodes.

The symptoms of obstructive sleep apnea can mimic mental illness as well, making patients irritable and tired. If a patient is diagnosed with obstructive sleep apnea it will further complicate the use of benzodiazepines and other respiratory depressants in such patients.

The lead investigator Dr. Vanita Jain, a psychiatry department resident at the University of Utah, Salt Lake City says,” “Sleep problems are so integral to psychiatric problems, [and] we wanted to make sure that along with psychiatric disorders, we were treating obstructive sleep apnea, too”. Read the rest of this entry

A new classification system detailing the type of signals measured by home sleep testing devices for diagnosing obstructive sleep apnea (OSA) appears in the latest issue of the Journal of Clinical Sleep Medicine.

The proposed system categorizes home sleep testing devices, called out-of-center (OOC) testing devices in the paper, based on measurements of Sleep, Cardiovascular, Oximetry, Position, Effort, and Respiratory (SCOPER) parameters. Criteria for evaluating the devices are also presented, based on pre-test and post-test probabilities.

The first widely used classification system for describing sleep testing devices was published by the American Academy of Sleep Medicine (AASM) in 1994. Read the rest of this entry

SleepApneaDisorder/[ Press Release ]/ GLEN BURNIE, Md. /Oct 11, 2011/ NovaSom, Inc., the market leader in technology-driven, payer-aligned cost-saving solutions for obstructive sleep apnea (OSA) management, today announced it has entered a preferred relationship to aid HealthAmerica with managing its sleep disorder diagnostic expenses. Under the agreement, HealthAmerica will direct physicians and patients to the NovaSom(R) Home Sleep Test (HST) instead of in-facility testing for diagnosing OSA, when clinically appropriate. In addition to managing costs, patients overwhelmingly prefer the privacy, convenience and cost savings associated with home testing.“HealthAmerica is driving the adoption of home sleep tests as the preferred solution for addressing the OSA epidemic,” said John Wallendjack, MD, Medical Director, HealthAmerica. “NovaSom has invested in clinical content, work flow process and technology solutions to enable us to rationalize OSA diagnosis and redirect testing to the home, when clinically appropriate.” Read the rest of this entry

Home sleep testing is becoming increasingly popular as a method of diagnosing sleep apnea.

The home sleep test is a technological breakthrough in sleep apnea testing. It allows patients to get tested for sleep apnea in the comfort of their own home instead of paying a visit to a costly sleep lab.

One of the main advantages of home sleep testing is convenience. An overnight stay at a sleep lab can be uncomfortable and inconvenient. It can also and can influence a person’s sleep behavior. That means that the home sleep test can actually be a better representation of a person’s normal, natural sleep habits, leading to more accurate diagnosis. Read the rest of this entry

The clinical syndrome of obstructive sleep apnea (OSAS) in children is a distinct, yet somewhat overlapping disorder with the condition that occurs in adults, such that the clinical manifestations, polysomnographic findings, diagnostic criteria and treatment approaches need to be considered in an age-specific manner. Childhood OSAS has now become widely recognized as a frequent disorder and as a major public health problem. Pediatric OSAS, particularly when obesity is concurrently present, is associated with substantial end-organ morbidities and increased healthcare utilization. Although adenotonsillectomy (T&A) remains the first line of treatment, evidence in recent years suggests that the outcomes of this surgical procedure may not be as favorable as expected, such that post-T&A polysomnographic evaluation may be needed, especially in high-risk patient groups. In addition, incorporation of nonsurgical approaches for milder forms of the disorder and for residual OSAS after T&A is now being investigated. Read the rest of this entry

The Aviisha Medical Institute, LLC is making headway in the battle against sleep apnea as physician groups continue to join its MD Home Sleep Program at a record pace. The program equips physicians with the knowledge and tools to diagnose and treat sleep apnea without resorting to costly lab testing.

The surge in group signups has helped Aviisha, the national leader in home sleep testing, reach more sleep apnea patients than ever before. “We’re seeing a remarkable number of patients getting treated thanks to the collective effort of our physicians,” said Dr. Avi Ishaaya, the cofounder and Medical Director of Aviisha. “Only 10-20% of sufferers are diagnosed despite the fact that untreated sleep apnea has such devastating health consequences.” Sleep apnea has been linked to increased risk of stroke, diabetes, heart failure, hypertension, obesity, sexual dysfunctional, depression, loss of motivation, and chronic fatigue.”

The groups come from a variety of states and comprise numerous specialties.

Aviisha’s MD Home Sleep Program Read the rest of this entry

The benefits of continuous positive airway pressure machines (CPAP) for patients with obstructive sleep apnea (OSA) are quickly reversed when the therapy is withdrawn, according to Swiss research. The findings appear online in the articles-in-press section of the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine.

“In patients with obstructive sleep apnea who are established on CPAP treatment, withdrawal of the therapy is associated with a rapid recurrence of OSA and sleepiness within a few days” said Malcolm Kohler, MD, senior consultant at the Sleep Disorders Centre and Pulmonary Division of the University Hospital in Zurich. “After 14 days of CPAP withdrawal, OSA patients experienced considerable increases in heart rate and blood pressure as well as a deterioration in vascular function.” Read the rest of this entry

According to research presented at the 20th Anniversary Meeting of  the American Academy of Dental Sleep Medicine (AADSM), the  apnea-hypopnea index (AHI) in patients with severe obstructive sleep  apnea (OSA) was more improved by a combination treatment of a mandibular  advancement splint (MAS) and positive airway pressure (PAP) therapy  than by continuous positive airway pressure (CPAP) therapy alone.

Results show that without lowering the pressure substantially, CPAP  tolerance can be improved and severe OSA can be effectively treated  using a MAS that physically supports and stabilizes the position of  nasal pillows (TAP-PAP). Read the rest of this entry

A multidisciplinary clinical practice guideline, “Polysomnography for  Sleep-Disordered Breathing Prior to Tonsillectomy in Children“, was  published as a supplement to the July issue of Otolaryngology—Head  and Neck Surgery. This guideline provides otolaryngologists with  evidence-based recommendations for using polysomnography in assessing  children, aged 2 to 18 years, with sleep-disordered breathing (SDB) and  who are candidates for tonsillectomy, with or without adenoidectomy.

Polysomnography (PSG) is presently the gold standard for diagnosing  and quantifying sleep-disordered breathing in children. SDB affects  approximately 12% of children with manifestations ranging from simple  snoring to potentially serious conditions, including sleep apnea. SDB is  also the most common indication for tonsillectomy with or without  adenoidectomy in the United States. Since more than 530,000  tonsillectomies are performed annually on children younger than the age  of 15, primarily for SDB, clear and actionable guidance on optimal use  of PSG is strongly needed. Read the rest of this entry

Sleep Group Solutions (SGS), a leader in dental sleep medicine continuing education and sleep apnea (OSA) screening technology is launching a sleep study club, like no other.  Sleep Group Solutions has revolutionized the sleep industry by incorporating top level education, client support, innovating technologies, and now, a common ground to set the bar high in dental offices across the globe.

Dr. Michael Hnat, a dentist in Pittsburgh has been screening and treating his patients for sleep apnea for the past 4 years.  As a dentist, Dr. Hnat feels the airway is his responsibility, and each patient gets an evaluation, whether they know it or not.  “We screen each patient with forms, and a visual exam.  If the neck, tongue, or even BMI is larger than average, it’s a red flag.”  says Dr. Hnat.  After obtaining many successful cases, Dr. Hnat is a leader in his community in the fight against OSA.  When approached by Sleep Group Solutions to lead a study club in his state, Dr. Hnat was  excited to even the playing field. Read the rest of this entry

Fragmented sleep, loud snoring, debilitating daytime fatigue, low oxygen levels, missed work days, morning headaches and problems remembering and concentrating are among the symptoms of sleep apnea disorder, the most common sleep disorder.

According to estimates there are more than 18 million Americans suffer from the deadly disorder called sleep apnea.

One of the first steps is generally to undergo an overnight sleep evaluation, or “nocturnal polysomnogram.” It is commonly known as overnight sleep study at the sleep center.

Patients spend one night in a special laboratory or a bedroom hooked up to sophisticated computer equipment that monitors heart, lung and brain activity; breathing patterns; arm and leg movements; and blood oxygen levels. The room generally includes soft lighting; a comfortable bed; a quiet, calming atmosphere; television; and other amenities to help the patient sleep.

In some cases, a portable home monitoring device can also be used to track heart rate, blood oxygen level, airflow and breathing patterns. Unfortunately, however, it does not always provide the most effective readings. An overnight, in-center polysomnogram may still be needed.