Sleep Disorders |

The Price Is High, and the Outcome is Poor FREE TO VIEW

Ahmed Fadil, MD
Author and Funding Information

Northeast Insomnia and Sleep Medicine, Staten Island, NY

Chest. 2014;145(3_MeetingAbstracts):603A. doi:10.1378/chest.1717070
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SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: Healthcare costs are a major concern for individuals especially in the United States. The healthcare delivery system in the US is challenged with pressures to reduce costs while not diminishing access to high quality care. therefore ,we evaluated the impact of delayed diagnosis of OSA, on different co- morbidities, patient outcome and healthcare costs

METHODS: A retrospective review of 7150 patients’ health records from four metropolitan, non-academic sleep centers. Non OSA cases were excluded, 1644 (23%) ,with the diagnosis of insomnia . Of the remaining 5506 cases, 3854 (70 %) were males and 1652 (30 %) were females. The cases were broken down by AHI severity. More than half (55%) of the patients had moderate to severe sleep disordered breathing (SDB). The BMI was more than 26 in 3,578 (65%) in this group We then further analyzed each group according to their co-morbidities, 65 % with freq. of nocturnal micturition,60 % hypertension,40 % depression,27 %headache ,24 % hypertension, heart failure and diabetes, 15 % chronic fatigue, and 12 % decreased sex drive.( the total percentage is above 100%,since patient may have multiple co morbidities) We then divided cases based on referral,43% were self referred,28 %by ENT ,15 % by internal medicine ,5 % by cardiology, 9 % by bariatric surgery , 6.5 % by neurology and 5 % by psychiatry.

RESULTS: above findings reveal that, delayed diagnosis, and failure to screen results in high healthcare costs ,but poor patient outcome.

CONCLUSIONS: It is evident that SDB is a prevalent condition. It plays a major role in some of the most predominant and costly illnesses effecting the middle aged and elderly population, an example of that is Heart Disease. We are not diagnosing these patients early enough and are missing opportunities to save significant healthcare costs and result in better patient outcomes.

CLINICAL IMPLICATIONS: a change in practice guidelines , will grantee, better patient outcome, and definitely a significant cut on healthcare costs

DISCLOSURE: The following authors have nothing to disclose: Ahmed Fadil

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