The public health burden of obstructive sleep apnea

Obstructive sleep apnea (OSA) is the most common respiratory disorder of sleep. The vast majority (>80%) of adults with moderate to severe OSA remain undiagnosed. The economic costs associated with OSA are substantial for both the individual and society as a whole; expenses are likely to be under...

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Autores principales:	Andre Faria, AJ Hirsch Allen, Nurit Fox, Najib Ayas, Ismail Laher
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Association of Sleep and Latin American Federation of Sleep Societies 2021
Materias:	sleep apnea motor vehicle accidents cognitive dysfunction treatment health burden economic burden Psychology BF1-990 Consciousness. Cognition BF309-499
Acceso en línea:	https://doaj.org/article/106cbde85c4f4d589b29fe573ed7f881
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spelling	oai:doaj.org-article:106cbde85c4f4d589b29fe573ed7f8812021-11-24T12:26:11ZThe public health burden of obstructive sleep apnea1984-06591984-0063001010.5935/1984-0063.20200111https://doaj.org/article/106cbde85c4f4d589b29fe573ed7f8812021-10-01T00:00:00Zhttps://www.sleepscience.org.br/details/2921/en-US/the-public-health-burden-of-obstructive-sleep-apneahttps://doaj.org/toc/1984-0659https://doaj.org/toc/1984-0063Obstructive sleep apnea (OSA) is the most common respiratory disorder of sleep. The vast majority (>80%) of adults with moderate to severe OSA remain undiagnosed. The economic costs associated with OSA are substantial for both the individual and society as a whole; expenses are likely to be underestimated given that the disease remains undiagnosed in such a large percentage of individuals. The economic burden of motor vehicle collisions related to OSA alone is significant; it is estimated that 810,000 collisions and 1400 fatalities from car crashes in the United States were attributable to sleep apnea in 2000. The many health consequences of OSA include daytime sleepiness, reduced quality of life, decreased learning skills, and importantly, neurocognitive impairments that include impaired episodic memory, executive function, attention and visuospatial cognitive functions. Untreated OSA leads to numerous medical problems such as cardiovascular diseases that can potentially increase healthcare utilization. Untreated patients with sleep apnea consume a disproportionate amount of healthcare resources, expenditures that decrease after treatment. The gold-standard management of OSA remains treatment with CPAP (Continuous Positive Airway Pressure), which is effective in eliminating sleep fragmentation and preserving nocturnal oxygenation, thereby improving daytime sleepiness and quality of life. However, its impacts in reversing neurocognitive function are still uncertain. A significant impediment to CPAP effectiveness is low adherence rates (ranges from 50% to 75%). It is commonly accepted that CPAP improves excessive drowsiness; hence meliorates attention, and accumulating data suggest that CPAP improves a variety of other outcomes such as the risk of motor vehicle crashes.Andre FariaAJ Hirsch AllenNurit FoxNajib AyasIsmail LaherBrazilian Association of Sleep and Latin American Federation of Sleep Societies articlesleep apneamotor vehicle accidentscognitive dysfunctiontreatmenthealth burdeneconomic burdenPsychologyBF1-990Consciousness. CognitionBF309-499ENSleep Science, Vol 14, Iss 3, Pp 257-265 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep apnea motor vehicle accidents cognitive dysfunction treatment health burden economic burden Psychology BF1-990 Consciousness. Cognition BF309-499
spellingShingle	sleep apnea motor vehicle accidents cognitive dysfunction treatment health burden economic burden Psychology BF1-990 Consciousness. Cognition BF309-499 Andre Faria AJ Hirsch Allen Nurit Fox Najib Ayas Ismail Laher The public health burden of obstructive sleep apnea
description	Obstructive sleep apnea (OSA) is the most common respiratory disorder of sleep. The vast majority (>80%) of adults with moderate to severe OSA remain undiagnosed. The economic costs associated with OSA are substantial for both the individual and society as a whole; expenses are likely to be underestimated given that the disease remains undiagnosed in such a large percentage of individuals. The economic burden of motor vehicle collisions related to OSA alone is significant; it is estimated that 810,000 collisions and 1400 fatalities from car crashes in the United States were attributable to sleep apnea in 2000. The many health consequences of OSA include daytime sleepiness, reduced quality of life, decreased learning skills, and importantly, neurocognitive impairments that include impaired episodic memory, executive function, attention and visuospatial cognitive functions. Untreated OSA leads to numerous medical problems such as cardiovascular diseases that can potentially increase healthcare utilization. Untreated patients with sleep apnea consume a disproportionate amount of healthcare resources, expenditures that decrease after treatment. The gold-standard management of OSA remains treatment with CPAP (Continuous Positive Airway Pressure), which is effective in eliminating sleep fragmentation and preserving nocturnal oxygenation, thereby improving daytime sleepiness and quality of life. However, its impacts in reversing neurocognitive function are still uncertain. A significant impediment to CPAP effectiveness is low adherence rates (ranges from 50% to 75%). It is commonly accepted that CPAP improves excessive drowsiness; hence meliorates attention, and accumulating data suggest that CPAP improves a variety of other outcomes such as the risk of motor vehicle crashes.
format	article
author	Andre Faria AJ Hirsch Allen Nurit Fox Najib Ayas Ismail Laher
author_facet	Andre Faria AJ Hirsch Allen Nurit Fox Najib Ayas Ismail Laher
author_sort	Andre Faria
title	The public health burden of obstructive sleep apnea
title_short	The public health burden of obstructive sleep apnea
title_full	The public health burden of obstructive sleep apnea
title_fullStr	The public health burden of obstructive sleep apnea
title_full_unstemmed	The public health burden of obstructive sleep apnea
title_sort	public health burden of obstructive sleep apnea
publisher	Brazilian Association of Sleep and Latin American Federation of Sleep Societies
publishDate	2021
url	https://doaj.org/article/106cbde85c4f4d589b29fe573ed7f881
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The public health burden of obstructive sleep apnea

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