![]() ![]() ![]() Specifically, OSA has been associated with hypertension, heart failure, ischemic heart disease, arrhythmias, metabolic syndrome, pulmonary hypertension, stroke, and depression ( 5). People with daytime sleepiness have a tendency to fall asleep in inappropriate places at inappropriate times, and have poor concentration which impacts daily functioning, work productivity and can even cause motor-vehicle accidents ( 4). Sleep disorders can both be affected by disease and impact disease, with sleep deprivation and associated disorders having been shown to have large impacts on health ( 3). Despite the prevalence of sleep disorders, methodologies used for identifying such patients from administrative data are limited. The International Classification of Sleep Disorders 3rd Edition (ICSD-3)( 2) has identified over 80 different types of sleep disorders, the most common of which include obstructive sleep apnea (OSA), insomnia and narcolepsy. It has been reported that 35 to 40% of the US adult population annually are affected by problems falling asleep or daytime sleepiness ( 1). Sleep disorders are common however, prevalence estimates of different sleep disorders vary. ![]()
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