ResMed new record in digital connected care: One billion nights of sleep data have been downloaded using ResMed’s remote patient monitoring platform, AirView.
“One billion isn’t just a big number,” says Atul Malhotra, MD, chief of the Division of Pulmonary and Critical Care Medicine and director of Sleep Medicine at UC San Diego Health, in a release. “It’s a major milestone that holds great promise for future research and the treatment of sleep apnea and other respiratory conditions through connected health tools.”
“We are about to enter a new phase of sleep research and sleep understanding,” says Malhotra, also immediate past president of the American Thoracic Society, “using big data to improve patients’ well-being.”
Mick Farrell, ResMed CEO, says, “This unprecedented amount of data enables predictive analytics to help physicians and providers better manage patients’ sleep apnea and COPD therapy, and ultimately improve their overall health. Reaching one billion nights is about more than just big data; it’s a testament to how the adoption and meaningful use of technology benefits patients, physicians, and providers everywhere, and we couldn’t be more pleased to start 2017 with this exciting news—this is just the beginning!”
More than 3 million patients being monitored by AirView, more than 200,000 diagnostic tests processed in ResMed’s cloud, and more than 1,000 patients per day signing up for myAir to track their own therapy use on ResMed Air10 devices.
Sleep centers are also excited about ResMed’s milestone and the general advancement of remote monitoring.
ResMed New Record: One Billion Nights of Sleep Data Monitored
A few years ago, I think it was early 2012, I attended an event in Denver put on by my friend Ken McArthur called The Impact Event. At that event, Ken asked all of the attendees how they could positively impact the lives of 1 million or more people. It’s an exciting question and a great framework around what Ken does.
At that meeting, and after hearing the stories of dozens of inspiring people (Ken included) who were already positively impacting millions of people, I set my goal my next big goal — to help one million sleep apnea sufferers connect with better health. Since then, this one overriding goal has driven my actions in my business life.
In the intervening time, we created the TotalCare eHealth platform and the TotalCare CPAP therapy program. Now we have the mechanism and program to reach that goal.
There is a lot to say about the story that lead us to this point, perhaps I’ll blog about it, but today we are looking forward.
Here’s how the TotalCare platform connects Sleep Apnea Sufferers with better health. We connect people with…
- Online screening & sleep disorder risk assessment
- Easy access to home sleep testing and sleep physician consultations
- CPAP and health data
- Physicians and other clinical resources
- CPAP Therapists and therapy providers
- More effective CPAP therapy
We’re just getting started, but the entire TotalCare team is committed to our big goal.
We’ve started calling it our ‘Connect 1 Million’ campaign, and you will be hearing more about it in the coming days.
Want to get involved now? Visit our home page and select the account type that is right for you.
CPAP (continuous positive airway pressure) use in obstructive sleep apnea reduces atrial fibrillation recurrence. It has been observed that in patients with heart failure, high blood pressure and stroke, there is a high prevalence of sleep apnea – a sleep disorder where a person stops breathing for brief moments throughout the night.
Although an evident relationship between heart disease and sleep apnea has been found, it is difficult to pinpoint the exact relationship as those living with sleep apnea generally tend to have other comorbid conditions as well. What has been found is that when sleep apnea is treated, the co-existing health problem improves.
Atrial fibrillation recurrence lower with obstructive sleep apnea treatment
Earlier research found that atrial fibrillation recurrence is lower with obstructive sleep apnea treatment. The researchers from New York University Langone Medical Center conducted a meta-analysis of seven studies, which included 1,087 patients, to determine if CPAP use – a common treatment for sleep apnea – could reduce the recurrence of atrial fibrillation.
CPAP was found to reduce atrial fibrillation occurrence by 42 percent in sleep apnea patients. Although additional study is required on a larger scale, the researchers are hopeful that CPAP use could be an effective mode of treatment for reducing the occurrence of atrial fibrillation.
Relationship between obstructive sleep apnea and atrial fibrillation
There is a clear relationship between obstructive sleep apnea and atrial fibrillation, but the cause-and-effect factor is not fully understood. Over two million people have atrial fibrillation in the U.S., and one in 15 have moderate to severe obstructive sleep apnea (OSA). Patients with atrial fibrillation (AF) and OSA also share many common traits, which increase the risk of both conditions. For example, a high body mass index plays a role in both illnesses, along with older age.
A relationship between obstructive sleep apnea and atrial fibrillation suggests that by treating one of the conditions, the other can greatly improve.
Treating sleep apnea to help your heart
Numerous studies have found that by treating sleep apnea you can improve the function of your heart and reduce the risk of heart-related illnesses. The most common form of treatment for sleep apnea is with a continuous positive airway pressure (CPAP) device. This device is worn as a mask during sleeping hours and releases continuous air to avoid blockages that can trigger the stoppage of breathing. By using a CPAP nightly you can prevent oxygen levels from lowering, prevent your heart from beating rapidly, and reduce the stress that is put on your heart.
Lower Risk of Atrial Fibrillation Recurrence One of CPAP Treatment Benefits
Benefits CPAP Machine Users Experience
CPAP can prevent or reverse serious consequences of Obstructive Sleep Apnea. CPAP is a tool that can help you get the productive sleep that you need. Benefits CPAP machine users experience are:
- Reduces risk of heart disease including CHF, Coronary artery disease and irregular heartbeat.
- Reduces risk of stroke. People that do not use CPAP are 2-4 times more likely to have a stroke.
- Reduces risk of type 2 diabetes. Sleep apnea is related to glucose intolerance and therefore increases your risk of diabetes if left untreated.
- Reduces daytime sleepiness which decreases risk of accidents and increases the ability to concentrate and be more productive at work.
- By using CPAP, your mood, concentration and emotional stability increase.
- Reduces snoring. CPAP keeps your airways open and can reduce or eliminate snoring.
- Improves sex life.
- Reduces medical expenses.
Benefits CPAP Machine Users Experience
A majority of cases of sleep apnea cases go undiagnosed for long periods of time in America, which scientists and researchers have linked to increased risk of heart disease and stroke among other health issues. Diagnosis and treatment of sleep apnea is essential for overall health. Treatment options for sleep apnea are generally BiPap or CPAP masks, which allow continuous air to flow through airways and prevent apneas throughout the night.
A new study featured in the Journal of Neurophysiology “highlights the effectiveness of CPAP treatment in reducing one of the most significant health issues [heart disease] associated with obstructive sleep apnea.”
Australian researchers conducted the study and say their biggest takeaway was the finding that CPAP treatment reduced the nerve activity issues by restoring the brain stem function to normal. While the study was small with just 13 sleep apnea participants, the results were significant. Participants were evaluated before the study and again after six months of CPAP use.
“These data strongly suggest that functional and anatomical changes within the brain stem, which we believe underlie the elevated sympathetic activity in individuals with untreated obstructive sleep apnea, can be restored to healthy levels by CPAP treatment,” said the researchers from the University of Sydney researchers.
Sleep apnea is characterized by numerous instances where a patient is rendered unable to breathe, due to blocked airways. The airways constrict and/or collapse, not allowing air to get through to the brain, which is why many issues linked to sleep apnea have to do with brain function. CPAP machines and BiPAP masks deliver a steady airflow through the airways, keeping them open. About half of the people using CPAP, however, stop using it within one to three weeks. This study points to the need for treatment which will hopefully lead to that number decreasing over time.
CPAP for Sleep Apnea – Effectiveness of CPAP Therapy
CPAP Dos and Donts
There are many dos and don’ts when it comes to managing CPAP.
- Make sure the mask is snug but not overly tight. It can cause soreness and leave strap marks.
- Know where the filter is on your machine and replace often.
- Fit your mask for the first time during the day.
- Wipe Your Mask Daily with mask wipes before use.
- Hand wash headgear.
- Lay flat to dry to prevent stretching.
- Stick to a routine.
- Clean your tube well.
- Use a clean tube brush.
- Worry about small leaks. Many CPAP machines have leak compensation sensors which adequately increase pressure in case of a leak.
- Dry your supplies in the sun. They will yellow and warp.
- Do not use the dishwasher.
- Do not use wet supplies.Mold and bacteria can build up and be hazardous to your health.
- Do not use sprays/liquids on the CPAP machine. Only unscented mild soaps should be used for cleaning.
CPAP Dos and Donts
A study of 228 patients by Case Edwards and colleagues published in the latest issue of the Journal of Clinical Sleep Medicine does indeed confirm that the depression scores improve markedly with just 3 months’ of CPAP use. A total of 426 participants (243 males) were recruited for the study. Of 293 patients offered with the Benefits of CPAP Therapy, 228 were compliant (mean nightly use > 5 h) over 3 months of therapy.
Major Findings on the Benefits of CPAP Therapy on Depression
(a) depressive symptoms are common among patients referred for investigation of OSA;
(b) depressive symptoms are directly correlated with the severity of OSA;
(c) symptoms of depression, including suicidal ideation, are relieved by effective treatment of OSA with CPAP therapy; and
(d) these beneficial effects of CPAP are seen to a similar degree in men and women and are independent of the use of antidepressants.
The researchers concluded that the depressive symptoms are common in Obstructive Sleep Apnea and are related to its severity. They improve markedly with the Benefits of CPAP Therapy, implying a relationship to untreated OSA.
Studies have shown that up to 68% of men with Obstructive Sleep Apnea report sexual dysfunction and loss of interest in sex.
Studies that Support CPAP Therapy on Sexual Function Improvement
1. In a study published in Journal of Clinical Sleep Medicine, Judith L. Reishtein, Ph.D. and colleagues evaluated the sexual function of 176 patients with sleep apnea before and after the treatment with CPAP for 3 months.
Intimate and sexual relationships were assessed using the Intimate and Sexual Relationships subscale of the Functional Outcomes of Sleep Questionnaire (FOSQ). This disease-specific, self-administered instrument contains 30 questions and 5 stand-alone subscales.
2. In a study of 1312 men, Barrett-Connor and colleagues found that men with the lowest testosterone levels had more severe apnea than those with normal levels. They also spent more of their sleep time with oxygen saturation less than 90%.
3. Soukhova-O’Hare found that chronically low oxygen level in rodents decreased levels of the endothelial nitric oxide, which mediates penile erection. This team also documented that chronic intermittent hypoxemia produced a 55% decrease in the number of daily spontaneous erections that were reversed after 6 weeks of recovery in normoxia. They also found reduced sexual drive and mating activity.
Treatment of sleep apnea with CPAP Therapy improves intimacy and sexual function besides reducing your risk of stroke, heart attack, high blood pressure, high blood sugar, and drowsy driving. So, listen to your spouse and talk to us.
CPAP Myths and facts. When it comes to CPAP therapy, there are many myths and misconceptions because CPAP therapy is complex and can be very challenging.
CPAP Myth: Nasal pillow masks cannot be used with CPAP pressures over 12.
Fact: This is one of the common CPAP myths. Although mask choice is a matter of individual choice for comfort and best fit, most masks are designed and tested to be used with pressures up to 20 cm h2o.
CPAP Myth: My sleep study revealed a diagnosis of UARS (Upper Airway Resistance Syndrome) so I only have hypopneas, not apnea events. I won’t benefit from CPAP therapy.
Fact: Actually RERA’s or Respiratory Effort Related Arousals, can sometimes be very disturbing to some individuals and contribute to significant neurocognitive impairments including excessive daytime sleepiness. RERAs are events characterized by increasing respiratory effort for 10 seconds or longer leading to an arousal from sleep but one that does not fulfill the criteria for a hypopnea or apnea and may result in a diagnosis of UARS. CPAP therapy is commonly prescribed and successfully treats UARS.
CPAP Myth: Central sleep apnea is only treated with bilevel devices.
Fact: Your doctor is best qualified to assist in prescribing the appropriate flow generator for your therapy, but CPAP, AutoCPAP, ASV and BiLevel devices are all possible contenders for treating central sleep apnea. For this reason we consider this to one of the common CPAP myths.
CPAP Myth: If I just lose weight, I will not have to use CPAP to treat my sleep apnea.
Fact: Obesity is but one symptom of sleep apnea and usually contributes to raising the level of apnea severity, not necessarily the sole cause. Use CPAP therapy during weight loss and undergo a titration to reevaluate your apnea severity to confirm accurate pressure requirements when you reach your desired weight goal.
CPAP Myth: A Dental appliance is an absolute option in treating my sleep apnea.
Fact: While dental devices are successful for some patients, they are not best suited for everyone. Often, dental devices are used with CPAP as a method to reduce help CPAP pressure when a patient has difficulty adapting to the prescribed pressure. Dental devices are generally used in patients with mild sleep apnea. Have a discussion with your sleep doctor and visit a sleep dentist for evaluation to determine if you are a candidate for a dental device.
CPAP Myth: There is no difference between CPAP machine brands.
Facts: This is also one of the common CPAP myths. There are vast differences in the technology and features of CPAP machines from one manufacturer to another. I like to use the analogy of the automobile. You turn on all cars with a key and they transport you somewhere, but they differ in size, weight, features, options and performance. Test drive a CPAP, AutoCPAP or Bilevel as a discussion point with your sleep doctor to determine which works best for your lifestyle and health concerns.
CPAP Misconception: CPAP therapy causes more sleep disruption than having apnea, I am not using it.
Fact: CPAP therapy is considered the gold standard treatment for sleep apnea. While some patients realize the benefit after just a few nights use, it is a challenging treatment for most patients. Only when the 3 components of CPAP, humidifier and mask, are all working properly and in tandem, will the patient experience quality and restorative sleep.
CPAP Misconception: I live in a humid climate and do not need a heated CPAP humidifier.
Fact: The need for heated CPAP humidification is indeed subjective; however most patients find that the addition of humidification does make CPAP therapy more comfortable thus successful. The room temperature and humidity level of your sleeping environment is the key factor. Not all CPAP devices that claim to provide humidification are equal in actual performance. The CPAP pulls in the air from your sleeping environment, ramps up to the optimal prescribed pressure and the patient receives a blast of air directly across the sensitive nasal lining. During both winter and summer months when air conditioning is often used, the air may be cool. The constant flow of cool air on the nasal lining can cause swelling of the turbinates resulting in a stuffy nose, a runny nose and even nose bleeds. Adding warm moisture to the air via a CPAP humidifier resolves these very common problems.If you have a CPAP device with humidification and you continue to have drying of the mouth or nasal complaints as listed above, ask your home healthcare provider, or your physician if the CPAP device you have responds to both ambient and relative humidification. Not all do!
CPAP Misconception: My CPAP mask leaks sometimes, so I won’t wear it.
Fact: Most CPAP devices have a built in capacity to handle both a moderate leak and maintain the prescribed pressure to maintain a patent airway. Knowing how to properly fit and adjust your mask is essential. Ask your healthcare provider to show you how.
CPAP Myths, Misconceptions & Facts