Newsletter Fall '08 Volume 5 No. 4

Cardinal Sleep Center Moves to Tinley Park: Open House & Ribbon Cutting Held

On September 10th, 2008, Cardinal Sleep Centers was proud to cut the ribbon at the grand opening to their facility in Tinley Park. “The response from the community was tremendous and we deeply appreciate the support,” said Connie Franzen, Chief Operating Officer. The ribbon cutting ceremony was organized by the Tinley Park Chamber of Commerce, and many members and ambassadors came out to show their support. Cardinal Sleep is a member of chamber of commerce organizations in all eight of their locations according to Karianne Cronkrite, community relations manager. Although the company is growing professionally and expanding, we remain very much a communitybased company, says Cronkrite. “Our local reputation says it all. We’ve been at our main office in Joliet for over ten years — we use

local businesses for all our printing Regional and Illinois Valley Commuand office needs, support community Hospitals) in addition to five nity organizations, and work with other private facilities, but we mainneighboring physician’s offices for tain control over the sleeping rooms patient education and referrals.” and environment,” says Cronkrite. To uphold their reputation for “We work very hard to help the paquality of care, Cardinal Sleep tient feel at home during their stay.” sought the new office development The efforts seem to be paying off, in Tinley Park as an upgrade from as one patient from Tinley Park testheir previous location in Orland tifies, “The study was very different Park. from sleeping at home, but the “Patients can expect comfortable greatest attempts are made to make sleeping rooms with private bathpatients’ feel at home.” rooms and all the comforts of a nice hotel,” Franzen explains. “Rooms are even equipped with individual thermostats adjustable to patient preference.” Since Cardinal Sleep Disorder Centers is privately owned, there is an added advantage for patients who hope to avoid the hospital setting for their sleep study. Ribbon Cutting Ceremony held by the Chamber of “We manage centers in three Commerce for Cardinal Sleep Centers in Tinley Park. hospitals (Silver Cross, Ottawa

Sleep Spotlight: Best of Joliet “Cardinal Sleep Centers Receives 2008 Best of Joliet Award—Physicians and Clinics category” Awarded by the U.S. Local Business Association. The USLBA "Best of Local Business" Award Program recognizes outstanding local businesses throughout the country. Each year, the USLBA identifies companies that they believe have achieved exceptional marketing success in their local community and business category.

Go to: cardinalsleep.com Top Left: Located in the newly developed North Creek Executive Center Bottom Left: Sleeping rooms offer hotel-style comfort and private bathrooms. Top Right: Rooms are furnished to provide an at-home feel.

for a virtual tour

Cardinal Sleep Centers was identified as a local company that “enhances the positive image of small business through service to their customers and community.”

What Cardinal Sleep patients are saying… “My technician was kind, considerate and very professional. The sleep study was a lot better than I had imagined...to my surprise it was just like sleeping at home.” — Ellen Winters, Worth Cardinal Chirp

Fall 2008 Vol. 5 No. 4

Focus on Sleep Medicine Journal Sleep Fact Sheet: Obstructive Sleep Apnea & Mortality the Wisconsin Sleep Cohort Journal Sleep – August 1, 2008 Study Design Random, population-based sample of adults who were recruited from several Wisconsin state agencies. Study Group 1,522 adults between the ages of 30 and 60 years Sleep Assessment One night of in-lab, 18-channel polysomnography conducted at the University of Wisconsin General Clinical Research Center Primary Measurement Sleep apnea or "sleep-disordered breathing," measured by the apnea-hypopnea index (AHI) – per hour of sleep, the average number of apneas (breathing pauses of 10 seconds or more) and hypopneas (breathing reductions with a decrease in blood oxygen saturation of four percent or more). Severe (AHI 30 or more), Moderate (AHI 15 to 29), Mild (AHI 5 to 14), No sleep apnea (AHI less than 5) Mortality Follow-Up Eighteen years, reviewing state and national death records up to March 1, 2008. Mean follow-up: 13.8 years. Total observation: 20,963 person-years Deaths Total: 80 of 1,522 individuals (5.3%). Severe sleep apnea: 12 of 63 (19%). Moderate: 6 of 82 (7.3%). Mild: 16 of 220 (7.3%). No sleep apnea: 46 of 1,157 (4%). All-Cause Mortality Hazard Ratios Severe sleep apnea: 3.2. Moderate sleep apnea: 1.3. Mild sleep apnea: 1.5. Adjusted for age, sex and body mass index. Hazard ratios were significantly increased with SDB severity. Adjusted hazard ratios remained high after further adjustments for smoking, alcohol use, general health status, educational status, neck girth, waist:hip ratio, sleep duration and total cholesterol. Effect of Continuous Positive Airway Pressure (CPAP) Therapy For more information on this article When 126 participants who reported regular CPAP use were please contact Community Relations removed from the statistical analysis, the adjusted hazard ratio for at [email protected] or all-cause mortality related to severe sleep apnea jumped from 3.2 (815) 773-9090 ext. 300. to 4.3. The adjusted hazard ratio for cardiovascular mortality related In no way are the suggestions in this to severe sleep apnea soared from 2.9 to 5.2. These results newsletter to be taken as medical advice, suggest that CPAP was protective particularly against please seek proper medical attention cardiovascular death. from a medical professional.

Snooze News: Drowsy Driving Prevention Week™, November 10-16 In its second year, Drowsy Driving Prevention Week,™ a campaign by the National Sleep Foundation, aims to educate young drivers about staying alert behind the wheel. This message also is important for all ages, as drivers suffering from sleep disorders are at an increased risk for drowsy driving. An estimated 100,000 police-reported crashes and 1,550 deaths are caused by drowsy driving in America each year, according to The National Highway Traffic Safety Administration. Go to www.drowsydriving.org for more information and resources. Cardinal Chirp

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From the Medical Director’s Desk: Obstructive Sleep Apnea & Mortality Robert Aronson MD, ABSM Medical Director, Cardinal Sleep Disorder Centers of America Obstructive sleep apnea (OSA) is known to be an independent risk factor for hypertension and stroke, has been linked to cardiac dysfunction, nocturnal ischemic events, impaired carbohydrate metabolism, and causes sleepiness and cognitive impairment. Previous studies have linked OSA to increased mortality, however such studies have been largely limited by retrospective nature or by having been limited to clinic subjects with patients rather than being population based. severe OSA Now, prospective population based data is available showing that had a roughly severe OSA is independently predictive of increased mortality, particularly cardiovascular mortality, with lessening of the risk being associated with CPAP threefold therapy (Young et. al. SLEEP, Vol. 31, No. 8, 2008, pp. 1071-1078). The Wisincreased risk consin Cohort Study, which started in 1988, is a population based study in of mortality which polysomnography was performed on a sample of 1522 middle aged subjects. Average follow-up of 13.8 years is now available. Compared to subjects in whom there was no OSA, subjects with severe OSA had a roughly 3 fold increased risk of mortality even after accounting for confounding factors such as age, sex, BMI, smoking, alcohol use, lipids, educational status, and general health. Separating out subjects who had never received CPAP, the mortality risk was roughly 4 fold increased. Furthermore, when looking at specific cardiovascular mortality in untreated subjects, the risk was roughly 5 fold increased. The increased mortality risk was furthermore unaffected by the presence or absence of sleepiness. This landmark prospective population based study reinforces the findings of earlier, more limited studies indicating such increased mortality risks from OSA. It furthermore indicates a protective effect of CPAP, without even accounting for CPAP compliance. Finally, the study indicates that we should not limit CPAP therapy to symptomatic patients, as the mortality risk occurs irrespective of symptoms.

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What’s New in OSA? Marsha Cronkrite, R. PSG. T. Clinical Administrator Kramer DME hosts a CPAP support meeting for all NPAP therapy patients. In November, our meeting will be a machine check. The patient can bring in their machine and we will put it on a manometer to be sure it is running at the pressure it is set at. We also go over basic maintenance, care and cleaning of their machines. These are all things that patients are educated on at set up, but as time goes by we all need a refresher. If a patient’s machine is running at the pressure that it is set at and they are starting to feel tired, or snoring with their mask, that is a reason to be sure they come back to you for further follow up of their symptoms. If their machine is not running at the pressure it is set at then they aren’t getting properly treated and their machine needs to be repaired. We can take care of this for them and we make sure they have a loaner to use during that time so they do not have to be without therapy. We also will check a patient’s machine at any time they feel it needs it they only have to call the office to bring it in. Our number is 866-543-2727. If you have a patient that needs to have their machine looked at, please encourage them to call their DME or they are welcome to come to the support meeting. They can call 815-773-9090 ext. 300 to check date, time and place of the meeting. Cardinal Chirp

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925 West Street Peru, IL 61354 3077 W. Jefferson St., Suite 210 Joliet, IL 60435

215 N. Convent Street #2 Bourbonnais, IL 60914

2340 Dean Street St. Charles, IL 60175

18401 Maple Creek Dr., Suite 700 Tinley Park, IL 60477

948 W. Route 6, Suite A Morris, IL 60450

1100 East Norris Drive Ottawa, IL 61350

1300 Copperfield Ave., Suite 4090 Joliet, IL 60432

EIGHT CONVENIENT LOCATIONS—Toll Free 888-740-5700—www.cardinalsleep.com

Cardinal Chirp 3077 W. Jefferson St. Ste 210 Joliet, IL 60435

To:

Wake Up!

Cardinal Chirp Cardinal Sleep Disorder Centers of America 888-740-5700 www.cardinalsleep.com Newsletter Fall 2008 Vol. 5 No. 4

CPAP/Bilevel Support Group At Silver Cross Hospital in Joliet Specialty Care Pavilion, Room 1005 every fourth Tuesday, 6:30 - 8:00 p.m. At Ottawa Regional Hospital Meeting Rms. 1 or 2&3 Every last Monday, 6:30—8:00 p.m.

Community Calendar

October

November

10—Brent Hassert Senior Fair, 9am12pm Romeoville Rec. Dept. 11—Health Fair, 8am-3pm, Lago Vista Clubhouse, Lockport 11—Women’s Walk for Cancer Awareness, 9am, Ottawa YMCA 16—Lifestyles Expo, 10am-4pm, Knights of Columbus, Ottawa 23—Business After Hours Expo 4-7pm, Holiday Inn Joliet 25—Regional Exposure, 10am6pm, Northfield Square Mall, Bourbonnais 27—CPAP Support Group, Ottawa, Home Instead Senior Care 28—CPAP Support Group, Joliet, Home Instead Senior Care

American Diabetes Month 10-16 —Drowsy Driving Prevention Week 9—St. Mary Immaculate Health Fair, 8am-12:30pm, Plainfield 24—CPAP Support Group, Ottawa, Machine Check 25—CPAP Support Group, Joliet, Machine Check 27-28—Cardinal Sleep Offices Closed for Thanksgiving

December No Support Groups this Month 24-26—Cardinal Sleep Offices Closed for Christmas

Happy Holidays!

For updated Calendar Events visit: www.cardinalsleep.com