Neurological Institute Outcomes
Introduction to the Scope of the Cleveland Clinic Sleep Disorders Center
Cleveland Clinic’s Sleep Disorders Center, established in 1978, was among the first in the nation dedicated to the diagnosis and treatment of sleep and wake disorders across the entire age spectrum. Accredited by the American Academy of Sleep Medicine, the Sleep Disorders Center provides a comprehensive, multidisciplinary approach to patient care with specialists in Neurology, Pulmonary and Critical Care Medicine, Psychiatry and Psychology, Internal Medicine, Family Medicine, Pediatrics, and Otolaryngology. The program has 43 beds in 8 sleep laboratory locations within Cleveland Clinic health system.
The outcomes highlighted include the effect of novel neurostimulation modalities for sleep apnea treatment, pediatric sleep outcomes, and characterizing interrelationships of sleep disorders and influence on health including cognitive impairment, bariatric surgery and epilepsy, as well as novel, effective, and efficient web-based interventions to treat insomnia.
In 2018, the Sleep Center established a new state-of-the-art facility. Sleep diagnostic testing has increased by 11.9% from 12,420 in 2017 to 13,896 in 2018. There was also a 23.7% increase in the number of pediatric sleep studies, from 734 in 2017 to 908 in 2018. The center’s increase in services, including home sleep apnea testing (HSAT), is well beyond national trends, which has substantially enhanced patient access and allows the center to accommodate and address the epidemic of sleep disorders. The efficient integration of technological systems support, sleep technologists, and physicians has allowed for this remarkable growth, thus establishing Cleveland Clinic as a leader in providing the care needed for patients with sleep disorders.
Overall Sleep Studies
HSAT = home sleep apnea testing, MSLT/MWT = multiple sleep latency test/maintenance of wakefulness test, Other = PAP Nap studies for acclimation, and titration studies with oral pressure therapy, oral appliance, or nasal end expiratory positive pressure, PAP = positive airway pressure titration study, PSG/EEG = polysomnogram alone or in combination with 18-channel electroencephalography, Split study = combination PSG and PAP titration study