Sleep Disorders

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.¹ The program has 44 beds in 7 sleep laboratory locations within Cleveland Clinic health system.

The Sleep Disorders Center 2019 outcomes described in this summary include implementation of quality improvement monitoring of the home sleep apnea testing (HSAT) program and newly developed strategies to optimize lab utilization. The center has also developed innovative group-based interventions to optimize positive airway pressure (PAP) adherence. The outcomes highlighted include the impact of novel neurostimulation modalities for sleep apnea treatment, pediatric sleep outcomes, and characterizing interrelationships of sleep disorders and impact on health including bariatric surgery, as well as novel, effective, and efficient web-based interventions to treat insomnia.

Overall Sleep Studies

2015 – 2019

All sleep lab locations received the distinction of accreditation by the American Academy of Sleep Medicine for providing excellent healthcare and dedication to the advancement of the field of sleep medicine. In 2018, the headquarter lab operations were established in a new state-of-the-art facility. The center's continued increase in services, which includes home sleep apnea testing (HSAT), is well beyond national trends. Therefore, patients' access has been substantially enhanced, allowing the center to accommodate and address the epidemic of highly prevalent 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

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

References
  1. Global market study on sleep testing services: increasing prevalence of sleep disorders attributes double digit growth of the sleep testing services during forecast period, 2015–2021. Persistence Market Research web site . Accessed May 15, 2019.