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Waking Up to the Problem of OSA: Consequences and Improved Recognition

neuroscienceCME VOICE

Premiere Date: Tuesday, October 16, 2007
Live Audioconference Series (12 sessions): October - November, 2007

This activity offers CE credit for:

1. Physicians (ACCME/AMA PRA Category 1)
2. Nurses (CNE)
3. Pharmacists (ACPE)
4. Psychologists (APA)
5. Social Workers (NASW)
6. Certified Case Managers (CCMC)

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Sunday, November 16, 2008
Note: Credit Is No Longer Available

Faculty

Sonia Ancoli-Israel, PhD  Professor of Psychiatry University of California San Diego San Diego, CA

Barbara A. Phillips, MD, MSPH, FCCP  Professor, Pulmonary Critical Care and Sleep Medicine Department of Internal Medicine University of Kentucky Director, Sleep Disorders Center Samaritan Hospital, Lexington Lexington, KY

Statement of Need

Obstructive sleep apnea (OSA) is a sleep-related breathing disorder (SRBD) characterized by partial/complete airway obstruction resulting in suspended breathing. Classic symptoms during sleep include loud snoring, gasping/choking, and severely fragmented sleep, whereas waking symptoms include excessive sleepiness, cognitive difficulties, and mood swings. Associated risk factors include being male, older age, high BMI, hypertension, family history, and having a large neck circumference and/or a narrowed airway. Untreated OSA is associated with serious societal and personal consequences. The cardinal symptom of OSA is excessive sleepiness, which can interfere with daily activities and heighten the risk of motor vehicle crashes.(1) OSA is associated with numerous medical comorbidities, with the most compelling data exhibiting a link between OSA and hypertension.(2) Prompt recognition and management of OSA is crucial to mitigating the consequences - however, less than 20% of OSA cases are currently diagnosed and treated. New data indicate that women and older people may not present with classic findings; for example, women are less likely to report witnessed apneas, and older people are less likely to be obese. In this live, evidence-based, neuroscienceCME VOICE activity, the experts will explore the risks associated with untreated OSA and present strategies for improving recognition of this SRBD.

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1. Ellen RL, Marshall SC, Palayew M, Molnar FJ, Wilson KG, Man-Son-Hing M. Systematic review of motor vehicle crash risk in persons with sleep apnea. J Clin Sleep Med 2006;2:193-200.
2. Budhiraja R, Sharief I, Quan SF. Sleep disordered breathing and hypertension. J Clin Sleep Med 2005;1:401-404.

Activity Goal

To explore the risks associated with untreated obstructive sleep apnea and to examine strategies for improving treatment of this sleep-related breathing disorder.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Describe risk factors and symptomatology associated with obstructive sleep apnea.
• Identify consequences of untreated obstructive sleep apnea including increased risk of motor vehicle crashes and increased risk of medical comorbidities, particularly hypertension.
• Utilize screening tools and strategies to improve recognition of obstructive sleep apnea, particularly in populations that do not present with classic symptoms.

Target Audience

Physicians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, and other healthcare professionals with an interest in mental health.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit (Nurses):
CME Outfitters, LLC, is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

It has been assigned code 6WASUP-PRV-0611. 1.0 contact hours will be awarded upon successful completion.
Note to Nurse Practitioners: The content of this CNE activity pertains to Pharmacology.

CEP Credit (Psychologists):
CME Outfitters is approved by the American Psychological Association to sponsor continuing education for psychologists. CME Outfitters maintains responsibility for this program and its content. (1.0 CE credits)

NASW Credit (Social Workers):
This program was approved by the National Association of Social Workers (provider #886407722) for 1 continuing education contact hour.

CCMC Credit (Certified Case Managers):
This program has been approved for 1 hour by the Commission for Case Manager Certification (CCMC).

CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Program Number: 376-999-07-013-L01 (live presentation) 376-999-07-013-H01 (recorded programs)

Post-tests, credit request forms, and activity evaluations can be completed online at www.neuroscienceCME.com (click on the Testing/Certification link under the Resources tab - requires free account activation), and participants can print their certificate or statement of credit immediately (70% pass rate required). Otherwise, participants should fully complete and return both the credit request form and activity evaluation located within the course guide for this activity. A certificate or statement of credit will be mailed within 4-6 weeks to all who successfully complete these requirements.

Disclosure Declaration

All faculty participating in CME Outfitters continuing education activities are required to disclose any conflict(s) of interest related to the content of their presentation(s) as defined by the ACCME's Standards for Commercial Support, and other accrediting and regulatory bodies. Full disclosure of faculty relationships will be made on this website and within the activity course materials prior to the premiere date of this activity.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).