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VOLUME 3 / ISSUE 2 / FEBRUARY 2018 Monthly NewZzz Drowsy Driving Kills Thousands Every Year (TM) Sleep Apnea Soluons for Life 1 in 25 adults reports falling asleep behind the wheel. The National Sleep Foundation poll reports that 60% of adult drivers in America estimated at 168 Million say they have driven while feeling drowsy and 37% or 103 million have actually fallen asleep behind the wheel. Of those who have nodded of 13% say they have done so at least once/month. Canadian Statistics by the Canadian Safety Council report 60% of Canadians admit to driving drowsy and 15% admit to falling asleep at the wheel. 20% of all fatal accidents are directly linked to Drowsy Driving. Five to six hours of sleep: 1.9 times the crash risk Four to five hours of sleep: 4.3 times the crash risk Less than four hours of sleep: 11.5 times the crash risk What Can We Do? Education is the key to preventing sleepy drivers from getting on the road. Treatment of underlying sleep disordered such as Obstructive Sleep Apnea, Narcolepsy, and Excessive daytime sleepiness. If people have a sleep disorder that is untreated they could have their license suspended until they are compliant on therapy. http://drowsydriving.org/National Sleep Foundation/Sleepfoundation.org Who is at risk? Adults between the ages 18-29 are more likely to drive drowsy 71% vs. 30-64:52% 64+;19% Men are more likely than woman to drive drowsy 56% vs. 45% Adults with children 59% vs. 45% with no children Shift workers 36% vs. regular daytime shifts 25% Most crashes occur between 4-6am; midnight-2am and 2-4pm Patients with Obstructive Sleep Apnea that are untreated are at increased risk of fallling asleep behind the wheel due to poor quality sleep each night. Across the WORLD Drowsy Driving is a growing concern. Many Committees and Departments are working diligently to combat this increasingly serious problem.

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VOLUME 3 / ISSUE 2 / FEBRUARY 2018Monthly NewZzz

Drowsy Driving Kills Thousands Every Year

(TM)Sleep Apnea Solutions for Life

1 in 25 adults reports falling asleep behind the wheel.The National Sleep Foundation poll reports that 60% of adult drivers in America estimated at 168 Million say they have driven while feeling drowsy and 37% or 103 million have actually fallen asleep behind the wheel. Of those who have nodded of 13% say they have done so at least once/month.Canadian Statistics by the Canadian Safety Council report 60% of Canadians admit to driving drowsy and 15%admit to falling asleep at the wheel. 20% of all fatal accidents are directly linked to Drowsy Driving.Five to six hours of sleep: 1.9 times the crash riskFour to �ve hours of sleep: 4.3 times the crash riskLess than four hours of sleep: 11.5 times the crash risk

What Can We Do?Education is the key to preventing sleepy drivers from getting on the road. Treatment of underlying sleep disordered such as Obstructive Sleep Apnea, Narcolepsy, and Excessive daytime sleepiness.If people have a sleep disorder that is untreated they could have their license suspended until they are compliant on therapy.

http://drowsydriving.org/National Sleep Foundation/Sleepfoundation.org

Who is at risk?Adults between the ages 18-29 are more likely to drive drowsy 71% vs. 30-64:52% 64+;19%Men are more likely than woman to drive drowsy 56% vs. 45%Adults with children 59% vs. 45% with no childrenShift workers 36% vs. regular daytime shifts 25%Most crashes occur between 4-6am; midnight-2am and 2-4pmPatients with Obstructive Sleep Apnea that are untreated are at increased risk of fallling asleep behind the wheel due to poor quality sleep each night.

Across the WORLD Drowsy Driving is a growing concern. Many Committees and Departments are working diligentlyto combat this increasingly serious problem.

CONTACT US:Mira Health Centre EdmontonSuite 108, 11910 - 111 AvenueEdmonton, AB T5G 3G6P 780-757-1215F [email protected]

1-800-QSC-5133Edmonton South (Millwoods)6570 - 28 Ave NWEdmonton, AlbertaP 780.757.1490F [email protected]

www.qualitysleepcare.comHala Building (Calgary North)Bldg. 107, 12 Ave., NWCalgary, AB T2M 0C4P 403.220.0625F [email protected]

Rediscover the Power of Sleep™

About UsSo Clean 2

Matthew R, Ebben, Ph.D.; Nitin K. Sethi, M.D.; Arthur J. Spielman, Ph.D.Department of Neurology and Neuroscience, Weill Medical College of Cornell University, New York, NYJournal of Clinical Sleep Medicine, Vol. 4, No. 3, 2008

Sleep FactsDid you know?

An 85 year old woman presented to the Sleep Clinic for evaluation for OSA, she complained that after taking cerivastatin therapy for 5 years she began sleeping for 12 hours. She had excessive daytime sleepiness and had a nap for 2 hours each day. The patient developed symptoms of rhabdomyolysis, which included myalgias and muscle weakness. After stopping the Cerivastatin she regained her muscle strength but still had Excessive Daytime Sleepiness. The patient was admitted to hospital for loud snoring and witness apneas. Patient was 120 lbs and 5 feet. A Level 1 study was performed which indicated Severe OSA. AHI of 85 events/hr. Most events being Obstructive Apneas and Hypopneas. Lowest SPO2 was 73% and she spent 34% of the night with SPO2<90%.

All statins have been found to be associated with a spectrum of myotoxic side effects. Side effects ranging from myalgias and muscle weakness to more serious rhabdomyolysis and especially in combinations with Calcium channel blockers, anti-fungals, amiodarone, and �brates to name a few. This case study may raise awareness for increasing vigilance for OSA as a potential complication of Statin Drug Therapy.

Case Study

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