%0 Journal Article
%T Prevalence and management of sleep disorders in the Veterans Health Administration
%J Sleep medicine reviews
%D 2020
%A Folmer, Robert L.
%A Smith, Connor J.
%A Boudreau, Eilis Ann
%A Hickok, Alex W.
%A Totten, Annette M.
%A Kaul, Bhavika
%A Stepnowsky, Carl J.
%A Whooley, Mary A.
%A Sarmiento, Kathleen F.
%V 54
%N 
%P e101358-e101358
%X The prevalence of diagnosed sleep disorders among Veterans treated at Veterans Affairs (VA) medical facilities increased significantly during fiscal years (FY) 2012 through 2018. Specifically, the prevalence of sleep-related breathing disorders (SRBD) increased from 5.5% in FY2012 to 22.2% in FY2018, and the prevalence of insomnia diagnoses increased from 7.4% in FY2012 to 11.8% in FY2018. Consequently, Veterans' demand for sleep medicine services also increased significantly between FY2012-2018, with steady increases in the annual number of VA sleep clinic appointments during this period (<250,000 in FY 2012; >720,000 in FY2018). Common co-morbid conditions among Veterans diagnosed with sleep disorders include obesity, diabetes, congestive heart failure, depression, post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). To address this healthcare crisis, the Veterans Health Administration (VHA) developed and/or implemented numerous innovations to improve the quality and accessibility of sleep care services for Veterans. These innovations include a TeleSleep Enterprise-Wide Initiative to improve rural Veterans' access to sleep care; telehealth applications such as the Remote Veteran Apnea Management Platform (REVAMP), Clinical Video Telehealth, and CBT-i Coach; increased use of home sleep apnea testing (HSAT); and programs for Veterans who experience sleep disorders associated with obesity, PTSD, TBI and other conditions.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 1087-0792
%U http://dx.doi.org/10.1016/j.smrv.2020.101358