Cardinal Sleep Center Moves to Tinley Park:

Open House & Ribbon Cutting Held

On September 10th, 2008, Cardi-
nal Sleep Centers was proud to cut
the ribbon at the grand opening to
their facility in Tinley Park.
“The response from the commu-
nity was tremendous and we deeply
appreciate the support,” said
Connie Franzen, Chief Operating
Officer.
The ribbon cutting ceremony was
organized by the Tinley Park Cham-
ber of Commerce, and many
members and ambassadors came
out to show their support.
Cardinal Sleep is a member of
chamber of commerce organiza-
tions in all eight of their locations
according to Karianne Cronkrite,
community relations manager.
Although the company is growing
professionally and expanding, we
remain very much a community-
based company, says Cronkrite.
“Our local reputation says it all.
We’ve been at our main office in
Joliet for over ten years — we use
local businesses for all our printing Regional and Illinois Valley Commu-
and office needs, support commu- nity Hospitals) in addition to five
nity organizations, and work with other private facilities, but we main-
neighboring physician’s offices for tain control over the sleeping rooms
patient education and referrals.” and environment,” says Cronkrite.
To uphold their reputation for “We work very hard to help the pa-
quality of care, Cardinal Sleep tient feel at home during their stay.”
sought the new office development The efforts seem to be paying off,
in Tinley Park as an upgrade from as one patient from Tinley Park tes-
their previous location in Orland tifies, “The study was very different
Park. from sleeping at home, but the
“Patients can expect comfortable greatest attempts are made to make
sleeping rooms with private bath- patients’ feel at home.”
rooms and all the comforts of a nice
hotel,” Franzen explains.
“Rooms are even equipped with
individual thermostats adjust-
able to patient preference.”
Since Cardinal Sleep Disorder
Centers is privately owned,
there is an added advantage for
patients who hope to avoid the
hospital setting for their sleep
study. Ribbon Cutting Ceremony held by the Chamber of
“We manage centers in three Commerce for Cardinal Sleep Centers in Tinley Park.
hospitals (Silver Cross, Ottawa

Sleep Spotlight: Best of Joliet

“Cardinal Sleep Centers Receives 2008 Best of
Joliet Award—Physicians and Clinics category”
Awarded by the U.S. Local Business Association.
The USLBA "Best of Local Business" Award Pro- Go to:
gram recognizes outstanding local businesses cardinalsleep.com
throughout the country. Each year, the USLBA Top Left: Located in
for a virtual tour
identifies companies that they believe have the newly developed
North Creek
achieved exceptional marketing success in their
Executive Center
local community and business category.
Bottom Left: Sleeping rooms
Cardinal Sleep Centers was identified as a local offer hotel-style comfort and
company that “enhances the positive image of private bathrooms.
small business through service to their customers Top Right: Rooms are
furnished to provide an
and community.”
at-home feel.

What Cardinal Sleep patients are saying…

“My technician was kind, considerate and very professional. The sleep study was a lot better
than I had imagined...to my surprise it was just like sleeping at home.” — Ellen Winters, Worth

Cardinal Chirp Fall 2008 Vol. 5 No. 4

Focus on Sleep Medicine
Journal Sleep Fact Sheet: Obstructive Sleep Apnea & Mortality
the Wisconsin Sleep Cohort
Journal Sleep – August 1, 2008

Study Design
Random, population-based sample of adults who were recruited from several Wisconsin state agencies.
Study Group
1,522 adults between the ages of 30 and 60 years
Sleep Assessment
One night of in-lab, 18-channel polysomnography conducted at the University of Wisconsin General
Clinical Research Center
Primary Measurement
Sleep apnea or "sleep-disordered breathing," measured by the apnea-hypopnea index (AHI) – per hour
of sleep, the average number of apneas (breathing pauses of 10 seconds or more) and hypopneas
(breathing reductions with a decrease in blood oxygen saturation of four percent or more).
Severe (AHI 30 or more), Moderate (AHI 15 to 29), Mild (AHI 5 to 14), No sleep apnea (AHI less than 5)
Mortality Follow-Up
Eighteen years, reviewing state and national death records up to March 1, 2008.
Mean follow-up: 13.8 years. Total observation: 20,963 person-years
Deaths
Total: 80 of 1,522 individuals (5.3%). Severe sleep apnea: 12 of 63 (19%).
Moderate: 6 of 82 (7.3%). Mild: 16 of 220 (7.3%). No sleep apnea: 46 of 1,157 (4%).
All-Cause Mortality Hazard Ratios
Severe sleep apnea: 3.2. Moderate sleep apnea: 1.3. Mild sleep apnea: 1.5.
Adjusted for age, sex and body mass index. Hazard ratios were significantly increased with SDB sever-
ity. Adjusted hazard ratios remained high after further adjustments for smoking, alcohol use, general
health status, educational status, neck girth, waist:hip ratio, sleep duration and total cholesterol.
Effect of Continuous Positive Airway Pressure (CPAP) Therapy For more information on this article
When 126 participants who reported regular CPAP use were please contact Community Relations
removed from the statistical analysis, the adjusted hazard ratio for at info@cardinalsleep.com or
all-cause mortality related to severe sleep apnea jumped from 3.2 (815) 773-9090 ext. 300.
to 4.3. The adjusted hazard ratio for cardiovascular mortality related
to severe sleep apnea soared from 2.9 to 5.2. These results In no way are the suggestions in this
suggest that CPAP was protective particularly against newsletter to be taken as medical advice,
please seek proper medical attention
cardiovascular death.
from a medical professional.

Snooze News: Drowsy Driving Prevention Week™, November 10-16

In its second year, Drowsy Driving Prevention Week,™ a campaign by the
National Sleep Foundation, aims to educate young drivers about staying alert
behind the wheel. This message also is important for all ages, as drivers suffering
from sleep disorders are at an increased risk for drowsy driving.
An estimated 100,000 police-reported crashes and 1,550 deaths are caused by drowsy
driving in America each year, according to The National Highway Traffic Safety Administration.
Go to www.drowsydriving.org for more information and resources.

Cardinal Chirp Page 2

 From the Medical Director’s Desk:
Obstructive Sleep Apnea & Mortality
Robert Aronson MD, ABSM
Medical Director, Cardinal Sleep Disorder Centers of America
Obstructive sleep apnea (OSA) is known to be an independent risk factor for
hypertension and stroke, has been linked to cardiac dysfunction, nocturnal ischemic events,
impaired carbohydrate metabolism, and causes sleepiness and cognitive impairment. Previous
studies have linked OSA to increased mortality, however such studies have

Now, prospective population based data is available showing that

“
been largely limited by retrospective nature or by having been limited to clinic subjects with
patients rather than being population based.
severe OSA
had a roughly
severe OSA is independently predictive of increased mortality, particularly
cardiovascular mortality, with lessening of the risk being associated with CPAP threefold
therapy (Young et. al. SLEEP, Vol. 31, No. 8, 2008, pp. 1071-1078). The Wis-
consin Cohort Study, which started in 1988, is a population based study in
increased risk
which polysomnography was performed on a sample of 1522 middle aged sub- of mortality
jects. Average follow-up of 13.8 years is now available. Compared to subjects
in whom there was no OSA, subjects with severe OSA had a roughly 3 fold increased risk of
mortality even after accounting for confounding factors such as age, sex, BMI, smoking, alcohol
”
use, lipids, educational status, and general health. Separating out subjects who had never
received CPAP, the mortality risk was roughly 4 fold increased. Furthermore, when looking at
specific cardiovascular mortality in untreated subjects, the risk was roughly 5 fold increased. The
increased mortality risk was furthermore unaffected by the presence or absence of sleepiness.
This landmark prospective population based study reinforces the findings of earlier, more
limited studies indicating such increased mortality risks from OSA. It furthermore indicates a
protective effect of CPAP, without even accounting for CPAP compliance. Finally, the study
indicates that we should not limit CPAP therapy to symptomatic patients, as the mortality risk
occurs irrespective of symptoms.

What’s New in OSA?

Marsha Cronkrite, R. PSG. T. Clinical Administrator
Kramer DME hosts a CPAP support meeting for all NPAP therapy patients. In November, our meeting
will be a machine check. The patient can bring in their machine and we will put it on a manometer to
be sure it is running at the pressure it is set at. We also go over basic maintenance, care and cleaning
of their machines. These are all things that patients are educated on at set up, but as time goes by
we all need a refresher. If a patient’s machine is running at the pressure that it is set at and they are
starting to feel tired, or snoring with their mask, that is a reason to be sure they come back to you for
further follow up of their symptoms. If their machine is not running at the pressure it is set at then
they aren’t getting properly treated and their machine needs to be repaired. We can take care of this
for them and we make sure they have a loaner to use during that time so they do not have to be
without therapy. We also will check a patient’s machine at any time they feel it needs it they only
have to call the office to bring it in. Our number is 866-543-2727. If you have a patient that needs to
have their machine looked at, please encourage them to call their DME or they are welcome to come
to the support meeting. They can call 815-773-9090 ext. 300 to check date, time and place of the
meeting.

Cardinal Chirp Page 3

 Bourbonnais, IL 60914 St. Charles, IL 60175 Tinley Park, IL 60477 Peru, IL 61354
215 N. Convent Street #2 2340 Dean Street 18401 Maple Creek Dr., Suite 700 925 West Street

Morris, IL 60450 Ottawa, IL 61350 Joliet, IL 60432 Joliet, IL 60435

948 W. Route 6, Suite A 1100 East Norris Drive 1300 Copperfield Ave., Suite 4090 3077 W. Jefferson St., Suite 210

EIGHT CONVENIENT LOCATIONS—Toll Free 888-740-5700—www.cardinalsleep.com

Chirp
Cardinal
To: Joliet, IL 60435
3077 W. Jefferson St. Ste 210

Wake Up! Community Calendar

October
Cardinal 10—Brent Hassert Senior Fair, 9am-
Chirp 12pm Romeoville Rec. Dept.
11—Health Fair, 8am-3pm, Lago
Cardinal Sleep Disorder Vista Clubhouse, Lockport
Centers of America 11—Women’s Walk for Cancer
Awareness, 9am, Ottawa YMCA
888-740-5700
16—Lifestyles Expo, 10am-4pm,
www.cardinalsleep.com
Knights of Columbus, Ottawa
Newsletter 23—Business After Hours Expo
Fall 2008 4-7pm, Holiday Inn Joliet
Vol. 5 No. 4 25—Regional Exposure, 10am-
CPAP/Bilevel Support Group 6pm, Northfield Square Mall,
At Silver Cross Hospital in Joliet Bourbonnais
Specialty Care Pavilion, Room 1005 27—CPAP Support Group, Ottawa,
every fourth Tuesday, 6:30 - 8:00 p.m. Home Instead Senior Care
At Ottawa Regional Hospital 28—CPAP Support Group, Joliet,
Meeting Rms. 1 or 2&3 Home Instead Senior Care
Every last Monday, 6:30—8:00 p.m.
For updated Calendar Events visit:
www.cardinalsleep.com
November
American Diabetes Month
10-16 —Drowsy Driving
Prevention Week
9—St. Mary Immaculate Health
Fair, 8am-12:30pm, Plainfield
24—CPAP Support Group, Ottawa,
Machine Check
25—CPAP Support Group, Joliet,
Machine Check
27-28—Cardinal Sleep Offices
Closed for Thanksgiving
December
No Support Groups this Month
24-26—Cardinal Sleep Offices
Closed for Christmas
Happy Holidays!