This subproject is one of many research subprojects utilizing theresources provided by a Center grant funded by NIH/NCRR. The subproject andinvestigator (PI) may have received primary funding from another NIH source,and thus could be represented in other CRISP entries. The institution listed isfor the Center, which is not necessarily the institution for the investigator.Traumatic brain injury (TBI) is a leading cause of death and lifelong disability in the United States. The Centers for Disease Control and Prevention have estimated that each year, approximately 1.5 million Americans survive a traumatic brain injury, among which 230,000 are hospitalized. Each year in America approximately 50,000 people die and 80-90,000 people are left with a permanent disability secondary to a TBI. As a result, an estimated 5.3 million people are living with a permanent TBI-related disability in the United States today.1 Sleep complaints are one of the most common ailments of those suffering from TBI, and range in frequency from 36% to 70%. Mount Sinai is recognized as a Center for Excellence in treating those with TBI and the long-term care for this group of patients. Mount Sinai is also developing The Center for Sleep Medicine which offers care for a multitude of sleep disorders. These two Centers offer their unique clinical expertise and collaboration within The Mount Sinai Medical Center.Hypothesis:Our hypothesis is that those with TBI living in the community have difficulty becoming independent. They suffer disturbed: 1) night-time sleep due to underlying, untreated and undiagnosed sleep disorders, such as sleep disordered breathing (SDB) or periodic limb movements; and 2) daytime sleepiness that may lead to scheduled and unscheduled naps.
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