A recent meta-analysis found that 20%of patients with dementia living in hospice care had clinically significant sleep disturbances, 38%had any symptom of sleep disturbance, and 70%had poor sleep efficiency as measured by actigraphy. ![]() Between 25%–40%of patients with AD report having some type of sleep disorder, such as excessive awakenings, early morning awakenings, excessive daytime sleepiness, and napping for more than 1 h during the day. ![]() Sleep disorders such as insomnia occur more frequently in AD patients than in the general population. In 2019 the costs associated with healthcare and long-term care for individuals with dementia due to AD and other causes were estimated to be $290 billion, with the average Medicare beneficiary with AD costing $35,000 more annually than Medicare beneficiaries without AD. This increased need for care creates a significant financial burden. Patients with AD have increased use of healthcare services, including more frequent high-cost events like hospitalizations and emergency room visits, compared to cognitively normal individuals. The classic hallmarks of AD are progressive deterioration of memory, intellect, and motor skills leading to increasing disability and dependency on caregivers. ![]() The population of people over 65 in the United States living with AD is projected to grow to 12.7–13.8 million by 2050. The Alzheimer’s Association estimated there were 5.8 million Americans age 65 and older living with AD in 2019, 81%of which were at least 75 years old. Alzheimer’s disease (AD) is a neurodegenerative disease and the leading cause of dementia in the elderly.
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