National Commission on Sleep Disorders

Damien Leger developed a special report for the National Commission on Sleep Disorders Research (NCSDR). He estimated that the total cost of accidents attributable to sleepiness in 1988 was between 43.15 billion and 56.02 billion dollars (5). He reported that in 1988, the costs of all motor vehicle accidents ( 70.2 billion), work-related accidents ( 47.1 billion), home-based accidents ( 17.4 billion), and public accidents ( 10.9 billion) were 143.4 billion. Any duplications between work-related and motor-vehicle accidents and home-based and motor-vehicle accidents were eliminated in the total by the author. Thus, the total amount was less than the sums. 

The first published direct medical cost of sleep apnea was 275 million in 1990 by the National Commission on Sleep Disorders Research. (47). More recently, groups in Manitoba, Canada and Puget Sound, Washington published direct medical cost analyses. Health care utilization by children with OSAS has also been studied in Israel. 

Walsh and Engelhardt estimated the direct costs for insomnia in the United States to be 10.9 billion in 1990, whereas the National Commission on Sleep Disorders Research estimated the direct costs to be 15.4 billion in 1990 (61). Walsh and Engelhardt estimated in 1995 that the total direct costs increased to 13.9 billion. The costs were separated into health care services and substances used for insomnia. 

Leger D. The cost of sleep-related accidents a report for the National Commission on Sleep Disorders Research. Sleep 1994 17(1) 84—93. 

Research NCoSD. National Commission on Sleep Disorders Research report. Executive Summary and executive report. Bethesda 1993. 

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