The Spokane Regional Sleep Apnea Network is an open alliance of local healthcare providers and organizations interested in working together to increase awareness of sleep-disordered breathing in adults and children, offer patient support through regularly scheduled face-to-face meetings, provide clinical and research updates to the primary care teams and promote more effective communication channels between the various specialties involved in the management of patients with sleep apnea.

Coordinator Contact:   Dr. Liana Groza, DDS FAGD  (Spokane Sleep Apnea Dentistry )   

Spokane A.W.A.K.E. Committee 
Spokane chapter of the American Sleep Apnea Association patient support network 

Current Members:

Cardiometabolic Group

Focuses on the impact of sleep-disordered breathing on cardiovascular disease and diabetes 

See 2009 AASM Guidelines below for populations at high risk of OSA and clinical management recommendations:

Force, Adult Obstructive Sleep Apnea Task, and American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine: JCSM: official publication of the American Academy of Sleep Medicine 5.3 (2009): 263

Cognitive Function Group

Focuses on the connection between sleep-disordered breathing and stroke/post-stroke rehabilitation, Alzheimer's disease, mood disorders and related conditions


Daulatzai, M A. Death by a thousand cuts in Alzheimer’s disease: hypoxia—the prodrome. Neurotoxicity research. 2013; 24:216-43 

NIH News April 8, 2010 "Sleep Apnea Tied to Increased Risk of Stroke"

Dyken, M. E., Somers, V. K., Yamada, T., Ren, Z. Y., & Zimmerman, M. B. Investigating the relationship between stroke and obstructive sleep apnea. Stroke. 1996; 27:401-7. 

Sleep-breathing Problems May Signal Earlier Cognitive Decline, But CPAP Use May Prevent It

Stein, Pamela S., Stephen Scheff, and D. R. Dawson. "Alzheimer’s disease and periodontal disease: mechanisms underlying a potential bidirectional relationship." Grand Rounds Oral Systemic Med 1.3 (2006): 14-24.

Povitz, Marcus, et al. "Effect of treatment of obstructive sleep apnea on depressive symptoms: systematic review and meta-analysis." PLoS Med11.11 (2014): e1001762.

Cheng, Philip, et al. "Sleep‐disordered breathing in major depressive disorder." Journal of sleep research 22.4 (2013): 459-462.

Hayley, Amie C., et al. "The relationships between insomnia, sleep apnoea and depression: findings from the American National Health and Nutrition Examination Survey, 2005–2008." Australian and New Zealand journal of psychiatry 49.2 (2015): 156-170.

Wheaton, Anne G., et al. "Sleep disordered breathing and depression among US adults: National Health and Nutrition Examination Survey, 2005–2008."Sleep 35.4 (2012): 461-467.

Hall, Martica H., Christopher E. Kline, and Sara Nowakowski. "Insomnia and sleep apnea in midlife women: prevalence and consequences to health and functioning." F1000prime reports 7 (2015).

Pediatric Sleep Apnea Group

Robert A. Schoumacher, MD
Professor of Pediatrics & Otolaryngology
Director of LeBonheur Pediatric and Adolescent
Sleep Disorders Center
University of Tennessee Health Science Center

FOR PEDIATRICIANS:  How to start the conversation at well-child visits

click HERE or download PDF


Print out  Sleep Disorders Youth Fact Sheet by clicking on the link or downloading PDF file below.

Print out Pediatric Sleep Screening Tool by clicking on the link or downloading PDF file below


Capdevila, Oscar Sans, et al. "Pediatric obstructive sleep apnea: complications, management, and long-term outcomes." Proceedings of the American Thoracic Society 5.2 (2008): 274-282.

Koren, Dorit, Katie L. O’Sullivan, and Babak Mokhlesi. "Metabolic and glycemic sequelae of sleep disturbances in children and adults." Current diabetes reports15.1 (2015): 1-10.

Estrada, Elizabeth, et al. "Children's Hospital Association Consensus Statements for Comorbidities of Childhood Obesity." Childhood Obesity 10.4 (2014): 304-317.

Karen Bonuck, Katherine Freeman, Ronald D. Chervin and Linzhi Xu. Sleep-Disordered Breathing in a Population-Based Cohort: Behavioral Outcomes at 4 and 7 Years. Pediatrics; originally published online March 5, 2012;

Youssef, Nagy A., et al. "Is obstructive sleep apnea associated with ADHD."Ann Clin Psychiatry 23.3 (2011): 213-224.

ADHD or Sleep Disorder: Are We Getting It Wrong?

Workforce Wellness and Performance Group

See article in  the Journal of Business  February 25, 2016  Special Report on the  Future of Health Care, discussing  the hidden economic cost of untreated sleep apnea to both employers and employees  and the benefits of early detection through employer-based wellness programs.  

"Cardiometabolic prevention targets sleep disorders"  Liana Groza, DDS
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