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Hypoglossal nerve stimulator patient usage: Patterns and trends over time
OBJECTIVE: Hypoglossal nerve stimulation (HNS) is an effective treatment for obstructive sleep apnea (OSA) patients intolerant of continuous positive airway pressure but is only effective if used regularly. Usage patterns have not been studied in detail. In this study, we aimed to characterize granu...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575119/ https://www.ncbi.nlm.nih.gov/pubmed/36258886 http://dx.doi.org/10.1002/lio2.855 |
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author | Morse, Elliot Suurna, Maria |
author_facet | Morse, Elliot Suurna, Maria |
author_sort | Morse, Elliot |
collection | PubMed |
description | OBJECTIVE: Hypoglossal nerve stimulation (HNS) is an effective treatment for obstructive sleep apnea (OSA) patients intolerant of continuous positive airway pressure but is only effective if used regularly. Usage patterns have not been studied in detail. In this study, we aimed to characterize granular HNS usage patterns. METHODS: Patients implanted by a single surgeon at an academic medical center from August 2016 to January 2021 were identified from a prospective database, which was merged with the Inspire Cloud usage database. Patient, OSA, and usage characteristics were summarized, and patient‐ and OSA‐related characteristics were associated with usage characteristics by Wilcoxon rank‐sum analyses. Usage trends over time were summarized in the overall cohort and stratified by initial usage. RESULTS: Fifty patients were included. Median usage was 94% of nights (interquartile range [IQR]: 82%–98%) for 5.8 h per night (IQR: 4.9–6.4). Higher post‐operative apnea–hypopnea index predicted fewer nights used (92% [IQR: 82%–97%] vs. 96% [IQR: 91%–99%]). No other characteristics examined were significantly associated with usage. Median hours used per night decreased from 6.80 h (IQR: 5.32–7.94) on Day 1 to 5.76 (IQR: 1.81–7.13) on Day 361. This decrease was most pronounced in the quartile with the lowest initial usage. CONCLUSION: This study found that most patient and OSA characteristics were not associated with HNS usage, and that usage generally decreased over time. This decrease in usage over time was most pronounced in patients with the lowest initial usage. Further work should identify interventions to improve usage patterns to optimize clinical outcomes. Level of Evidence: 4. |
format | Online Article Text |
id | pubmed-9575119 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95751192022-10-17 Hypoglossal nerve stimulator patient usage: Patterns and trends over time Morse, Elliot Suurna, Maria Laryngoscope Investig Otolaryngol Sleep Medicine and Science OBJECTIVE: Hypoglossal nerve stimulation (HNS) is an effective treatment for obstructive sleep apnea (OSA) patients intolerant of continuous positive airway pressure but is only effective if used regularly. Usage patterns have not been studied in detail. In this study, we aimed to characterize granular HNS usage patterns. METHODS: Patients implanted by a single surgeon at an academic medical center from August 2016 to January 2021 were identified from a prospective database, which was merged with the Inspire Cloud usage database. Patient, OSA, and usage characteristics were summarized, and patient‐ and OSA‐related characteristics were associated with usage characteristics by Wilcoxon rank‐sum analyses. Usage trends over time were summarized in the overall cohort and stratified by initial usage. RESULTS: Fifty patients were included. Median usage was 94% of nights (interquartile range [IQR]: 82%–98%) for 5.8 h per night (IQR: 4.9–6.4). Higher post‐operative apnea–hypopnea index predicted fewer nights used (92% [IQR: 82%–97%] vs. 96% [IQR: 91%–99%]). No other characteristics examined were significantly associated with usage. Median hours used per night decreased from 6.80 h (IQR: 5.32–7.94) on Day 1 to 5.76 (IQR: 1.81–7.13) on Day 361. This decrease was most pronounced in the quartile with the lowest initial usage. CONCLUSION: This study found that most patient and OSA characteristics were not associated with HNS usage, and that usage generally decreased over time. This decrease in usage over time was most pronounced in patients with the lowest initial usage. Further work should identify interventions to improve usage patterns to optimize clinical outcomes. Level of Evidence: 4. John Wiley & Sons, Inc. 2022-07-27 /pmc/articles/PMC9575119/ /pubmed/36258886 http://dx.doi.org/10.1002/lio2.855 Text en © 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Sleep Medicine and Science Morse, Elliot Suurna, Maria Hypoglossal nerve stimulator patient usage: Patterns and trends over time |
title | Hypoglossal nerve stimulator patient usage: Patterns and trends over time |
title_full | Hypoglossal nerve stimulator patient usage: Patterns and trends over time |
title_fullStr | Hypoglossal nerve stimulator patient usage: Patterns and trends over time |
title_full_unstemmed | Hypoglossal nerve stimulator patient usage: Patterns and trends over time |
title_short | Hypoglossal nerve stimulator patient usage: Patterns and trends over time |
title_sort | hypoglossal nerve stimulator patient usage: patterns and trends over time |
topic | Sleep Medicine and Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575119/ https://www.ncbi.nlm.nih.gov/pubmed/36258886 http://dx.doi.org/10.1002/lio2.855 |
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