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Assessment of a neck-based treatment and monitoring device for positional obstructive sleep apnea.

Daniel J. Levendowski14
Estimated H-index: 14
,
Sean Seagraves2
Estimated H-index: 2
+ 1 AuthorsPhilip R. Westbrook11
Estimated H-index: 11
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Abstract
word count: 250 Total word count: 5604 Institution where the work was performed: Advanced Brain Monitoring, Inc. and Complete Sleep Solutions, Murrieta, CA. Disclosures related to this work: The study was funded by Advanced Brain Monitoring, Inc. All authors are salaried employees of Advanced Brain Monitoring, Inc., the sponsor of this research. As co-inventors of the neck-device, Levendowski, Popovic and Westbrook would only benefit financially if the Night Shift intellectual property was acquired by a third party. None of the authors with this conflict were involved with subject recruitment, data acquisition or data reduction. The results summarized and reported by these authors were submitted to the U.S. Food and Drug Administration whereby civil or criminal penalties apply for untruthful and inaccurate statements. Complete Sleep Solutions was paid the standard fee for each PSG study and an hourly rate for performance of study-related recruitment tasks. Corresponding Author: Daniel Levendowski, MBA Advanced Brain Monitoring, Inc. 2237 Faraday Avenue, Suite 100
  • References (20)
  • Citations (29)
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References20
Newest
Published on Feb 1, 2015in Journal of Clinical Monitoring and Computing2.18
Daniel J. Levendowski14
Estimated H-index: 14
,
Bratislav Veljkovic1
Estimated H-index: 1
+ 1 AuthorsPhilip R. Westbrook2
Estimated H-index: 2
(UCLA: University of California, Los Angeles)
To evaluate the accuracy of a neck-worn device in measuring sleep/wake, detecting supine airway position, and using loud snoring to screen for obstructive sleep apnea. Study A included 20 subjects who wore the neck-device during polysomnography (PSG), with 31 records obtained from diagnostic and split-night studies. Study B included 24 community-based snorers studied in-home for up to three-nights with obstructive sleep apnea (OSA) severity measured with a validated Level III recorder. The accur...
Published on Jan 1, 2014in European Archives of Oto-rhino-laryngology1.75
Linda B. L. Benoist6
Estimated H-index: 6
,
Sharon Morong3
Estimated H-index: 3
+ 2 AuthorsVries de N. K47
Estimated H-index: 47
The aims of this study are to determine the prevalence of position dependency in non-apneic snorers, as defined by the American Academy of Sleep Medicine (AASM) guidelines, and to investigate the influence of various factors such as BMI, neck circumference, age, gender, and sleep efficiency on sleeping position. A cohort of consecutive patients was screened for complaints of excessive snoring or symptoms suspicious for sleep disordered breathing. Overnight polysomnographic data were collected an...
Published on May 1, 2013in Sleep and Breathing2.33
J. Peter van Maanen3
Estimated H-index: 3
(AMC: Academic Medical Center),
Kristel A. W. Meester1
Estimated H-index: 1
+ 5 AuthorsVries de N. K47
Estimated H-index: 47
Background Positional obstructive sleep apnoea (POSA), defined as a supine apnoea–hypopnoea index (AHI) twice or more as compared to the AHI in the other positions, occurs in 56 % of obstructive sleep apnoea patients. Positional therapy (PT) is one of several available treatment options for these patients. So far, PT has been hampered by compliance problems, mainly because of the usage of bulky masses placed in the back. In this article, we present a novel device for treating POSA patients.
Published on Mar 1, 2013in Sleep and Breathing2.33
Madeline Ravesloot13
Estimated H-index: 13
,
J. P. van Maanen8
Estimated H-index: 8
+ 1 AuthorsVries de N. K47
Estimated H-index: 47
Purpose Research during the past 10–20 years shows that positional therapy (PT) has a significant influence on the apnea–hypopnea index. These studies are predominantly performed as case series on a comparably small number of patients. Still, results have not found their way into the daily diagnostic and treatment routine. An average of 56 % of patients with obstructive sleep apnea (OSA) have position-dependent OSA (POSA), commonly defined as a difference of 50 % or more in apnea index between s...
Published on Jun 1, 2012in Journal of Sleep Research3.43
J. Peter van Maanen3
Estimated H-index: 3
,
Wietske Richard6
Estimated H-index: 6
+ 4 AuthorsVries de N. K47
Estimated H-index: 47
SUMMARY Obstructive sleep apnoea syndrome is a common clinical problem. Positional sleep apnoea syndrome, defined as having a supine apnoea‐ hypopnoea index of twice or more compared to the apnoea‐hypopnoea index in the other positions, occurs in 56% of obstructive sleep apnoea patients. A limited number of studies focus on decreasing the severity of sleep apnoea by influencing sleep position. In these studies an object was strapped to the back (tennis balls, squash balls, special vests), preven...
Published on Oct 15, 2011in Journal of Clinical Sleep Medicine3.46
Nancy A. Collop26
Estimated H-index: 26
(Emory University),
Sharon L. Tracy7
Estimated H-index: 7
(American Academy of Sleep Medicine)
+ 4 AuthorsJoseph Ojile1
Estimated H-index: 1
(SLU: Saint Louis University)
Guidance is needed to help clinicians decide which out-of-center (OOC) testing devices are appropriate for diagnosing obstructive sleep apnea (OSA). A new classification system that details the type of signals measured by these devices is presented. This proposed system categorizes OOC devices based on measurements of Sleep, Cardiovascular, Oximetry, Position, Effort, and Respiratory (SCOPER) parameters. Criteria for evaluating the devices are also presented, which were generated from chosen pre...
Bignold Jj1
Estimated H-index: 1
,
Jeremy Mercer9
Estimated H-index: 9
+ 2 AuthorsPeter G. Catcheside32
Estimated H-index: 32
Obstructive sleep apnea (OSA) is a prevalent and chronic disorder characterized by recurrent collapse of the upper airway during sleep producing frequent apnea and hypopnea events. Eleven percent of women and 25% of men aged 40 years or older have at least 15 apneas plus hypopneas per hour of sleep (apnea-hypopnea index, AHI).1 OSA is associated with multiple adverse outcomes, including pathological daytime sleepiness,2 a ∼2-fold increase in motor vehicle accidents,3 depression,4 hypertension,5 ...
Published on Aug 1, 2011in Sleep
van Kesteren Er1
Estimated H-index: 1
,
van Maanen Jp1
Estimated H-index: 1
+ 2 Authorsde Vries N3
Estimated H-index: 3
Irene Permut3
Estimated H-index: 3
(TU: Temple University),
Montserrat Diaz-Abad1
Estimated H-index: 1
(TU: Temple University)
+ 4 AuthorsSamuel L. Krachman13
Estimated H-index: 13
(TU: Temple University)
While treatment of obstructive sleep apnea (OSA) with continuous positive airway pressure (CPAP) therapy has been shown to be clinically effective, compliance is poor, and as a result, alternative therapies often need to be considered. With the recognition that many patients with OSA have positional OSA, where the majority of sleep-disordered breathing events occur in the supine position, prospective studies comparing positional therapy to CPAP therapy in these patients have been performed. The ...
Jin Woo Chung8
Estimated H-index: 8
(SNU: Seoul National University),
Reyes Enciso21
Estimated H-index: 21
(SC: University of Southern California)
+ 3 AuthorsGlenn T. Clark25
Estimated H-index: 25
(SC: University of Southern California)
Obstructive sleep apnea (OSA) is a common disorder characterized by recurrent episodes of obstruction in the upper airway during sleep. OSA has been identified as a major public health concern and has serious consequences such as daytime somnolence, systemic hypertension, and cardiovascular diseases.1–4 A number of risk factors including aging, gender, obesity, and craniofacial development have been found to be associated with OSA.5–7 Mandibular advancement devices (MADs) have become a common tr...
Cited By29
Newest
Published in Sleep and Breathing2.33
Paula Martínez Ruiz de Apodaca , Marina Carrasco Llatas2
Estimated H-index: 2
+ -3 AuthorsJosé Dalmau Galofre7
Estimated H-index: 7
Purpose Positional therapy (PT) has become more reliable for obstructive sleep apnea (OSA) patients with the use of new devices. The objectives of this study were to determine the preoperative prevalence of positional OSA (POSA) in our population of surgically treated patients and the proportion of patients who developed POSA after surgery and might improve with additional positional therapy.
Published on Mar 1, 2019in Sleep Medicine Clinics
Mok Yingjuan (CGH: Changi General Hospital), Wong Hang Siang (CGH: Changi General Hospital)+ 1 AuthorsHsu Pon Poh (CGH: Changi General Hospital)
Published on Feb 18, 2019in Sleep and Breathing2.33
Jolien Beyers2
Estimated H-index: 2
,
Olivier M. Vanderveken25
Estimated H-index: 25
+ 8 AuthorsMarc J. Braem21
Estimated H-index: 21
(University of Antwerp)
Purpose The aim of the present study was to assess the efficacy of a sleep position trainer (SPT) in patients with an established diagnosis of positional obstructive sleep apnea and to evaluate the adherence after 1-year follow-up.
Published on Dec 1, 2018in Sleep and Breathing2.33
Johan Newell2
Estimated H-index: 2
(ULB: Université libre de Bruxelles),
Olivier Mairesse13
Estimated H-index: 13
(Vrije Universiteit Brussel),
Daniel Neu12
Estimated H-index: 12
(ULB: Université libre de Bruxelles)
Purpose Until now, there is no clear consensus on optimal care for mild sleep-related breathing disorders (SRBD) in general or for positional obstructive sleep apnea (POSA) in particular. Most proposed treatment options are either invasive and/or expensive. Positional therapy (PT) may therefore present as a valuable first-line intervention in POSA.
Published on Oct 1, 2018in Sleep Medicine3.36
Daniel J. Levendowski14
Estimated H-index: 14
,
Arie Oksenberg27
Estimated H-index: 27
+ 3 AuthorsPhilip R. Westbrook11
Estimated H-index: 11
Abstract Objective/Background Systematically compare four criteria for Positional Obstructive Sleep Apnea (POSA) based on AASM 2007 and 2012 hypopnea scoring definitions. Patients/Methods 142 records acquired by in-home polysomnography (Sleep Profiler PSG2™) were retrospectively analyzed using AHI based on the American Academy Sleep Medicine 2007 and 2012 criteria (AHI 2007 and AHI 2012 ). Positional obstructive sleep apnea (POSA) was characterized using four criteria: Amsterdam Positional OSA C...
Published on Aug 1, 2018in Sleep Medicine3.36
Raphael Heinzer5
Estimated H-index: 5
(CHUV: University Hospital of Lausanne),
Nicolas Julien Petitpierre1
Estimated H-index: 1
(CHUV: University Hospital of Lausanne)
+ 1 AuthorsJ. Haba-Rubio3
Estimated H-index: 3
(CHUV: University Hospital of Lausanne)
To determine the prevalence of positional obstructive sleep apnea (POSA) and exclusive POSA (ePOSA) in the general population and to assess the factors independently associated with POSA and ePOSA according to gender and menopausal status. Participants of the population-based HypnoLaus Sleep Cohort underwent full polysomnography at home. POSA was defined as an apnea-hypopnea index (AHI) ≥5/h, and supine/non-supine AHI ratio (sAHI/nsAHI) ≥2 (ePOSA when non-supine AHI was normalized). In this stud...
Published on Jun 1, 2018
P. E. Vonk1
Estimated H-index: 1
,
M. J. L. Ravesloot1
Estimated H-index: 1
Background The severity of obstructive sleep apnea (OSA) is, in 56–75 % influenced by body position. The prevalence of positional OSA (POSA) decreases as the severity of OSA increases, and 70–80% of POSA patients have mild to moderate OSA.
Published on May 1, 2018in Sleep and Breathing2.33
Olabimpe Omobomi1
Estimated H-index: 1
(Brigham and Women's Hospital),
Stuart F. Quan60
Estimated H-index: 60
(Brigham and Women's Hospital)
More than 50% of obstructive sleep apnea (OSA) patients have worsening of their OSA in the supine position (positional obstructive sleep apnea [POSA], commonly defined as supine to non-supine apnea hypopnea index (AHI) ratio of ≥ 2). Positional therapy (PT) aims to prevent patients from sleeping in the supine position. One of the major limiting factors to the routine use of PT in clinical practice is the lack of validated tools to measure compliance objectively. Furthermore, there are no univers...
Published on Feb 1, 2018in European Archives of Oto-rhino-laryngology1.75
Xu Tingting1
Estimated H-index: 1
(Southern Medical University),
You Danming1
Estimated H-index: 1
(Southern Medical University),
Chen Xin1
Estimated H-index: 1
(Southern Medical University)
Obstructive sleep apnea syndrome (OSAS), a pervasive disease, is closely associated with complications such as cardiovascular diseases, neurocognitive diseases, and metabolic syndromes. Continuous positive airway pressure (CPAP) is the standard treatment for OSAS, with low compliance due to multifarious factors. The two other modes of ventilation, bi-level positive airway pressure (BPAP) and autotitrating positive airway pressure (APAP), which were developed from CPAP, are slightly different fro...
Published on Jan 2, 2018in Behavioral Sleep Medicine3.17
Daniel J. Levendowski14
Estimated H-index: 14
,
David Cunnington4
Estimated H-index: 4
+ 1 AuthorsPhilip R. Westbrook11
Estimated H-index: 11
This study investigates behavioral adaptation to vibrotactile position-avoidance therapy during sleep in patients with obstructive sleep apnea (n =135) across 15 to 52 weeks. The overall compliance, based on nights used ≥ 4 hr, was 71%. Overall regular use, that is, ≥ 4 hr/night over 70% of nights, was 88%. Poor early compliance strongly predicted poor long-term treatment adherence, with 92% of those noncompliant across the first 12 weeks of therapy remaining noncompliant. Conversely, 21% of tho...