Article
Clinical Neurology
Yoko Fujino, Yasunori Oka, Tomoko Wakamura
Summary: This study found that seasonal differences can impact the CPAP adherence of patients with obstructive sleep apnea. Patients in the adherent group had lower CPAP use rate and shorter duration in summer, while the non-adherent group showed significant differences between winter and summer.
Article
Clinical Neurology
Melissa S. Xanthopoulos, Maria N. Nelson, Whitney Eriksen, Frances K. Barg, Kelly C. Byars, Stacey L. Ishman, Anna J. Esbensen, Jareen Meinzen-Derr, Christine H. Heubi, Neepa S. Gurbani, Ruth Bradford, Suzanna Hicks, Ignacio E. Tapia
Summary: This study conducted qualitative semi-structured phone interviews with 40 caregivers of children with Down syndrome and obstructive sleep apnea syndrome (OSAS) treated with positive airway pressure (PAP). The study found that factors affecting PAP adherence included accessing supplies, interactions with the medical team and equipment company, and the children's unique needs and behaviors. Suggestions for improving PAP adherence included improving communication, emphasizing patience, using visual supports, and providing social support and education for extended family members.
Review
Psychology, Multidisciplinary
Giada Rapelli, Giada Pietrabissa, Gian Mauro Manzoni, Ilaria Bastoni, Federica Scarpina, Ilaria Tovaglieri, Elisa Perger, Sergio Garbarino, Paolo Fanari, Carolina Lombardi, Gianluca Castelnuovo
Summary: The scoping review examined the efficacy of motivational interventions to increase adherence to CPAP among patients with OSAS, finding that these interventions were more effective than usual care and educational programs. However, the results were not consistently maintained across all studies. Further research is needed to provide a detailed description of motivational strategies and test their association with positive treatment outcomes.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Health Care Sciences & Services
Angela Fidler Pfammatter, Bonnie Olivia Hughes, Becky Tucker, Harry Whitmore, Bonnie Spring, Esra Tasali
Summary: This study developed a mobile health tool that integrated weight loss features with novel CPAP adherence tracking for patients with OSA. The tool tracked CPAP wear time relative to time spent in bed and included push notifications to foster adherence. Future research is needed to evaluate the effectiveness of this tool in improving OSA treatment adherence.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Otorhinolaryngology
Linda C. C. Magana, Patrick J. J. Strollo, Armin Steffen, Madeline Ravesloot, Peter van Maanen, Christine Harrison, Joachim T. T. Maurer, Ryan J. J. Soose
Summary: This study retrospectively analyzed data from patients who underwent implantable pulse generator (IPG) replacement surgery and found that it was associated with low complications and shorter operative time. After a follow-up of 8.7 years, patients showed stable therapy adherence and efficacy.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Clinical Neurology
Liyue Xu, Dawei Xie, Kara S. Griffin, Bethany Staley, Ying Wang, Deborah A. Nichols, Ruth M. Benca, Allan I. Pack, Susan Redline, James K. Walsh, Clete A. Kushida, Samuel T. Kuna
Summary: Despite differences in the patterns of use, there was no significant difference in objectively measured average daily hours of MAD and PAP adherence in adults with OSA. Adherence in the first week predicted long-term use for both MAD and PAP treatment.
JOURNAL OF SLEEP RESEARCH
(2021)
Article
Clinical Neurology
Faith S. Luyster, Quan Ni, Kent Lee, Christine Harrison, Vaibhav H. Ramprasad, Ryan J. Soose, Patrick J. Strollo
Summary: This study explored the factors associated with the usage of upper airway stimulation (UAS) in obstructive sleep apnea patients. The study found that low users were more likely to have insomnia and anxiety symptoms, while high users reported more positive experiences with the treatment. This suggests that insomnia and anxiety can influence patients' experiences and adherence to UAS therapy.
JOURNAL OF CLINICAL SLEEP MEDICINE
(2022)
Article
Clinical Neurology
Luciano F. Drager, Atul Malhotra, Yang Yan, Jean-Louis Pepin, Jeff P. Armitstead, Holger Woehrle, Carlos M. Nunez, Peter A. Cistulli, Adam Benjafield
Summary: The study compared positive airway pressure usage among patients in Brazil, Mexico, and the United States, and found that CMS adherence was slightly lower in Latin America compared to the US. Patients who registered to use an engagement tool had higher adherence rates and were twice as likely to achieve CMS adherence. Average daily usage and days with usage > 4 hours in the first week were the strongest predictors of CMS adherence.
JOURNAL OF CLINICAL SLEEP MEDICINE
(2021)
Article
Clinical Neurology
Indra Narang, Tetyana Kendzerska, Austin Heffernan, Uzair Malik, Carolina G. Carvalho, Clodagh M. Ryan
Summary: There is a significant reduction in PAP adherence during the first year of transition from pediatric to adult healthcare system for adolescents with OSA.
NATURE AND SCIENCE OF SLEEP
(2022)
Article
Respiratory System
Peter A. Cistulli, Jeff P. Armitstead, Atul Malhotra, Yang Yan, Vy Vuong, Kimberly L. Sterling, Meredith A. Barrett, Carlos M. Nunez, Jean-Louis Pepin, Adam V. Benjafield
Summary: This study demonstrates the feasibility of capturing patient-reported outcomes via a digital platform. Patient-reported outcomes appear to be associated with PAP usage, especially self-reported sleepiness and its response to therapy. Capturing patient-reported outcomes using digital solutions during the course of treatment has the potential to enhance patient outcomes by providing actionable insights.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2023)
Review
Clinical Neurology
M. Bertrand, C. H. Bastien, I Boutin, A. Vallieres
Summary: Positive airway pressure treatment (CPAP) is the gold standard for obstructive sleep apnea syndrome (OSAS), but poor adherence rates are mainly caused by its invasive nature and related stigma. Psychosocial interventions have been implemented to increase CPAP adherence with promising results. This review summarizes the available data on the effectiveness of psychosocial interventions in increasing CPAP adherence and improving sleep quality. However, more studies are needed to further explore the relationship between psychosocial variables and CPAP adherence.
Article
Respiratory System
Nantaporn Tiyapun, Kanokkarn Sunkonkit, Warawut Chaiwong, Ratirat Worasuthaneewan, Theerakorn Theerakittikul
Summary: This study explored the factors influencing CPAP adherence in elderly OSA patients. It was found that elderly patients with adverse attitudes towards CPAP use and female patients had lower adherence rates. Therefore, individualized indications and treatment of CPAP should be considered in the elderly, with regular monitoring to address compliance and tolerance issues.
JOURNAL OF THORACIC DISEASE
(2023)
Article
Anesthesiology
Edwin Seet, Mahesh Nagappa, David T. Wong
Summary: Patients with obstructive sleep apnea (OSA) are at a higher risk of difficult intubation and mask ventilation during the perioperative period, requiring proactive management strategies to mitigate potential risks.
ANESTHESIA AND ANALGESIA
(2021)
Article
Clinical Neurology
Tatyana G. Mills, Rakesh Bhattacharjee, Javan Nation, Emily Ewing, Daniel J. Lesser
Summary: This study aimed to classify post-adenotonsillectomy (AT) respiratory support in children with extreme obstructive sleep apnea (OSA), identify variables predicting these interventions, and evaluate outcomes. The findings showed that younger age, lower BMI Z-score, and higher OAHI were associated with undergoing surgery, with some postoperative patients requiring respiratory support. Additionally, patients with longer % total sleep time SpO2 <90% during PSG and lower SpO2 nadir were more likely to require airway support. No serious adverse events were reported postoperatively, and most patients with residual OSA experienced a significant improvement in total AHI. Surgery may still be a viable first-line therapy for children with extreme OSA, pending no contraindications to AT.
Article
Cardiac & Cardiovascular Systems
Satoshi Hoshide, Tetsuro Yoshida, Hiroyuki Mizuno, Hiroyoshi Aoki, Naoko Tomitani, Kazuomi Kario
Summary: The aim of this study was to investigate the association between night-to-night adherence to continuous positive airway pressure (CPAP) therapy and both home blood pressure (BP) level on the following day and seasonal variation in home BP in patients with obstructive sleep apnea. The results showed that good adherence to CPAP therapy was negatively associated with morning home BP on the following day, particularly in the winter season.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Clinical Neurology
Ahmet Sinan Copur, D. Erik Everhart, Chao Zhang, Zhengjia Chen, Haris Shekhani, Sipan Mathevosian, James Loveless, Eric Watson, Imtiazali Kadri, Leandra Wallace, Edwin Simon, Ashok M. Fulambarker
SLEEP AND BREATHING
(2018)
Article
Clinical Neurology
Robert F. James, Nicolas K. Khattar, Zaid S. Aljuboori, Paul S. Page, Elaine Y. Shao, Lacey M. Carter, Kimberly S. Meyer, Michael W. Daniels, John Craycroft, John R. Gaughen, M. Imran Chaudry, Shesh N. Rai, Erik Everhart, J. Marc Simard
JOURNAL OF NEUROSURGERY
(2019)
Review
Behavioral Sciences
Edward F. Pace-Schott, Marlissa C. Amble, Tatjana Aue, Michela Balconi, Lauren M. Bylsma, Hugo Critchley, Heath A. Demaree, Bruce H. Friedman, Anne Elizabeth Kotynski Gooding, Olivia Gosseries, Tanja Jovanovic, Lauren A. J. Kirby, Kasia Kozlowska, Steven Laureys, Leroy Lowe, Kelsey Magee, Marie-France Marin, Amanda R. Merner, Jennifer L. Robinson, Robert C. Smith, Derek P. Spangler, Mark Van Overveld, Michael B. VanElzakker
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
(2019)
Article
Nursing
Malissa A. Mulkey, Sonya R. Hardin, Cindy L. Munro, D. Erik Everhart, S. Kim, Alexander M. Schoemann, DaiWai M. Olson
RESEARCH IN NURSING & HEALTH
(2019)
Article
Cardiac & Cardiovascular Systems
Samuel F. Sears, Caley M. Kropp, Connor Tripp, David Sager, Rajasekhar Nekkanti, Joseph Carl Hammerle, Karl L. Wuensch, Ashley Burch
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
(2020)
Article
Clinical Neurology
Nichelle L. Huber, Alexandra Nicoletta, Jordan M. Ellis, D. Erik Everhart
Article
Health Care Sciences & Services
Malissa A. Mulkey, D. Erik Everhart
Summary: In the ICU setting, propofol may lead to decreased sleep quality and increased risk of delirium; nurses play a critical role in minimizing patient harm, and sedative use and management present important opportunities for reducing risks.
JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
(2021)
Review
Clinical Neurology
Malissa Mulkey, D. Erik Everhart, Amy Gencarelli, Anne Sorrell, Sungham Kim
Summary: Accurate communication of consciousness levels is crucial for nurses to assess and implement care plans effectively. Arousal and awareness are two interrelated dimensions of consciousness, which are believed to range from fully awake to coma on a continuum. This article focuses on understanding the terms of consciousness and their implications for nursing practice.
JOURNAL OF NEUROSCIENCE NURSING
(2021)
Review
Clinical Neurology
Amy Gencarelli, Anne Sorrell, Cassandra M. Everhart, Taylor Zurlinden, D. Erik Everhart
Summary: This paper provides a brief review of the impact of sleep-related changes and disorders in the geriatric populations, focusing on common non-pharmacological interventions and the potential use of exercise in combination with behavioral interventions. The study discusses the prevalence of sleep disorders and insomnia in the elderly, as well as major nonpharmacological interventions like Cognitive Behavioral Therapy for Insomnia (CBT-I) and the potential benefits of exercise in improving sleep quality. The paper calls for further research on combining traditional behavioral interventions with exercise to address sleep issues in the elderly.
SLEEP AND BREATHING
(2021)
Article
Multidisciplinary Sciences
Jessica McDonnell, Nicholas P. Murray, Sungwoo Ahn, Stefan Clemens, Erik Everhart, J. Chris Mizelle
Summary: Recent research has revealed behavioral and neurological differences between left-hand dominant and right-hand dominant populations, challenging the assumption that motor control is simply a result of hemispheric dominance. Variations in neural strategies and skill acquisition methods between left-hand and right-hand dominant individuals may contribute to the differences observed in motor control and neural activations.
Article
Neurosciences
Taylor Zurlinden, Anya Savransky, D. Erik Everhart
Summary: The study found that a significant percentage of college students may have experienced a TBI, although only a small percentage reported it. Results suggest the need for increased education about TBI to ensure individuals receive proper care, as well as the limitations of using a single question to accurately assess lifetime TBI incidence.
Review
Psychology, Clinical
D. Erik Everhart, Alexandra J. Nicoletta, Taylor M. Zurlinden, Amy M. Gencarelli
PSYCHOLOGICAL INJURY & LAW
(2020)
Article
Nursing
Malissa A. Mulkey, Daniel Erik Everhart, Sunghan Kim, DaiWai M. Olson, Sonya R. Hardin
DIMENSIONS OF CRITICAL CARE NURSING
(2019)
Article
Psychology, Multidisciplinary
James Juergensen, Joseph S. Weaver, Christine N. Mays, Heath A. Demaree
FRONTIERS IN PSYCHOLOGY
(2018)
Article
Psychology, Clinical
Christine N. May, Nora L. Nock, Devon Bentley, Heath A. Demaree
JOURNAL OF HEALTH PSYCHOLOGY
(2018)