Efficacy of the New Generation of Devices for Positional Therapy for Patients With Positional Obstructive Sleep Apnea: A Systematic Review of the Literature and Meta-Analysis.

Details

Serval ID
serval:BIB_7CF651E900E0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Efficacy of the New Generation of Devices for Positional Therapy for Patients With Positional Obstructive Sleep Apnea: A Systematic Review of the Literature and Meta-Analysis.
Journal
Journal of clinical sleep medicine
Author(s)
Ravesloot MJL, White D., Heinzer R., Oksenberg A., Pépin J.L.
ISSN
1550-9397 (Electronic)
ISSN-L
1550-9389
Publication state
Published
Issued date
15/06/2017
Peer-reviewed
Oui
Volume
13
Number
6
Pages
813-824
Language
english
Notes
Publication types: Journal Article ; Meta-Analysis ; Review
Publication Status: epublish
Abstract
In approximately 56% to 75% of patients with obstructive sleep apnea (OSA), the frequency and duration of apneas are influenced by body position. This is referred to as position-dependent OSA or POSA. Patients with POSA can be treated with a small device attached to either the neck or chest. These devices-a new generation of devices for positional therapy (PT)-provide a subtle vibrating stimulus that prevents patients adopting the supine position. The objectives of this study were to determine whether PT is effective in improving sleep study variables and sleepiness, and to assess compliance.
A systematic review and meta-analysis.
Three prospective cohort studies and four randomized controlled trials were included in this review. Combined data for studies reporting on the effect of PT show that there was a mean difference of 11.3 events/h (54% reduction) in apnea-hypopnea index and 33.6% (84% reduction) in percentage total sleeping time in the supine position. The standardized mean difference for both parameters demonstrated a large magnitude of effect (> 0.8 in both cases).
There is strong evidence that the new generation of devices for PT are effective in reducing the apnea-hypopnea index during short-term follow-up. These devices are simple-to-use for patients and clinicians and are reversible. Under study conditions with short-term follow-up, compliance is high; however, long-term compliance cannot be assessed because of lack of reliable data. Additional long-term, high-quality studies are needed to confirm the role of PT as a single or as a combination treatment modality for OSA patients and to assess long-term compliance.

Keywords
Clinical Alarms, Equipment Design, Posture, Sleep Apnea, Obstructive/prevention & control, Treatment Outcome, Vibration, compliance, meta-analysis, obstructive sleep apnea, positional, positional therapy, systematic review
Pubmed
Web of science
Open Access
Yes
Create date
21/05/2017 18:14
Last modification date
20/08/2019 14:38
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