Insomnia affects patient‐reported outcome in sleep apnea treated with hypoglossal nerve stimulation

Autor: Armin Steffen, Peter Baptista, Eva‐Maria Ebner, Stephanie Jeschke, Inke R. König, Karl‐Ludwig Bruchhage
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Laryngoscope Investigative Otolaryngology, Vol 7, Iss 3, Pp 877-884 (2022)
Druh dokumentu: article
ISSN: 2378-8038
DOI: 10.1002/lio2.761
Popis: Abstract Objective Comorbid insomnia may impact outcomes of patients with obstructive sleep apnea (OSA) receiving hypoglossal nerve stimulation with respiratory sensing (HNS) therapy. To examine whether the presence of insomnia measured using the Insomnia Severity Index (ISI) is associated with patient‐reported outcomes and objective OSA measures in patients receiving HNS therapy. Methods In this retrospective chart review, patients with an HNS implant and ISI score at follow‐up assessment were categorized as having moderate/severe insomnia or no/subthreshold insomnia. OSA‐related data (Apnea Hypopnea Index, AHI; Oxygen Desaturation Index, ODI), Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), and overall patient satisfaction was compared between these patient categories. Correlations between ISI scores and each of these variables were examined. Results Of the 132 patients, 26% had moderate/severe insomnia at follow‐up assessment. ESS and FOSQ scores were worse in the insomnia group at baseline, follow‐up, and in the change from baseline, but AHI and ODI scores did not differ between patients with and without insomnia. Frequency of overall satisfaction at follow‐up was lower in the insomnia group (58.8% vs. 92.8% with no insomnia, P
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