Publications by authors named "K Gipson"
Background: Existing risk scores assessing geriatric vulnerability in the emergency department (ED) have shown limited predictive power, especially in diverse populations. We investigated the relationship of a quick and easy-to-administer geriatric vulnerability scoring system with functional decline and mortality in older patients admitted to multiple hospitals through the ED in the United States (US) and Brazil (BR).
Method: Federated, international, multicenter observational study of hospitalized ED patients aged ≥ 65 from US and BR.
Study Objectives: To update sleep medicine providers regarding (1) published research on the uses and performance of novel sleep tracking and testing technologies (2) the use of artificial intelligence to acquire and process sleep data and (3) research trends and gaps regarding the development and/or evaluation of these technologies.
Methods: Medline and Embase electronic databases were searched for studies utilizing screening and diagnostic sleep technologies, published between 2020 and 2022 in journals focusing on human sleep. Studies' quality was determined based on the Study Design criteria of The Oxford Centre for Evidence-Based Medicine Levels of Evidence.
Article Synopsis
- Hypoglossal nerve stimulation (HGNS) is shown to be safe and effective for adolescents with Down syndrome (DS) suffering from severe obstructive sleep apnea (OSA), with positive long-term outcomes yet to be fully evaluated.
- A study followed 42 patients over several years, with significant reductions in the Apnea Hypopnea Index (AHI), indicating improved sleep quality; 87.9% of patients showed response rates by the end of the follow-up period.
- The findings suggest that HGNS can lead to continued improvement in sleep parameters, and further research is needed to explore impacts on neurocognition and quality of life for these patients.
Introduction: Hypoglossal nerve stimulation (HGNS) is an effective therapy for carefully selected pediatric patients with Down syndrome (DS) and obstructive sleep apnea (OSA), but optimization of device settings has been focused on stimulation settings. The potential benefits of sensing lead setting optimization have not been investigated. We describe a series of three cases of HGNS in children with DS where optimization of both the stimulation lead and sensing lead settings, as well as utilization of drug-induced sleep endoscopy (DISE), when indicated, was more effective than stimulation lead optimization alone.
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