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NightBalance Sleep Position Treatment Device Versus Auto-Adjusting Positive Airway Pressure for Treatment of
Richard B Berry1, Matthew L Uhles2, Brian K Abaluck3
1University of Florida, Gainesville, Florida.
Summary
The NightBalance sleep position treatment (SPT) device showed non-inferior efficacy and better adherence than auto-adjusting positive airway pressure (APAP) for positional obstructive sleep apnea. SPT is an effective treatment option for ePOSA patients.
Area of Science:
- Sleep Medicine
- Respiratory Medicine
- Medical Devices
Background:
- Obstructive sleep apnea (OSA) is a common respiratory disorder.
- Positional OSA (POSA) is a subtype influenced by sleep posture.
- Effective treatment adherence is crucial for managing OSA.
Purpose of the Study:
- To compare the efficacy and adherence of NightBalance sleep position treatment (SPT) versus auto-adjusting positive airway pressure (APAP).
- To evaluate these treatments in patients with exclusive positional OSA (ePOSA).
Main Methods:
- A prospective, multicenter, randomized crossover trial.
- Enrolled treatment-naive participants with ePOSA.
- Assessed polysomnography and objective adherence over 6-week treatment periods.
Main Results:
- NightBalance SPT demonstrated non-inferior treatment efficacy compared to APAP (mean AHI difference 3.58 events/h).
- Objective adherence was significantly greater with SPT (345.3 min/night) versus APAP (286.98 min/night).
- Participants preferred SPT for comfort and ease of use.
Conclusions:
- NightBalance SPT offers non-inferior efficacy and superior adherence for ePOSA.
- SPT is a viable and effective treatment alternative for patients with ePOSA.
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