Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems

Kimberley R. Monden; Jennifer Coker; Susan Charlifue; Stephanie J. Bennett; Christina Draganich; David Coons; Ralph J. Marino; Jeffrey Berliner

doi:10.1016/j.apmr.2021.03.005

Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems

Kimberley R. Monden, Jennifer Coker, Susan Charlifue, Stephanie J. Bennett, Christina Draganich, David Coons, Ralph J. Marino, Jeffrey Berliner

Physical Medicine & Rehabilitation

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Objective: To explore participants’ experiences after implantation of a diaphragmatic pacing system (DPS). Design: Cross-sectional, observational study using self-report questionnaires. Setting: Participants were recruited from 6 Spinal Cord Injury Model System centers across the United States (Craig Hospital, CO; Jefferson/Magee Rehabilitation Hospital, PA; Kessler Rehabilitation Center, NJ; University of Miami, FL; The Shirly Ryan Ability Lab, IL; Shepherd Center, GA). Interventions: Not applicable. Participants: Men and women (N=28) with tetraplegia were enrolled in the study between November 2012 and January 2015. Main Outcome Measures: Participants completed self-report questionnaires focused on their DPS usage and mechanical ventilation, as well as their experiences and satisfaction with the DPS. Results: DPS is a well-tolerated and highly successful device to help individuals living with spinal cord injury who are dependent on ventilators achieve negative pressure, ventilator-free breathing. A small percentage of participants reported complications, including broken pacing wires and surgery to replace or reposition wires. Conclusions: This study provides insight into the usage patterns of DPS and both the potential negative and positive effects that DPS can have on the life of the user. Knowledge gained from this study can provide a foundation for further discussion about the benefits and potential risks of using a DPS to inform an individual's decision to pursue a DPS implant.

Original language	English (US)
Pages (from-to)	773-778
Number of pages	6
Journal	Archives of Physical Medicine and Rehabilitation
Volume	103
Issue number	4
Early online date	Mar 22 2021
DOIs	https://doi.org/10.1016/j.apmr.2021.03.005
State	Published - Apr 2022

Bibliographical note

Funding Information:
Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR, grant nos. 90SI5003 [formerly H133N110006] and 90SI15015 to the Rocky Mountain Regional Spinal Injury System; 90SI5024 [formerly H133N110021] to the Regional SCI Center of the Delaware Valley; 90SI5002 [formerly H133N110005] to the Southeastern Reginal Spinal Cord Injury Model System; 90SI5009 [formerly H133N110014] to the Midwest Regional Spinal Cord Injury Model System; 90SI5001 [formerly H133N110003] to the South Florida Spinal Cord Injury Model System; and 90SI5011 [formerly H133N110020] to the Northern New Jersey Spinal Cord Injury System). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of the NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.

Funding Information:
Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR, grant nos. 90SI5003 [formerly H133N110006] and 90SI15015 to the Rocky Mountain Regional Spinal Injury System; 90SI5024 [formerly H133N110021] to the Regional SCI Center of the Delaware Valley; 90SI5002 [formerly H133N110005] to the Southeastern Reginal Spinal Cord Injury Model System; 90SI5009 [formerly H133N110014] to the Midwest Regional Spinal Cord Injury Model System; 90SI5001 [formerly H133N110003] to the South Florida Spinal Cord Injury Model System; and 90SI5011 [formerly H133N110020] to the Northern New Jersey Spinal Cord Injury System). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of the NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.

Publisher Copyright:
© 2021 The American Congress of Rehabilitation Medicine

Keywords

Pulmonary ventilation
Quadriplegia
Rehabilitation
Spinal cord injuries

PubMed: MeSH publication types

Journal Article
Observational Study
Research Support, U.S. Gov't, Non-P.H.S.

Publisher link

10.1016/j.apmr.2021.03.005

Find It

Find It at U of M Libraries

Cite this

Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems. / Monden, Kimberley R.; Coker, Jennifer; Charlifue, Susan; Bennett, Stephanie J.; Draganich, Christina; Coons, David; Marino, Ralph J.; Berliner, Jeffrey.

In: Archives of Physical Medicine and Rehabilitation, Vol. 103, No. 4, 04.2022, p. 773-778.

Research output: Contribution to journal › Article › peer-review

Monden, Kimberley R. ; Coker, Jennifer ; Charlifue, Susan ; Bennett, Stephanie J. ; Draganich, Christina ; Coons, David ; Marino, Ralph J. ; Berliner, Jeffrey. / Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems. In: Archives of Physical Medicine and Rehabilitation. 2022 ; Vol. 103, No. 4. pp. 773-778.

@article{5a63c20133ea4956be840ef0d97747ec,

title = "Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems",

abstract = "Objective: To explore participants{\textquoteright} experiences after implantation of a diaphragmatic pacing system (DPS). Design: Cross-sectional, observational study using self-report questionnaires. Setting: Participants were recruited from 6 Spinal Cord Injury Model System centers across the United States (Craig Hospital, CO; Jefferson/Magee Rehabilitation Hospital, PA; Kessler Rehabilitation Center, NJ; University of Miami, FL; The Shirly Ryan Ability Lab, IL; Shepherd Center, GA). Interventions: Not applicable. Participants: Men and women (N=28) with tetraplegia were enrolled in the study between November 2012 and January 2015. Main Outcome Measures: Participants completed self-report questionnaires focused on their DPS usage and mechanical ventilation, as well as their experiences and satisfaction with the DPS. Results: DPS is a well-tolerated and highly successful device to help individuals living with spinal cord injury who are dependent on ventilators achieve negative pressure, ventilator-free breathing. A small percentage of participants reported complications, including broken pacing wires and surgery to replace or reposition wires. Conclusions: This study provides insight into the usage patterns of DPS and both the potential negative and positive effects that DPS can have on the life of the user. Knowledge gained from this study can provide a foundation for further discussion about the benefits and potential risks of using a DPS to inform an individual's decision to pursue a DPS implant.",

keywords = "Pulmonary ventilation, Quadriplegia, Rehabilitation, Spinal cord injuries",

author = "Monden, {Kimberley R.} and Jennifer Coker and Susan Charlifue and Bennett, {Stephanie J.} and Christina Draganich and David Coons and Marino, {Ralph J.} and Jeffrey Berliner",

note = "Funding Information: Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR, grant nos. 90SI5003 [formerly H133N110006] and 90SI15015 to the Rocky Mountain Regional Spinal Injury System; 90SI5024 [formerly H133N110021] to the Regional SCI Center of the Delaware Valley; 90SI5002 [formerly H133N110005] to the Southeastern Reginal Spinal Cord Injury Model System; 90SI5009 [formerly H133N110014] to the Midwest Regional Spinal Cord Injury Model System; 90SI5001 [formerly H133N110003] to the South Florida Spinal Cord Injury Model System; and 90SI5011 [formerly H133N110020] to the Northern New Jersey Spinal Cord Injury System). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of the NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. Funding Information: Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR, grant nos. 90SI5003 [formerly H133N110006] and 90SI15015 to the Rocky Mountain Regional Spinal Injury System; 90SI5024 [formerly H133N110021] to the Regional SCI Center of the Delaware Valley; 90SI5002 [formerly H133N110005] to the Southeastern Reginal Spinal Cord Injury Model System; 90SI5009 [formerly H133N110014] to the Midwest Regional Spinal Cord Injury Model System; 90SI5001 [formerly H133N110003] to the South Florida Spinal Cord Injury Model System; and 90SI5011 [formerly H133N110020] to the Northern New Jersey Spinal Cord Injury System). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of the NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. Publisher Copyright: {\textcopyright} 2021 The American Congress of Rehabilitation Medicine",

year = "2022",

month = apr,

doi = "10.1016/j.apmr.2021.03.005",

language = "English (US)",

volume = "103",

pages = "773--778",

journal = "Archives of Physical Medicine and Rehabilitation",

issn = "0003-9993",

publisher = "W.B. Saunders Ltd",

number = "4",

}

TY - JOUR

T1 - Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems

AU - Monden, Kimberley R.

AU - Coker, Jennifer

AU - Charlifue, Susan

AU - Bennett, Stephanie J.

AU - Draganich, Christina

AU - Coons, David

AU - Marino, Ralph J.

AU - Berliner, Jeffrey

N1 - Funding Information: Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR, grant nos. 90SI5003 [formerly H133N110006] and 90SI15015 to the Rocky Mountain Regional Spinal Injury System; 90SI5024 [formerly H133N110021] to the Regional SCI Center of the Delaware Valley; 90SI5002 [formerly H133N110005] to the Southeastern Reginal Spinal Cord Injury Model System; 90SI5009 [formerly H133N110014] to the Midwest Regional Spinal Cord Injury Model System; 90SI5001 [formerly H133N110003] to the South Florida Spinal Cord Injury Model System; and 90SI5011 [formerly H133N110020] to the Northern New Jersey Spinal Cord Injury System). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of the NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. Funding Information: Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR, grant nos. 90SI5003 [formerly H133N110006] and 90SI15015 to the Rocky Mountain Regional Spinal Injury System; 90SI5024 [formerly H133N110021] to the Regional SCI Center of the Delaware Valley; 90SI5002 [formerly H133N110005] to the Southeastern Reginal Spinal Cord Injury Model System; 90SI5009 [formerly H133N110014] to the Midwest Regional Spinal Cord Injury Model System; 90SI5001 [formerly H133N110003] to the South Florida Spinal Cord Injury Model System; and 90SI5011 [formerly H133N110020] to the Northern New Jersey Spinal Cord Injury System). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of the NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. Publisher Copyright: © 2021 The American Congress of Rehabilitation Medicine

PY - 2022/4

Y1 - 2022/4

N2 - Objective: To explore participants’ experiences after implantation of a diaphragmatic pacing system (DPS). Design: Cross-sectional, observational study using self-report questionnaires. Setting: Participants were recruited from 6 Spinal Cord Injury Model System centers across the United States (Craig Hospital, CO; Jefferson/Magee Rehabilitation Hospital, PA; Kessler Rehabilitation Center, NJ; University of Miami, FL; The Shirly Ryan Ability Lab, IL; Shepherd Center, GA). Interventions: Not applicable. Participants: Men and women (N=28) with tetraplegia were enrolled in the study between November 2012 and January 2015. Main Outcome Measures: Participants completed self-report questionnaires focused on their DPS usage and mechanical ventilation, as well as their experiences and satisfaction with the DPS. Results: DPS is a well-tolerated and highly successful device to help individuals living with spinal cord injury who are dependent on ventilators achieve negative pressure, ventilator-free breathing. A small percentage of participants reported complications, including broken pacing wires and surgery to replace or reposition wires. Conclusions: This study provides insight into the usage patterns of DPS and both the potential negative and positive effects that DPS can have on the life of the user. Knowledge gained from this study can provide a foundation for further discussion about the benefits and potential risks of using a DPS to inform an individual's decision to pursue a DPS implant.

AB - Objective: To explore participants’ experiences after implantation of a diaphragmatic pacing system (DPS). Design: Cross-sectional, observational study using self-report questionnaires. Setting: Participants were recruited from 6 Spinal Cord Injury Model System centers across the United States (Craig Hospital, CO; Jefferson/Magee Rehabilitation Hospital, PA; Kessler Rehabilitation Center, NJ; University of Miami, FL; The Shirly Ryan Ability Lab, IL; Shepherd Center, GA). Interventions: Not applicable. Participants: Men and women (N=28) with tetraplegia were enrolled in the study between November 2012 and January 2015. Main Outcome Measures: Participants completed self-report questionnaires focused on their DPS usage and mechanical ventilation, as well as their experiences and satisfaction with the DPS. Results: DPS is a well-tolerated and highly successful device to help individuals living with spinal cord injury who are dependent on ventilators achieve negative pressure, ventilator-free breathing. A small percentage of participants reported complications, including broken pacing wires and surgery to replace or reposition wires. Conclusions: This study provides insight into the usage patterns of DPS and both the potential negative and positive effects that DPS can have on the life of the user. Knowledge gained from this study can provide a foundation for further discussion about the benefits and potential risks of using a DPS to inform an individual's decision to pursue a DPS implant.

KW - Pulmonary ventilation

KW - Quadriplegia

KW - Rehabilitation

KW - Spinal cord injuries

UR - http://www.scopus.com/inward/record.url?scp=85109099068&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85109099068&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2021.03.005

DO - 10.1016/j.apmr.2021.03.005

M3 - Article

C2 - 33766556

AN - SCOPUS:85109099068

VL - 103

SP - 773

EP - 778

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 4

ER -

Long-Term Follow-Up of Patients With Ventilator-Dependent High Tetraplegia Managed With Diaphragmatic Pacing Systems

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

Publisher link

Find It

Other files and links

Fingerprint

Cite this