Long-term adherence to home mechanical ventilation: a 10-year retrospective, single-centre cohort study

Journal of Thoracic Disease

article

Omar Masoud¹  Joerg Steier²  Michelle Ramsay²  Eui-Sik Suh²  Georgios Kaltsakas¹  Shelley Srivastava²  Hina Pattani²  Philip Marino²  Patrick B. Murphy²  Nicholas Hart² 

[1] Faculty of Life Sciences and Medicine, King’s College London;Guy’s & St Thomas’ NHS Foundation Trust

关键词: Hypercapnic respiratory failure;    chronic obstructive pulmonary disease (COPD);    neuromuscular disease;    obesity hypoventilation syndrome;    non-invasive ventilation;   

DOI  :  10.21037/jtd-cus-2020-003

学科分类：呼吸医学

来源: Pioneer Bioscience Publishing Company

【 摘 要 】

Background: Sleep-disordered breathing (SBD) can be associated with hypercapnic respiratory failure (HRF). Home Mechanical Ventilation (HMV) is the preferred long-term treatment for patients with chronic HRF. We reviewed the database of a large tertiary referral centre for HMV to study the long-term adherence to HMV in chronic hypercapnic patients. Methods: Data on adherence and characteristics of patients who received HMV for the treatment of SDB were collected over a decade using electronic patient records. The primary outcome parameter in this study was annual non-adherence rate (patients with HMV usage of 10%) was the most common reason for low adherence; general displeasure (21.3%), uncontrolled symptoms (12.8%), claustrophobia (6.7%), mood (4.8%) and mask intolerance (4.3%) caused problems as well. Conclusions: Non-adherence to HMV in patients with chronic HRF can affect significant proportions of patients. However, the non-adherent rate substantially decreases when individual treatment solutions are offered in multi-disciplinary clinics.

【 授权许可】

Unknown