Source: International Congress 2015 – Best abstracts in chronic care
Disease area: Respiratory critical care, Sleep and breathing disorders

Abstract

The aim of the study was to assess retrospectively the adherence of patients on HMV, as virtually nothing is known on the topic. Since 2008, ventilation settings and the time counter are systematically recorded during outpatients visits at our institution. These served as a basis to assess patient adherence to HMV. Importance of adherence was explained at the onset of treatment and if adherence tended to decline during follow up. Patients were only included if adherence could be calculated at least once over the 2008-13 period. Patients on continuous ventilation were excluded. Data were expressed as means±SD.Data of 84 patients (age: 57±19 Y) were analyzed over 1191±634 days during 7.0±3.7 follow-up visits. 37, 26 and 7 patients were ventilated because of neuromuscular disease, kyphoscoliosis and obesity hypoventilation syndrome, respectively. Adherence rate was 7.9±2.2 hrs per 24 hrs. 67 (80%) and 81 (96%) patients adhered to treatment, if cut offs of at least 6 and 4 hours per 24 hours were used, respectively. Adherence was not affected by patient-related factors such as sex, BMI, comorbities, nicotine or alcohol abuse, or humidifier use. In the subgroup of 45 patients starting treatment after 2008, a significant correlation was found between the overall ventilator use and the first registration of adherence (Spearman correlation coefficient (r_s) = 0.66, p<0.01) and between the overall ventilator use and the second registration of adherence (r_s = 0.77, p<0.01).We conclude that 1) adherence of patients with respiratory failure to HMV is reasonably good and exceeds reported data on adherence to inhalers, long-term oxygen treatment and nCPAP therapy; 2) adherence rate at the first and second registration predicts overall adherence.


Rating:

Share or cite this content

Citations should be made in the following way:
Eric Derom (Gent, Belgium), Jan-Jakob Delanoye, Stef Bouduin, Eric Derom, Guy Joos. Adherence to home mechanical ventilation (HMV). Eur Respir J 2015; 46: Suppl. 59, 3071

Member's Comments

No comment yet.

Related content which might interest you: Home mechanical ventilation (HMV): Setup and outcome in Europe Source: International Congress 2015 – Innovations in noninvasive ventilation: is it always gold that glitters? Year: 2015 Impact of patient ventilator asynchrony (PVA) on the sleep quality of patients using home mechanical ventilation (HMV) Source: International Congress 2014 – Key factors that ensure noninvasive ventilation success Year: 2014 Patient reported prevalence of patient ventilator asynchronies (PVAs) during home mechanical ventilation (HMV) Source: International Congress 2014 – Home noninvasive ventilation: still a "work in progress"? Year: 2014 Noninvasive ventilation (NIV) in do-not-intubate (DNI) patients in a chronic disease hospital Source: International Congress 2014 – Expanding the use of noninvasive ventilation in acute respiratory failure Year: 2014 In or out? initiating a clinic NIV service Source: International Congress 2014 – Home noninvasive ventilation: still a "work in progress"? Year: 2014 Demographics of patients with chronic obstructive pulmonary disease (COPD) being referred and set up on home mechanical ventilation (HMV) between 2000 and 2013 Source: International Congress 2014 – Improving noninvasive ventilation efficacy Year: 2014 Mechanical ventilation in children with life-limiting conditions Source: International Congress 2016 – Origins of infant pulmonary disease: early pointers for identifying infants at risk and ways to improve their care Year: 2016 Equipment management in intensive care home mechanical ventilation Source: International Congress 2014 – Key factors that ensure noninvasive ventilation success Year: 2014 Outcome of non-invasive domiciliary ventilation in elderly patients Source: International Congress 2016 – New insights into noninvasive ventilation: between the dream and reality Year: 2016 Domiciliary noninvasive ventilation (NIV) in severe COPD patients: A European survey about indications and practices Source: International Congress 2014 – New insights in noninvasive ventilation Year: 2014 Non invasive home ventilation (NIHV) in chronic obstructive pulmonary disease (COPD): Impact on hospital admission rates and length of stay Source: International Congress 2014 – Home noninvasive ventilation: still a "work in progress"? Year: 2014 Does relationship exist between domiciliary non-invasive ventilation (NIV) and frequency of hospital admissions in patients with chronic type 2respiratory failure? Source: International Congress 2014 – Improving noninvasive ventilation efficacy Year: 2014 Initiation of chronic ventilatory support at home, by using telemonitoring, is effective and saves costs Source: International Congress 2014 – New insights in noninvasive ventilation Year: 2014 Compliance with home non-invasive mechanical ventilation in patients with chronic respiratory failure: Telemonitoring versus usual care surveillance - a randomized pilot study Source: International Congress 2014 – Home noninvasive ventilation: still a "work in progress"? Year: 2014 Outcomes of patients undergoing prolonged mechanical ventilation in a post-acute care facility Source: International Congress 2014 – Latest insights in chronic care Year: 2014 Sleep related respiratory events in chronic hypoventilation treated with non-invasive ventilation (NIV) Source: International Congress 2014 – Home noninvasive ventilation: still a "work in progress"? Year: 2014 Effect of a ventilation multidisciplinary meeting on respiratory patients’ journey through critical care Source: International Congress 2015 – Acute critical care: COPD, muscles and weaning Year: 2015 Evaluation of the educational outcomes of simulation-based training (SBT) for NIV Source: International Congress 2015 – Innovations in noninvasive ventilation: is it always gold that glitters? Year: 2015 Proportional assist ventilation versus conventionl synchronized intermittent mandatory ventilation in chronic obstructive pulmonary disease Source: Annual Congress 2013 –Mechanical ventilation and weaning Year: 2013 Weaning from prolonged mechanical ventilation (PMV): Impact of a specialist centre Source: International Congress 2016 – Latest insights into chronic care Year: 2016