Who are the COPD patients under long-term home mechanical ventilation?

P. Viegas (Vila Nova de Gaia, Portugal), C. Nogueira (Vila Nova de Gaia, Portugal), D. Ferreira (Vila Nova de Gaia, Portugal), S. Conde (Vila Nova de Gaia, Portugal), C. Ribeiro (Vila Nova de Gaia, Portugal)

Source: Respiratory Failure and Mechanical Ventilation Conference 2022 - Opening session: Essentials of respiratory physiology - Assessment of respiratory muscle function - Pulmonary infections in mechanically ventilated patients - Telemonitoring of patients with chronic respiratory failure - Diagnostics and interventions - Acute respiratory failure: COVID-19 - Interstitial lung disease and pulmonary hypertension - Early rehabilitation - Acute respiratory failure: Invasive mechanical ventilation - HFNO and NIV for acute hypoxemic failure - Longterm NIV miscellaneous - Controversies in acute respiratory failure - The role of respiratory muscle dysfunction in weaning failure - Transitions in chronic NIV - New insights in weaning from invasive ventilation - Noninvasive ventilation (NIV) in the clinical practice: How do I do it? - Difficult weaning from mechanical ventilation - Chronic ventilatory support in different diseases: Is one way fitting all? - Strategies to optimise early mobilisation and rehabilitation in intensive care - Noninvasive ventilation (NIV) in the clinical practice: How do I do it? - Acute respiratory failure: Hypercapnic and diagnosis - Weaning from mechanical ventilation - Mechanical ventilation in the acute setting - Health-related quality of life in mechanical ventilation - Long-term noninvasive ventilation: Diagnosis and outcome - Long-term noninvasive ventilation: Outcome

Session: Long-term noninvasive ventilation: Outcome
Session type: Oral poster discussion
Number: 131

Abstract

COPD is a leading indication for Home Mechanical Ventilation (HMV) due to underlying chronic hypercapnic respiratory failure. HMV, therapeutic advances, and preventive strategies lead to increased longevity of these patients. We preformed a retrospective analysis of COPD patients using HMV for more than 10 years, followed in our HMV Clinic from January 2017 to March 2022. Our aim was to characterize COPD patients using long term HMV.

From a total of 56 patients using HMV for more than 10 years, a total of 20 patients had COPD. Results are summarized on figure 1. Mean age was 74.7 ± 7.9 years, with a mean age at initiation of HMV of 60.0 ± 8.6. The median duration of HMV was 160 [144 - 206] months. Fifteen patients initiated HMV in a stable condition. These patients had concomitant comorbidities, much commonly hypertension, obesity, OSA and heart failure. Sixteen patients had responded to the S3-NIV questionnaire, with a median score of 7.05 [5.51 – 7.95].
We found that over a third of our long-term ventilated patients have COPD. Interestingly ¾ of our sample has initiated HMV in stable condition, at a time where evidence of HMV in COPD was scarce. It is uncertain if this contributes to the longevity of these patients.

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Citations should be made in the following way:
P. Viegas (Vila Nova de Gaia, Portugal), C. Nogueira (Vila Nova de Gaia, Portugal), D. Ferreira (Vila Nova de Gaia, Portugal), S. Conde (Vila Nova de Gaia, Portugal), C. Ribeiro (Vila Nova de Gaia, Portugal). Who are the COPD patients under long-term home mechanical ventilation?. Respiratory Failure and Mechanical Ventilation Conference 2022 - Opening session: Essentials of respiratory physiology - Assessment of respiratory muscle function - Pulmonary infections in mechanically ventilated patients - Telemonitoring of patients with chronic respiratory failure - Diagnostics and interventions - Acute respiratory failure: COVID-19 - Interstitial lung disease and pulmonary hypertension - Early rehabilitation - Acute respiratory failure: Invasive mechanical ventilation - HFNO and NIV for acute hypoxemic failure - Longterm NIV miscellaneous - Controversies in acute respiratory failure - The role of respiratory muscle dysfunction in weaning failure - Transitions in chronic NIV - New insights in weaning from invasive ventilation - Noninvasive ventilation (NIV) in the clinical practice: How do I do it? - Difficult weaning from mechanical ventilation - Chronic ventilatory support in different diseases: Is one way fitting all? - Strategies to optimise early mobilisation and rehabilitation in intensive care - Noninvasive ventilation (NIV) in the clinical practice: How do I do it? - Acute respiratory failure: Hypercapnic and diagnosis - Weaning from mechanical ventilation - Mechanical ventilation in the acute setting - Health-related quality of life in mechanical ventilation - Long-term noninvasive ventilation: Diagnosis and outcome - Long-term noninvasive ventilation: Outcome

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