Home mechanical ventilation: Is there a change in prescription patterns in the last 10 years?

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: 132

Abstract

Home mechanical ventilation (HMV) is applied in several diseases with hypercapnic respiratory failure. HMV has been increasingly used in the past decades due to the widening of its indications, long survival of patients and improvements in the organization of healthcare facilities.

We conducted a retrospective analysis of HMV indications of the patients followed in a tertiary centre outpatient clinic in 2011, 2016 and 2021, to ascertain the evolution of practices.

The number of patients followed in the HMV clinic were 175, in 2011, 257, in 2016, and 495, in 2021. In each of the selected years (2011, 2016 and 2021) a total of 119, 213 and 372 patients, respectively, were using HMV. The remainder patients had no criteria to start HMV, were using CPAP, did not adhere to treatment or refused HMV. Figure 1 includes a summary of the data and a graphic representation of the indications for HMV over the years.

Over the selected index years we observed an increase in the total number of consultations in the HMV clinic and an increasing number of patients under HMV. There was a 3-fold increase in the number of patients using HMV from 2011 to 2021. We also observed a decreasing trend in the gender gap and an increase in the mean age. The most prevalent disease groups over the years are COPD and Obesity-Hypoventilation Syndrome, with the former increasing more than 3-fold and representing 45% of HMV prescriptions.

Rating:

You must login to grade this presentation.

Share or cite this content

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). Home mechanical ventilation: Is there a change in prescription patterns in the last 10 years?. 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

You must login to share this Presentation/Article on Twitter, Facebook, LinkedIn or by email.

Member's Comments

No comment yet.

You must Login to comment this presentation.