Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.22/18299 |
Resumo: | Home mechanical ventilation (HMV) use in chronic obstructive pulmonary disease (COPD) is becoming increasingly widespread. The aim of this study was to provide an accurate description of the current practices and clinical characteristics of COPD patients on HMV in Portugal. The study was designed as a cross-sectional, multicenter real-life study of COPD patients established on HMV for at least 30 days. Data related to clinical characteristics, adaptation and ventilatory settings were collected. The study included 569 COPD patients on HMV from 15 centers. The majority were male, with a median age of 72 years and a high prevalence of obesity (43.2%) and sleep apnea (45.8%). A high treatment compliance was observed (median 8h/day), 48.7% with inspiratory positive airway pressure ≥ 20 cmH2O and oronasal masks were the preferred interface (91.7%). There was an equal distribution of patients starting HMV during chronic stable condition and following an exacerbation. Patients in stable condition were initiated in the outpatient setting in 92.3%. Despite the differences in criteria and setting of adaptation and a slightly lower BMI in patients starting HMV following an exacerbation, we found no significant differences regarding age, gender, ventilation pressures, time on HMV, usage, severity of airflow obstruction or current arterial blood gas analysis (ABGs) in relation to patients adapted in stable condition. Patients were highly compliant with the therapy. In agreement with most recent studies and recommendations, there seems to be a move towards higher ventilation pressures, increased use of oronasal masks and an intent to obtain normocapnia. This study shows that chronic hypercapnic and post exacerbation patients do not differ significantly regarding patient characteristics, physiological parameters or ventilatory settings with one exception: chronic hypercapnic patients are more often obese and, subsequently, more frequently present OSA. |
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Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric studyHome mechanical ventilationChronic obstructive pulmonary diseaseNoninvasive ventilationOutpatient adaptationHome mechanical ventilation (HMV) use in chronic obstructive pulmonary disease (COPD) is becoming increasingly widespread. The aim of this study was to provide an accurate description of the current practices and clinical characteristics of COPD patients on HMV in Portugal. The study was designed as a cross-sectional, multicenter real-life study of COPD patients established on HMV for at least 30 days. Data related to clinical characteristics, adaptation and ventilatory settings were collected. The study included 569 COPD patients on HMV from 15 centers. The majority were male, with a median age of 72 years and a high prevalence of obesity (43.2%) and sleep apnea (45.8%). A high treatment compliance was observed (median 8h/day), 48.7% with inspiratory positive airway pressure ≥ 20 cmH2O and oronasal masks were the preferred interface (91.7%). There was an equal distribution of patients starting HMV during chronic stable condition and following an exacerbation. Patients in stable condition were initiated in the outpatient setting in 92.3%. Despite the differences in criteria and setting of adaptation and a slightly lower BMI in patients starting HMV following an exacerbation, we found no significant differences regarding age, gender, ventilation pressures, time on HMV, usage, severity of airflow obstruction or current arterial blood gas analysis (ABGs) in relation to patients adapted in stable condition. Patients were highly compliant with the therapy. In agreement with most recent studies and recommendations, there seems to be a move towards higher ventilation pressures, increased use of oronasal masks and an intent to obtain normocapnia. This study shows that chronic hypercapnic and post exacerbation patients do not differ significantly regarding patient characteristics, physiological parameters or ventilatory settings with one exception: chronic hypercapnic patients are more often obese and, subsequently, more frequently present OSA.Dove Medical Press LimitedRepositório Científico do Instituto Politécnico do PortoRibeiro, C.Vieira, A. L.Pamplona, P.Drummond, M.Seabra, B.Ferreira, D.Liberato, H.Carreiro, A.Vicente, I.Castro, LuísaCosta, P.Carriço, F.Martim, T.Cravo, J.Teixiera, N.Grafino, M.Conde, S.Windisch, W.Nunes, R.2021-09-02T14:47:45Z2021-07-292021-07-29T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.22/18299engRibeiro C, Vieira AL, Pamplona P, Drummond M, Seabra B, Ferreira D, Liberato H, Carreiro A, Vicente I, Castro L, Costa P, Carriço F, Martin T, Cravo J, Teixeira N, Grafino M, Conde S, Windisch W, Nunes R. Current Practices in Home Mechanical Ventilation for Chronic Obstructive Pulmonary Disease: A Real-Life Cross-Sectional Multicentric Study. Int J Chron Obstruct Pulmon Dis. 2021;16:2217-22261178-200510.2147/COPD.S314826metadata only accessinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-13T13:10:03Zoai:recipp.ipp.pt:10400.22/18299Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:37:58.214828Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study |
title |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study |
spellingShingle |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study Ribeiro, C. Home mechanical ventilation Chronic obstructive pulmonary disease Noninvasive ventilation Outpatient adaptation |
title_short |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study |
title_full |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study |
title_fullStr |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study |
title_full_unstemmed |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study |
title_sort |
Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: A real-life cross-sectional multicentric study |
author |
Ribeiro, C. |
author_facet |
Ribeiro, C. Vieira, A. L. Pamplona, P. Drummond, M. Seabra, B. Ferreira, D. Liberato, H. Carreiro, A. Vicente, I. Castro, Luísa Costa, P. Carriço, F. Martim, T. Cravo, J. Teixiera, N. Grafino, M. Conde, S. Windisch, W. Nunes, R. |
author_role |
author |
author2 |
Vieira, A. L. Pamplona, P. Drummond, M. Seabra, B. Ferreira, D. Liberato, H. Carreiro, A. Vicente, I. Castro, Luísa Costa, P. Carriço, F. Martim, T. Cravo, J. Teixiera, N. Grafino, M. Conde, S. Windisch, W. Nunes, R. |
author2_role |
author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Instituto Politécnico do Porto |
dc.contributor.author.fl_str_mv |
Ribeiro, C. Vieira, A. L. Pamplona, P. Drummond, M. Seabra, B. Ferreira, D. Liberato, H. Carreiro, A. Vicente, I. Castro, Luísa Costa, P. Carriço, F. Martim, T. Cravo, J. Teixiera, N. Grafino, M. Conde, S. Windisch, W. Nunes, R. |
dc.subject.por.fl_str_mv |
Home mechanical ventilation Chronic obstructive pulmonary disease Noninvasive ventilation Outpatient adaptation |
topic |
Home mechanical ventilation Chronic obstructive pulmonary disease Noninvasive ventilation Outpatient adaptation |
description |
Home mechanical ventilation (HMV) use in chronic obstructive pulmonary disease (COPD) is becoming increasingly widespread. The aim of this study was to provide an accurate description of the current practices and clinical characteristics of COPD patients on HMV in Portugal. The study was designed as a cross-sectional, multicenter real-life study of COPD patients established on HMV for at least 30 days. Data related to clinical characteristics, adaptation and ventilatory settings were collected. The study included 569 COPD patients on HMV from 15 centers. The majority were male, with a median age of 72 years and a high prevalence of obesity (43.2%) and sleep apnea (45.8%). A high treatment compliance was observed (median 8h/day), 48.7% with inspiratory positive airway pressure ≥ 20 cmH2O and oronasal masks were the preferred interface (91.7%). There was an equal distribution of patients starting HMV during chronic stable condition and following an exacerbation. Patients in stable condition were initiated in the outpatient setting in 92.3%. Despite the differences in criteria and setting of adaptation and a slightly lower BMI in patients starting HMV following an exacerbation, we found no significant differences regarding age, gender, ventilation pressures, time on HMV, usage, severity of airflow obstruction or current arterial blood gas analysis (ABGs) in relation to patients adapted in stable condition. Patients were highly compliant with the therapy. In agreement with most recent studies and recommendations, there seems to be a move towards higher ventilation pressures, increased use of oronasal masks and an intent to obtain normocapnia. This study shows that chronic hypercapnic and post exacerbation patients do not differ significantly regarding patient characteristics, physiological parameters or ventilatory settings with one exception: chronic hypercapnic patients are more often obese and, subsequently, more frequently present OSA. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-02T14:47:45Z 2021-07-29 2021-07-29T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.22/18299 |
url |
http://hdl.handle.net/10400.22/18299 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Ribeiro C, Vieira AL, Pamplona P, Drummond M, Seabra B, Ferreira D, Liberato H, Carreiro A, Vicente I, Castro L, Costa P, Carriço F, Martin T, Cravo J, Teixeira N, Grafino M, Conde S, Windisch W, Nunes R. Current Practices in Home Mechanical Ventilation for Chronic Obstructive Pulmonary Disease: A Real-Life Cross-Sectional Multicentric Study. Int J Chron Obstruct Pulmon Dis. 2021;16:2217-2226 1178-2005 10.2147/COPD.S314826 |
dc.rights.driver.fl_str_mv |
metadata only access info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
metadata only access |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Dove Medical Press Limited |
publisher.none.fl_str_mv |
Dove Medical Press Limited |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131469151469568 |