Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study.

Autor: Fauroux B; Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, F-75015, Paris, France; Université de Paris, VIFASOM, F-75004, Paris, France. Electronic address: brigitte.fauroux@aphp.fr., Khirani S; Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, F-75015, Paris, France; Université de Paris, VIFASOM, F-75004, Paris, France; ASV Santé, F-92000, Gennevilliers, France., Amaddeo A; Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, F-75015, Paris, France; Université de Paris, VIFASOM, F-75004, Paris, France., Massenavette B; Paediatric Intensive Care Unit, Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, 69677, Bron, France., Bierme P; Pediatric Pulmonology and Allergology Unit, Hospices Civils de Lyon, 69677, Bron, France., Taytard J; Pediatric Pulmonology Department, AP-HP, Hôpital Armand Trousseau, F-75012, Paris, France; Sorbonne Université, INSERM UMR-S, 1158, Paris, France., Stremler N; Pediatric Ventilation Unit, Pediatric Department, AP-HM, Hôpital La Timone, 13385, Marseille, France., Baravalle-Einaudi M; Pediatric Ventilation Unit, Pediatric Department, AP-HM, Hôpital La Timone, 13385, Marseille, France., Mazenq J; Pediatric Ventilation Unit, Pediatric Department, AP-HM, Hôpital La Timone, 13385, Marseille, France., Ioan I; Pediatric Department, University Children's Hospital, CHRU Nanc, Université de Lorraine, DevAH, F-54000, Nancy, France., Schweitzer C; Pediatric Department, University Children's Hospital, CHRU Nanc, Université de Lorraine, DevAH, F-54000, Nancy, France., Lampin ME; Pediatric Intensive Care Unit, Hôpital Jeanne de Flandre, CHU Lille, Avenue Eugène Avinée, 59037, Lille Cédex, France., Binoche A; Pediatric Intensive Care Unit, Hôpital Jeanne de Flandre, CHU Lille, Avenue Eugène Avinée, 59037, Lille Cédex, France., Mordacq C; Pediatic Pulmonology and Allergology Unit, Hôpital Jeanne de Flandre, CHU Lille, Avenue Eugène Avinée, 59037, Lille Cédex, France., Bergounioux J; Pediatric Intensive Care Unit, AP-HP, Hôpital Raymond Poincaré, F-92380, Garches, France., Mbieleu B; Pediatric Intensive Care Unit, AP-HP, Hôpital Raymond Poincaré, F-92380, Garches, France., Rubinsztajn R; Hôpital Necker-Enfants Malades, F-75015, Paris, France., Sigur E; Pediatric Pulmonology and Allergology Unit, Hôpital des Enfants, 31000, Toulouse, France., Labouret G; Pediatric Pulmonology and Allergology Unit, Hôpital des Enfants, 31000, Toulouse, France., Genevois A; Pediatric Pulmonology and Allergology Unit, Hôpital des Enfants, 31000, Toulouse, France., Becourt A; Pediatric Pulmonology, CHU Amiens Picardie, 80054, France., Hullo E; Pediatric Pulmonology Unit, Hôpital Couple-Enfant, CHU Grenoble, 38000, Grenoble, France., Pin I; Pediatric Pulmonology Unit, Hôpital Couple-Enfant, CHU Grenoble, 38000, Grenoble, France; INSERM, Institute for Advanced Biosciences, 38000, Grenoble, France; Grenoble Alpes University, 38000, Grenoble, France., Debelleix S; Pediatric Pulmonology Unit, Hôpital Pellegrin-Enfants, CIC-P Bordeaux 1401, CHU de Bordeaux, 33076, Bordeaux, France., Galodé F; Pediatric Pulmonology Unit, Hôpital Pellegrin-Enfants, CIC-P Bordeaux 1401, CHU de Bordeaux, 33076, Bordeaux, France., Bui S; Pediatric Pulmonology Unit, Hôpital Pellegrin-Enfants, CIC-P Bordeaux 1401, CHU de Bordeaux, 33076, Bordeaux, France., Moreau J; Pediatric Cardiology and Pulmonology Department, Montpellier University Hospital, 34000, Montpellier, France; Physiology and Experimental Biology of Heart and Muscles Laboratory-PHYMEDEXP, UMR CNRS 9214, INSERM U1046, University of Montpellier, 34000, Montpellier, France., Renoux MC; Pediatric Cardiology and Pulmonology Department, Montpellier University Hospital, 34000, Montpellier, France., Matecki S; Pediatric Cardiology and Pulmonology Department, Montpellier University Hospital, 34000, Montpellier, France; Functional Exploration Laboratory, Physiology Department, University Hospital, 34000, Montpellier, France., Lavadera ML; Respiratory Diseases, Allergy and CF Unit, Pediatric Department, University Hospital Charles Nicolle, 76000, Rouen, France., Heyman R; Pediatric Unit, Department of Physical Medicine and Rehabilitation, Hôpital Pontchaillou, Rennes, 35033, Rennes, France., Pomedio M; Pediatric Intensive Care Unit, American Memorial Hospital, CHU Reims, 51000, Reims, France., Le Clainche L; Pediatric Noninvasive Ventilation, AP-HP, Hôpital Robert Debré, F-75018, Paris, France., Bokov P; Pediatric Noninvasive Ventilation, AP-HP, Hôpital Robert Debré, F-75018, Paris, France., Masson A; Pediatric Unit, Hôpital de la Mère et de l'Enfant, 87042, Limoges, France., Hangard P; Pediatric Unit, Hôpital de la Mère et de l'Enfant, 87042, Limoges, France., Menetrey C; Pediatric Unit, Hôpital de la Mère et de l'Enfant, 87042, Limoges, France., Jokic M; Pediatric Intensive Care Unit, CHU de Caen Normandie, 14033, Caen, France., Gachelin E; Pediatric Department, CHU Félix Guyon, F-97404, Saint Denis, La Réunion, France., Perisson C; Pediatric Department, CHU Sud Réunion, F-97448, Saint Pierre, La Réunion, France., Pervillé A; Hôpital d'Enfants - ASFA, F-97404, Saint Denis, La Réunion, France., Fina A; Pediatric Pulmonology and Allergology Department, Hôpitaux Pédiatriques de Nice CHU-Lenval, Nice, France., Giovannini-Chami L; Pediatric Pulmonology and Allergology Department, Hôpitaux Pédiatriques de Nice CHU-Lenval, Nice, France., Fleurence E; ESEAN-APF, Health Center for Children and Adolescents, 44200, Nantes, France., Barzic A; Pediatric Department, CHU Brest, 29200, Brest, France., Breining A; Pediatric Department, CHU Strasbourg, 67000, Strasbourg, France., Ollivier M; Pediatric Intensive Care Unit, CHU Angers, 49100, Angers, France., Labbé G; Pediatric Pulmonology and Allergology Unit, CHU d'Estaing, 63003, Clermont-Ferrand, France., Coutier L; Paediatric Intensive Care Unit, Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, 69677, Bron, France., Aubertin G; Pediatric Pulmonology and Allergology Unit, Hospices Civils de Lyon, 69677, Bron, France; Sorbonne Université, INSERM UMR-S 938, Centre de Recherche Saint-Antoine (CRSA), F-75014, Paris, France; Centre de Pneumologie de l'enfant, Ramsay Générale de Santé, 92100, Boulogne-Billancourt, France.
Jazyk: angličtina
Zdroj: Respiratory medicine [Respir Med] 2021 May; Vol. 181, pp. 106388. Date of Electronic Publication: 2021 Apr 03.
DOI: 10.1016/j.rmed.2021.106388
Abstrakt: Objective: To describe the characteristics of children treated with long term continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in France.
Design: Cross-sectional national survey.
Setting: Paediatric CPAP/NIV teams of 28 tertiary university hospitals in France.
Patients: Children aged <20 years treated with CPAP/NIV since at least 3 months on June 1st, 2019.
Intervention: An anonymous questionnaire was filled in for every patient.
Results: The data of 1447 patients (60% boys), mean age 9.8 ± 5.8 years were analysed. The most frequent underlying disorders were: upper airway obstruction (46%), neuromuscular disease (28%), disorder of the central nervous system (13%), cardiorespiratory disorder (7%), and congenital bone disease (4%). Forty-five percent of the patients were treated with CPAP and 55% with NIV. Treatment was initiated electively for 92% of children, while 8% started during an acute illness. A poly(somno)graphy (P(S)G) was performed prior to treatment initiation in 26%, 36% had a P(S)G with transcutaneous carbon dioxide monitoring (PtcCO 2 ), while 23% had only a pulse oximetry (SpO 2 ) with PtcCO 2 recording. The decision of CPAP/NIV initiation during an elective setting was based on the apnea-hypopnea index (AHI) in 41% of patients, SpO 2 and PtcCO 2 in 25% of patients, and AHI with PtcCO 2 in 25% of patients. Objective adherence was excellent with a mean use of 7.6 ± 3.2 h/night. Duration of CPAP/NIV was 2.7 ± 2.9 years at the time of the survey.
Conclusion: This survey shows the large number of children treated with long term CPAP/NIV in France with numerous children having disorders other than neuromuscular diseases.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE