Home Mechanical Ventilation Practices in Spain and Portugal.
| Autor: | Antón A; Hospital Santa Creu I Sant Pau, Barcelona, Spain., Díaz Lobato S; Medical Division, Oximesa & Nippon Gases Healthcare, Madrid, Spain., Guimarães MJ; Consultant in Pulmonology and Sleep Medicine Hospital da Luz, Guimarães, Portugal., Alonso-Álvarez ML; Sleep Multidiciplinary Unit, Dr.J.Terán-Santos, Hospital Universitario de Burgos, Burgos, Spain., Correia S; ResMed Iberia, Western Europe, Madrid, Spain., Gonçalves MR; Noninvasive Ventilatory Support Unit, Pulmonology Department; Emergency and Intensive Care Medicine Department; CAI_Vent: Home mechanical Ventilation Program São João University Hospital; UnIC-Cardiovascular R&D Unit; Faculty of Medicine, University of Porto, Portugal. |
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| Jazyk: | angličtina |
| Zdroj: | Open respiratory archives [Open Respir Arch] 2021 Jul 08; Vol. 3 (3), pp. 100116. Date of Electronic Publication: 2021 Jul 08 (Print Publication: 2021). |
| DOI: | 10.1016/j.opresp.2021.100116 |
| Abstrakt: | Introduction: Home mechanical ventilation (HMV) practice has changed with publication of new evidence and introduction of new technologies, and varies between countries. This study investigated current HMV use and practices in Spain and Portugal. Methods: 94 healthcare professionals identified as regularly performing HMV-related activities were sent an e-mail link to an online questionnaire. The questionnaire included 40 items relating to responder demographics, non-invasive ventilation (NIV) care structure, ventilated patient profile, work habits, and potential future practice improvements. Results: 66 questionnaires (70%) were returned (Spain, 36; Portugal, 30). The majority of respondents were physicians (Spain, 95%; Portugal, 63%). Overall, 83% of hospitals had a dedicated NIV unit (Spain, 100%; Portugal, 63%). The most common indication for HMV was neuromuscular disorders in Spain and obstructive diseases in Portugal. Homecare providers (HCPs) and pulmonologists were usually responsible for managing HMV; HCPs were involved more often in Portugal. Choice of ventilator was most often based on usage hours/day; the most important device features were 'ease of use' (Spain) and 'adjustment range' (Portugal). HMV monitoring practices varied between countries. Telemonitoring was used more often in Portugal (20%; vs. Spain, 3%). Follow-up frequency and practices also differed markedly between Spain and Portugal. Respondents highlighted identification of new patient groups and patient phenotyping to optimize treatment and personalize therapy as future HMV strategies. Conclusions: Important differences in the management of HMV were observed between two similar European countries. Better understanding of clinical practices can facilitate targeted education and training to ensure optimal management of patients using HMV. (© 2021 Sociedad Española de Neumología y Cirugía Torácica (SEPAR). Published by Elsevier España, S.L.U.) |
| Databáze: | MEDLINE |
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