Hypoventilation does not explain the impaired quality of sleep in postpolio patients ventilated noninvasively vs. invasively

Autor:	Caroline Gillis-Haegerstrand, Agneta Markström, H. Barle, Kerstin Sundell, Birgitta Klang
Rok vydání:	2008
Předmět:	Adult Male Sleep Wake Disorders medicine.medical_treatment Quality of sleep Health index Sickness Impact Profile Surveys and Questionnaires Humans Medicine Aged Blood gas analysis Aged 80 and over Sweden Mechanical ventilation business.industry Public Health Environmental and Occupational Health Health Status Disparities Hypoventilation Middle Aged Respiration Artificial Respiratory failure Anesthesia Breathing Female Noninvasive ventilation Blood Gas Analysis medicine.symptom business Poliomyelitis
Zdroj:	Scandinavian Journal of Caring Sciences. 22:236-240
ISSN:	1471-6712 0283-9318
DOI:	10.1111/j.1471-6712.2007.00520.x
Popis:	In a previous study, it was found that patients treated with noninvasive ventilation (NIV) reported larger dysfunctions in sleep-related parameters as assessed with the Sickness Impact Profile (SIP) and Health Index questionnaires than those treated with tracheostomy. The aim of the current study was to further evaluate these sleep limitations and relate these limitations to blood gas analyses in the groups to investigate, if the differences could be related to differences in the efficacy of ventilation. We compared postpolio patients treated with tracheostomy (PPT, n = 17), NIV (PPN, n = 14) and patients with neuromuscular disorders treated with NIV (NMN, n = 15). Significantly fewer patients in the PPT group scored large dysfunctions in the SIP sleep (SIP score >10 points) compared with the PPN and NMN patients. The PPT patients scored significantly higher regarding quality of sleep and less sense of tiredness than the PPN and NMN patients. No differences were found between the groups regarding blood gas parameters neither before nor during or after the study period. In conclusion, postpolio patients treated with invasive home mechanical ventilation seem to experience better sleep and less sense of tiredness than patients on NIV. These differences cannot be explained by differences in alveolar ventilation as assessed with blood gas analyses.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f097de0ca9d464bb64aa137b91db9f0 https://doi.org/10.1111/j.1471-6712.2007.00520.x Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.