Thirty years of home mechanical ventilation in children: escalating need for pediatric intensive care beds

Autor: Josephus P. J. van Gestel, Laura P. Verweij-van den Oudenrijn, Fleur M. Paulides, Mike J. Kampelmacher, Frans B. Plötz
Přispěvatelé: Pediatric surgery, ICaR - Circulation and metabolism
Rok vydání: 2012
Předmět:
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Pain medicine
Pneumology/Respiratory System
Intensive / Critical Care Medicine
Intensive Care Units
Pediatric
Critical Care and Intensive Care Medicine
Pediatrics
Pain Medicine
Anesthesiology
Intensive care
Medicine & Public Health
medicine
Humans
Chronic respiratory failure
Child
Intensive care medicine
Children
Intensive care beds
pediatric intensive care unit
Netherlands
Retrospective Studies
Mechanical ventilation
Pediatric intensive care unit
Health Services Needs and Demand
business.industry
Infant
Retrospective cohort study
Length of Stay
Home Care Services
Respiration
Artificial
Chronic disease
Child
Preschool
Home mechanical ventilation
Chronic Disease
Emergency Medicine
Pediatric Original
Non-invasive mechanical ventilation
Respiratory Insufficiency
business
Zdroj: Intensive Care Medicine, 38(5), 847-852. Springer Verlag
Intensive Care Medicine
Paulides, F M, Plotz, F, van Gestel, J P J & Kampelmacher, M J 2012, ' Thirty years of home mechanical ventilation in children: escalating need for pediatric intensive care beds ', Intensive Care Medicine, vol. 38, no. 5, pp. 847-852 . https://doi.org/10.1007/s00134-012-2545-9
ISSN: 0342-4642
Popis: Purpose To describe trends in pediatric home mechanical ventilation (HMV) and their impact on the use of pediatric intensive care unit (PICU) beds. Methods Review of all children who had started HMV in a single center for HMV. Results Between 1979 and 2009, HMV was started in 197 patients [100 (51 %) with invasive and 97 with noninvasive ventilation], with a median age of 14.7 (range 0.5–17.9) years. Most patients (77 %) were males with a neuromuscular disorder (66 %). The number of children receiving HMV increased from 8 in the 1979–1988 period to 122 in the 1999–2008 period. This increase occurred foremost in patients aged 0–5 years and was accompanied by a sharp rise in the use of PICU beds. In 150 patients (76 %), HMV was initiated on an ICU with a total of 12,440 admission days, of which 10,385 days (83 %) could be attributed to 67 patients who started non-electively with invasive HMV. Of the latter, 52 patients had been admitted to a PICU with a total of 9,335 admission days. At the end of the study, 134 patients (68 %) were still being ventilated, 43 patients (22 %) had died, 11 patients (6 %) were weaned from HMV, 4 patients (2 %) did not want to continue HMV and 5 patients (3 %) were lost to follow-up. Conclusions Over time, there was an impressive increase in the application of HMV in children. This increase was most obvious in the youngest age group with invasive HMV, and these children had very long stays in the PICU.
Databáze: OpenAIRE
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