Long-Term Respiratory Support for Children and Adolescents in Austria: A National Survey
| Autor: | H. Kenzian, G. Bernert, Nora Hofer, F. Wadlegger, B. Keck, W. Sauseng, E. Kommer, T. Frischer, V. Waibel, A. van Egmond-Fröhlich, Ernst Eber, R. Schwarz, Scott L. Weiss, H. Kurz, W. Stelzl, I. Grigorow, R. Rath, Andreas Pfleger, Reinhold Kerbl |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent medicine.medical_treatment Population Prevalence Home Care Services Hospital-Based Surveys and Questionnaires Epidemiology medicine Humans Continuous positive airway pressure Child education education.field_of_study business.industry Infant Newborn medicine.disease Long-Term Care Respiration Artificial Respiratory support Obstructive sleep apnea Cross-Sectional Studies Austria Child Preschool Chronic Disease Utilization Review Pediatrics Perinatology and Child Health Breathing Female Respiratory Insufficiency business Pulmonary disorders |
| Zdroj: | Klinische Pädiatrie. 228:42-46 |
| ISSN: | 1439-3824 0300-8630 |
| Popis: | Background: Population-based data on pediatric patients on long-term respiratory support (LTRS) in Austria are lacking. This study aimed to record the pediatric departments active in this field, as well as number and characteristics of patients on LTRS. Methods: A national cross-sectional study was carried out by means of questionnaires sent to all pediatric departments in Austria. Results: All departments answered to the questionnaires. On June 1st, 2013, the reference day for this study, 12 of the 41 pediatric departments in Austria were active in the field. At this time, these centers were caring for 143 patients, 111 (77.6%) of them under 18 years, which corresponds to a prevalence of 7.4 per 100 000. The patients suffered from neuromuscular disorders (44%), other neurological disorders (18.9%), disorders of respiratory drive (9.1%), obstructive sleep apnea (8.4%), thoracal and spinal diseases (8.4%), pulmonary disorders (4.9%) and other diseases (6.3%). Continuous positive airway pressure was used in 6.3%, non-invasive ventilation in 60.1% and invasive ventilation in 33.6% of the patients, respectively. LTRS was performed at home in 92.3%. Conclusion: LTRS represents a common management strategy in children and adolescents with a variety of disorders. Census reports such as this one provide the basis for appropriate planning of resource allocation. The age distribution of our patients shows the need for structured transition into adult care. |
| Databáze: | OpenAIRE |
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