Zubair Owadally, Mathilde Guillemot, Romain Barthes, Dan Adler, Jean-Christian Borel, Marius Lebret, Mehdi Rahim, Joëlle Texereau, Sandrine Pontier
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引用次数: 0
Abstract
Introduction: Optimal management of long-term home noninvasive ventilation (NIV) therapy is not clearly defined. This study determined whether patient experience of disease and NIV therapy (S3-NIV score) in the first month was associated with successful NIV delivery and termination rate at 6 months.
Methods: Participants were adults starting home nocturnal NIV for chronic respiratory failure in 2019-2022, who used telemonitoring, completed ≥1 S3-NIV questionnaire in the first month of NIV, and were followed by the same home service provider. As no S3-NIV score thresholds are defined, participants were grouped by S3-NIV score quartiles (Q) (Q1 = most negative impact of symptoms/NIV; Q4 = lowest impact of disease/treatment). Factors associated with successful NIV delivery at 6 months were determined using multivariate logistic regression analysis.
Results: One hundred fifty-three patients were included (mean age 65.9 ± 12.9 years, 60% male). The proportion of patients with successful NIV delivery at 6 months increased as initial S3-NIV score increased: Q1 42%, Q2 60%, Q3 63%, and Q4 63% (p = 0.007). Individuals with lower S3-NIV scores had more home interventions and mask changes during follow-up, regardless of whether NIV was successful or not. Termination rate was higher in S3-NIV score Q1 versus Q4 (29% vs. 11%). The probability of successful NIV delivery at 6 months increased by 1.14-fold for each 1-point increase in the initial S3-NIV score, independent of the association between the score and NIV data at 1 month.
Conclusion: The S3-NIV questionnaire helped identify patients at higher risk of therapy termination more effectively than relying only on objective ventilator data.
期刊介绍：
''Respiration'' brings together the results of both clinical and experimental investigations on all aspects of the respiratory system in health and disease. Clinical improvements in the diagnosis and treatment of chest and lung diseases are covered, as are the latest findings in physiology, biochemistry, pathology, immunology and pharmacology. The journal includes classic features such as editorials that accompany original articles in clinical and basic science research, reviews and letters to the editor. Further sections are: Technical Notes, The Eye Catcher, What’s Your Diagnosis?, The Opinion Corner, New Drugs in Respiratory Medicine, New Insights from Clinical Practice and Guidelines. ''Respiration'' is the official journal of the Swiss Society for Pneumology (SGP) and also home to the European Association for Bronchology and Interventional Pulmonology (EABIP), which occupies a dedicated section on Interventional Pulmonology in the journal. This modern mix of different features and a stringent peer-review process by a dedicated editorial board make ''Respiration'' a complete guide to progress in thoracic medicine.
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