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Paediatric home ventilatory support: the Auckland experience

E A Edwards1, K Hsiao, G M Nixon

  • 1Department of Respiratory Medicine, Starship Children's Hospital, Auckland, New Zealand.

Journal of Paediatrics and Child Health
|January 10, 2006
PubMed

Insights

Home respiratory support for children, including continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV), is increasing. Most children improve, but planning is needed for this growing trend.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Home Healthcare

Background:

  • Home respiratory support for children has become more common.
  • The Starship Children's Hospital Respiratory Service manages children requiring ventilatory support.
  • Understanding trends and outcomes is crucial for resource allocation.

Purpose of the Study:

  • To analyze trends in home respiratory support for children.
  • To describe disease categories, intervention success, and outcomes.
  • To evaluate the use of CPAP, NIV, and invasive ventilatory support (IVS).

Main Methods:

  • Retrospective review of respiratory service records from 1991 to 2004.
  • Analysis of 160 children initiated on home CPAP, NIV, or IVS.
  • Categorization of indications, support types, and outcomes.

Main Results:

  • 160 children received home respiratory support; 69 remain under active management.
  • Non-invasive support (CPAP/NIV) was most common (97%).
  • Support failed in 11% of cases; 57% discontinued due to medical improvement.

Conclusions:

  • There is a clear increasing trend in pediatric home respiratory support.
  • Respiratory parenchymal/airway and neuromuscular diseases are primary indications.
  • Future planning and resources are essential to meet rising demand.
Abstract

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