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Mechanical ventilation in the home.

B J Make1, M E Gilmartin

  • 1Pulmonary Section, University of Colorado School of Medicine, Denver.

Critical Care Clinics
|July 1, 1990
PubMed
Summary

Long-term mechanical ventilation is increasingly common. Home care for ventilator-assisted individuals offers improved quality of life, reduced hospitalizations, and lower costs when patients are carefully selected.

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Area of Science:

  • Medicine
  • Pulmonology
  • Critical Care

Background:

  • Mechanical ventilation is a life-saving technique.
  • Increasing numbers of patients require long-term mechanical ventilation.
  • Limited healthcare resources necessitate alternative care options.

Purpose of the Study:

  • To evaluate the efficacy of home care for patients requiring long-term mechanical ventilation.
  • To assess the impact of home care on patient outcomes and healthcare costs.

Main Methods:

  • Careful selection of appropriate candidates for home mechanical ventilation.
  • Monitoring of respiratory symptoms, hospitalization rates, and physiologic measures.
  • Evaluation of quality of life and survival rates.

Main Results:

  • Home care resulted in decreased respiratory symptoms.
  • Hospitalization rates were reduced in patients receiving home care.
  • Improved physiologic measures, enhanced quality of life, and substantial survival were observed.
  • Significant reduction in medical care costs was achieved.

Conclusions:

  • Home care is a viable and beneficial option for carefully selected ventilator-assisted individuals.
  • Home mechanical ventilation improves patient outcomes and reduces healthcare expenditures.
  • This approach supports long-term survival and enhances quality of life for patients.

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