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Updated: Oct 25, 2025
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Current Practices in Home Mechanical Ventilation for Chronic Obstructive Pulmonary Disease: A Real-Life
Carla Ribeiro1, Ana Luísa Vieira2, Paula Pamplona3
1Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Summary
Home mechanical ventilation (HMV) is increasingly used for chronic obstructive pulmonary disease (COPD). This study found high patient compliance and a trend towards higher pressures and oronasal masks, with few differences between stable and post-exacerbation patients.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Medical Technology
Background:
- Home mechanical ventilation (HMV) is a growing treatment for chronic obstructive pulmonary disease (COPD).
- Understanding current HMV practices in COPD patients is crucial for optimizing care.
- Portugal has seen an increase in HMV use among COPD patients.
Purpose of the Study:
- To describe current practices and clinical characteristics of COPD patients on HMV in Portugal.
- To analyze patient demographics, ventilation settings, and adherence.
- To compare patients initiated on HMV during stable vs. exacerbation phases.
Main Methods:
- A cross-sectional, multicenter, real-life study.
- Inclusion criteria: COPD patients on HMV for at least 30 days.
- Data collected on clinical characteristics, adaptation, and ventilatory settings.
Main Results:
- 569 COPD patients from 15 centers were included.
- High compliance (median 8h/day) was observed.
- Oronasal masks were preferred (91.7%), with 48.7% using inspiratory positive airway pressure ≥20 cmH2O.
- No significant differences in key parameters were found between patients initiated during stable condition versus following exacerbation, except for higher obesity and OSA prevalence in chronic hypercapnic patients.
Conclusions:
- Patients demonstrate high compliance with HMV.
- Trends indicate higher ventilation pressures and increased use of oronasal masks.
- Chronic hypercapnic and post-exacerbation COPD patients on HMV show similar characteristics, with obesity and OSA being more prevalent in the former.
Keywords:
chronic obstructive pulmonary diseasehome mechanical ventilationnoninvasive ventilationoutpatient adaptationMore Related Videos
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