在COPD住院患者的家庭非侵入性通风使用
Spyridon Fortis1,2, Yubo Gao1,3, Kelby Rewerts1
1Veterans Rural Health Resource Center-Iowa City, VA Office of Rural Health, and Center for Access and Delivery Research and Evaluation (CADRE) at the Iowa City VA Healthcare System, Iowa City, Iowa, USA.
The clinical respiratory journal
|August 1, 2023
概括
慢性高口腔呼吸衰竭 (CHRF) 影响了超过一半的COPD患者至少住院一次. 然而,家庭非侵入性通风 (NIV) 的使用率仍然很低,为8.2%,这表明使用率显著不足.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统护理 呼吸系统护理
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性超呼吸衰竭 (CHRF) 和家庭非侵入性通风 (NIV) 的使用对于治疗慢性阻塞性肺病 (COPD) 患者至关重要.
- 识别高风险人群,例如那些先前患有COPD相关住院的人群,对于有针对性的干预措施至关重要.
研究的目的:
- 为了估计CHRF和家庭NIV使用的流行率.
- 评估这些患病率在有至少一个COPD相关住院病史的人群中.
主要方法:
- 电子医疗记录的回顾性分析.
- 纳入标准:至少有一次COPD相关住院的患者 (2011年10月至2017年9月).
- 排除标准:没有阻塞性呼吸系统缺陷.
主要成果:
- 补偿性超呼吸衰竭 (CompHRF) 的总体患病率为52.7%.
- 家庭NIV使用的总体流行率为4.3%.
- 康普HRF和家庭NIV使用的患病率随着COPD相关住院人数的增加而增加 (77.8%的康普HRF和11.1%的NIV在≥4次住院患者中).
结论:
- 大约一半的COPD患者至少有一次住院治疗是CompHRF.
- 在这些患者中,家庭NIV使用率很低 (8.2%),这表明使用率不足.
- 需要进一步的多中心研究来证实CHRF率和NIV利用不足.
更多相关视频
相关概念视频
Mechanical Ventilation III: Noninvasive Ventilation
152
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
152
Mechanical Ventilation II: Invasive Ventilation
178
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
178
Mechanical Ventilation I: Indication and Settings
489
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
489
COPD: Management Using Bronchodilators and Corticosteroids
244
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
244
Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
Ventilatory Modes
219
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
219


