Compliance with chronic noninvasive ventilation: key factors for a successful therapy

Slot, M; Bladder, Gerrie; Nieuwenhuis, Jellie; Wijkstra, Peter J.; Duiverman, Marieke L.

doi:10.1183/13993003.congress-2019.pa2305

Cited by 2 publications

(8 citation statements)

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“…Whilst this is a high rate of non-compliance, it includes all patients and is comparable to previously published studies where compliance ranged from 30 to 50%. [ 6 , 7 , 9 ] Throughout the various time points older patients were significantly more likely to be compliant. Additionally, at 3–4 months and 11–12 months, patients with comorbid schizophrenia were more likely to be non-compliant.…”

Section: Discussionmentioning

confidence: 99%

“…We did not find the same to be true for patients with comorbid depression, a finding that was previously concluded by a group in the Netherlands. [ 9 ] However, this is an important finding that can shape future practice. These findings suggest that within our population younger patients and those with schizophrenia may need more intensive support to improve compliance and engagement with D-NIV.…”

Section: Discussionmentioning

confidence: 99%

“…There have been few international studies investigating factors affecting D-NIV compliance, with differing outcomes [6][7][8][9]. The largest, from the Netherlands (n = 301), found that compliance was higher in patients with amyotrophic lateral sclerosis compared to other conditions and lower in those with anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

“…The largest, from the Netherlands ( n = 301), found that compliance was higher in patients with amyotrophic lateral sclerosis compared to other conditions and lower in those with anxiety and depression. This study found compliance was not associated with age or other comorbidities [ 9 ]. There are a paucity of data from the UK population.…”

Section: Introductionmentioning

confidence: 99%

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Factors Affecting Domiciliary Non-Invasive Ventilation Compliance

Florman

Kaushal

et al. 2022

Lung

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Few international studies have investigated factors affecting domiciliary non-invasive ventilation (D-NIV) compliance, and data from the UK are limited. We assessed compliance (defined as ≥ 4 h/night for at least 70% of the time) in a retrospective UK population study, at three time points (0–1 month, 3–4 months and 11–12 months), for all patients commenced on D-NIV over a 5-year period. A total of 359 patients were included. Non-compliant vs. compliant patients were significantly younger (median age 64 (IQR 52–72) vs. 67 (58–75) years, p = 0.032) and more likely to have schizophrenia, consistent at both 3–4 months (5% vs. 1%, p = 0.033) and 11–12 months (5% vs. 2%, p = 0.049). Repeated measures ANOVA demonstrated that the minutes [median (IQR)] of D-NIV used significantly increased at the three time points (0–1 month, 3–4 months and 11–12 months) for patients with hypertension [310 (147.5–431) vs. 341 (89–450) vs. 378 (224.5–477.5), p = 0.003]; diabetes [296.5 (132.5–417.5) vs. 342.5 (94.5–438.5) vs. 382 (247.5–476.25), p = 0.002] and heart failure [293 (177–403) vs. 326 (123–398) vs. 365 (212–493), p = 0.04]. In conclusion, younger and comorbid schizophrenic patients have lower D-NIV compliance rates, and our data suggest that persistence with D-NIV over a year may improve overall use.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors Affecting Domiciliary Non-Invasive Ventilation Compliance

Florman

Kaushal

et al. 2022

Lung

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“…There is inconsistent data surrounding predictors of NIV usage, for example, increased age was associated with improved usage in three studies [ 14–16 ], but a fourth study found no association [ 17 ]. Increased body mass index (BMI) has been consistently associated with lower usage [ 9 , 14 , 18 ].…”

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confidence: 99%

Factors associated with noninvasive ventilation usage in patients with hypoventilation disorders

Forbes,

Duce,

Hukins

et al. 2024

Sleep Advances

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Study Objectives The objective of this study was to investigate the association between demographic, clinical, and interface factors and non-invasive ventilation (NIV) usage. Methods A retrospective cohort analysis of 478 patients prescribed NIV from 2013 to 2021 was performed. Demographic factors, clinical indications for NIV, and interface factors were collected, and linear regression was conducted to evaluate the association between these variables and NIV usage (hr/night). Results The average usage of the cohort was 6.5hr/night±4.6, with an average age of 57 years±16 and body mass index (BMI) of 40.5kg/m2±14.7. The cohort was mostly male (n = 290, 60.6%). The most common indications for NIV prescription were high pressure requirement for obstructive sleep apnoea (HPR, n = 190, 39.7%), neuromuscular disease (NMD, n = 140, 29.3%) and obesity hypoventilation syndrome (OHS, n = 111, 23.2%). A diagnosis of NMD was a significant predictor of higher NIV usage (8.0±6.1hr/night) in multivariate analysis (p = 0.036). The HPR sub-cohort had the lowest usage of all indications. Age and BMI did not predict usage. A nasal interface (p <0.01) and lower expiratory positive airway pressure (EPAP) setting (p <0.001) were associated with increased NIV usage. Conclusion This study highlights the multifaceted nature of NIV usage. Where demographic factors were not consistent predictors of usage, interface and clinical indication were associated with usage. These findings highlight that the HPR users are a group at risk of low usage.

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Compliance with chronic noninvasive ventilation: key factors for a successful therapy

Cited by 2 publications

References 0 publications

Factors Affecting Domiciliary Non-Invasive Ventilation Compliance

Factors Affecting Domiciliary Non-Invasive Ventilation Compliance

Factors associated with noninvasive ventilation usage in patients with hypoventilation disorders

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