Prevalence and variability of use of home mechanical ventilators, positive airway pressure and oxygen devices in the Lombardy region, Italy

Vitacca, Michele; Barbano, Luca; Colombo, Daniele; Leoni, Olivia; Guffanti, E.

doi:10.4081/monaldi.2018.882

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…According to the current state of research, the prevalence for HMV varies widely: While Valko et al [ 4 ] estimated the prevalence for Hungary at 3.9/100,000 in 2018, Vitacca et al [ 5 ] estimated a prevalence of 63/100,000 in Italy in 2012. A Europe-wide study, which included 16 countries, mentioned a prevalence of 6.6/100,000 in 2005 [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Hygiene management for long-term ventilated persons in the home health care setting: a scoping review

Höppchen

Walter

Berger

et al. 2022

BMC Health Serv Res

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Background Evidence and recommendations for hygiene management in home mechanical ventilation (HMV) are rare. In Germany, few regionally limited studies show poor hygiene management or a lack of its implementation. This scoping review of international literature identified the evidence in hygiene management for ventilated patients in the home care setting which has to be implemented for infection prevention and control. Methods A review of international literature was conducted in CINAHL, PubMed and Web of Science. The search focused on four key domains: HMV, hygiene management, home care setting, and methicillin-resistant Staphylococcus aureus (MRSA). Data of included studies were extracted using a data charting sheet. Extracted data were assigned to the categories (1) study description, (2) setting and participants, and (3) hygiene management. Results From 1,718 reviewed articles, n = 8 studies met inclusion criteria. All included studies had a quantitative study design. The approaches were heterogeneous due to different settings, study populations and types of ventilation performed. Regarding aspects of hygiene management, most evidence was found for infectious critical activities (n = 5), quality management for hygiene (n = 4), and training and education (n = 4). This review identified research gaps concerning kitchen hygiene, relatives and visitors of HMV patients, and waste management (n = 0). Discussion Overall evidence was rather scarce. Consequently, this review could not answer all underlying research questions. No evidence was found for measures in hygiene management relating to ventilated patients’ relatives. Evidence for kitchen hygiene, waste management and interaction with relatives is available for inpatient care settings. However, this may not be transferable to outpatient care. Binding legal requirements and audits may help regulate the implementation of HMV hygiene measures. Conclusion Infection control programmes included qualified personnel, hygiene plans, and standards for MRSA and multidrug-resistant organisms (MDRO). The appropriateness of hygiene management measures for outpatient care is the basis for their application in practice.

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Section: Introductionmentioning

confidence: 99%

Hygiene management for long-term ventilated persons in the home health care setting: a scoping review

Höppchen

Walter

Berger

et al. 2022

BMC Health Serv Res

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“…The number of patients with chronic respiratory failure needing home mechanical ventilation (HMV) is increasing. In the Eurovent analysis, published in 2005, the estimated prevalence of HMV in Europe ranged from 0.1 to 6.6 per 100 000 people [ 1 ]; however, more recent data showed prevalence ranging from 3.9 per 100 000 inhabitants in Hungary [ 2 ] and up to 63 per 100 000 inhabitants in Italy [ 3 ]. In well-described cohorts, it has been shown that HMV use has substantially increased since 2000 [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

The role of telemonitoring in patients on home mechanical ventilation

2023

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There is a growing number of patients being treated with long-term home mechanical ventilation (HMV). This poses a challenge for the healthcare system because in-hospital resources are decreasing. The application of digital health to assist HMV care might help. In this narrative review we discuss the evidence for using telemonitoring to assist in initiation and follow-up of patients on long-term HMV. We also give an overview of available technology and discuss which parameters can be measured and how often this should be done. To get a telemonitoring solution implemented in clinical practice is often complex; we discuss which factors contribute to that. We discuss patients’ opinions regarding the use of telemonitoring in HMV. Finally, future perspectives for this rapidly growing and evolving field will be discussed.

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