The role of telemonitoring in patients on home mechanical ventilation

Biggelaar, Ries van den; Hazenberg, Anda; Duiverman, Marieke L.

doi:10.1183/16000617.0207-2022

Cited by 10 publications

(3 citation statements)

References 54 publications

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“…Telemonitoring and data transmission have emerged as crucial tools, offering insights into compliance, usage patterns, and potential complications [20][21][22][23].…”

Section: Methodsmentioning

confidence: 99%

Hospital–Provider Company Network for Home Non-Invasive Ventilation: A Feasibility Pilot Study

Vitacca,

Asti,

Fiorenza

et al. 2024

Healthcare

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This study assessed the feasibility of implementing a hybrid hospital–provider company (PC) clinical pathway for patients with chronic respiratory failure (CRF) through the adaptation and follow-up of non-invasive ventilation (NIV). Over a 3-month period, a PC physiotherapist case manager oversaw the adaptation process, making adjustments as necessary, using remote monitoring and home visits. Outcome measures, including the number of patients enrolled, serious adverse events, hospitalizations, survival rates, professional time allocation, NIV adherence, nocturnal apnea–hypopnea, and oxygen saturation, Δ arterial carbon dioxide pressure (PaCO2), dyspnea, Short Physical Performance Battery (SPPB), exercise tolerance, quality of life, physical activity, and patient satisfaction, were collected. The recruitment rate was 74% (nineteen patients). Commonly reported adverse events included leakage, discomfort and sleep disturbance. Predominant interventions were four home visits (3; 4) and two NIV adjustments (1; 5). The overall program time commitment averaged 43.97 h per patient (being hospital 40 ± 11% and PC 60 ± 11%). Improvements in PaCO2, dyspnea, SPPB and exercise tolerance were observed by the third month. Adherence to NIV was high, with good or very good satisfaction with its use. This study demonstrates that a hybrid hospital–PC service for NIV adaptation and follow-up is not only feasible but also shows validity, reliability, and acceptability.

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“…Telemonitoring and data transmission have emerged as crucial tools, offering insights into compliance, usage patterns, and potential complications [20][21][22][23].…”

Section: Methodsmentioning

confidence: 99%

Hospital–Provider Company Network for Home Non-Invasive Ventilation: A Feasibility Pilot Study

Vitacca,

Asti,

Fiorenza

et al. 2024

Healthcare

View full text Add to dashboard Cite

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“…The frequency of monitoring is a subject of debate. Recently, the attention on more frequent (daily or weekly) remote monitoring of patients on home ventilation has greatly increased 34▪ . Remote monitoring will personalize the follow-up, thereby preventing unnecessary and challenging hospital visits when patients are stable and intensifying the follow-up of deteriorating patients that might need intercurrent adjustments of ventilator settings (Fig.…”

Section: Initiation and Monitoringmentioning

confidence: 99%

“…Remote monitoring will personalize the follow-up, thereby preventing unnecessary and challenging hospital visits when patients are stable and intensifying the follow-up of deteriorating patients that might need intercurrent adjustments of ventilator settings (Fig. 1 ) 34 35 . Moreover, healthcare systems taking care of those patients should be organized in a way that easy access to technical and clinical support is granted 24 h a day, 7 days a week, once needed.…”

Section: Initiation and Monitoringmentioning

confidence: 99%

Home ventilation for patients with end-stage chronic obstructive pulmonary disease

Raveling,

Rantala,

Duiverman

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of the review The number of patients with end-stage chronic obstructive pulmonary disease (COPD) treated with chronic non-invasive ventilation (NIV) has greatly increased. In this review, the authors summarize the evidence for nocturnal NIV and NIV during exercise. The authors discuss the multidisciplinary and advanced care of patients with end-stage COPD treated with NIV. Recent findings Nocturnal NIV improves gas exchange, health-related quality of life and survival in stable hypercapnic COPD patients. Improvements in care delivery have been achieved by relocating care from the hospital to home based; home initiation of chronic NIV is feasible, non-inferior regarding efficacy and cost-effective compared to in-hospital initiation. However, the effect of NIV on symptoms is variable, and applying optimal NIV for end-stage COPD is complex. While exercise-induced dyspnoea is a prominent complaint in end-stage COPD, nocturnal NIV will not change this. However, NIV applied solely during exercise might improve exercise tolerance and dyspnoea. While chronic NIV is often a long-standing treatment, patient expectations should be discussed early and be managed continuously during the treatment. Further, integration of advance care planning requires a multidisciplinary approach. Summary Although chronic NIV is an effective treatment in end-stage COPD with persistent hypercapnia, there are still important questions that need to be answered to improve care of these severely ill patients.

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Indications and practice of home invasive mechanical ventilation in children

Bayav,

Çobanoğlu

2024

Pediatric Pulmonology

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BackgroundDevelopments and technological advances in neonatal and pediatric intensive care units have led to a prolonged life expectancy of pediatric patients with chronic respiratory failure. Therefore, the number of hemodynamically stable pediatric patients with chronic respiratory failure who need mechanical ventilator assistance throughout the day has significantly increased.AimsNumerous conditions, including parenchymal lung diseases, airway disorders, neuromotor disorders, or respiratory defects, can lead to chronic respiratory failure. For individuals who cannot tolerate non‐invasive mechanical ventilation (NIMV), invasive mechanical ventilation (IMV) is the only suitable choice. Due to increasing need, mechanical ventilator technology is continuously evolving.ResultsAs a result of this process, home‐type mechanical ventilators have been produced for patients requiring long‐term IMV. Patients with chronic respiratory failure can be safely monitored at home with these ventilators.DiscussionHome follow‐up of these patients has many benefits such as an increase in general quality of life and a positive contribution to their emotional and cognitive development.ConclusionIn this compilation, indications for home‐based IMV, features of home invasive mechanical ventilators (HMVs), patient monitoring, and the detailed advantages of using IMV at home will be elucidated.

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The role of telemonitoring in patients on home mechanical ventilation

Cited by 10 publications

References 54 publications

Hospital–Provider Company Network for Home Non-Invasive Ventilation: A Feasibility Pilot Study

Hospital–Provider Company Network for Home Non-Invasive Ventilation: A Feasibility Pilot Study

Home ventilation for patients with end-stage chronic obstructive pulmonary disease

Indications and practice of home invasive mechanical ventilation in children

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