Patients’ perspective and lung function correlation:the importance of questionnaires in home mechanical ventilation

Background: An increasing number of patients included in home mechanical ventilation (HMV) care has been under observation for many years. The study aimed to assess the patients opinion concerning the expected and perceived quality of care in an HMV system and a patient’s satisfaction with care. Methods: In 2017, patients treated with HMV were surveyed in Poland with the modified SERVQUAL questionnaire. Results: One hundred correctly completed surveys were analyzed. Patient Satisfaction Index was high. In every examined area, the expectations were statistically significant larger than the perception of the services. The biggest gap was in the tangibility dimension and the smallest gap was in the empathy dimension. Perceived respect and understanding for a patient’s needs are close to the expectations. Conclusions: The level of satisfaction with health care among patients treated with HMV in majority of investigated components is high. Moreover, the difference between perceived and expected quality of health care in the HMV system was relatively small in the opinion of the patients themselves. Further investigations with alternative methods are needed.

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Quality control of equipment in home mechanical ventilation: a European survey

European Respiratory Journal ◽

10.1183/09031936.05.00066904 ◽

2005 ◽

Vol 26 (1) ◽

pp. 86-94 ◽

Cited By ~ 43

Author(s):

R. Farre

Keyword(s):

Mechanical Ventilation ◽

Quality Control ◽

Home Mechanical Ventilation ◽

European Survey

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Children with Congenital Heart Disease on Home Mechanical Ventilation.

10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a5818 ◽

2009 ◽

Author(s):

JD Edwards ◽

SS Kun ◽

DY Moromisato ◽

TG Keens

Keyword(s):

Mechanical Ventilation ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Home Mechanical Ventilation

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Gender differences in patients starting long-term home mechanical ventilation due to obesity hypoventilation syndrome

Respiratory Medicine ◽

10.1016/j.rmed.2015.11.010 ◽

2016 ◽

Vol 110 ◽

pp. 73-78 ◽

Cited By ~ 17

Author(s):

Andreas Palm ◽

Bengt Midgren ◽

Christer Janson ◽

Eva Lindberg

Keyword(s):

Gender Differences ◽

Mechanical Ventilation ◽

Obesity Hypoventilation Syndrome ◽

Home Mechanical Ventilation ◽

Hypoventilation Syndrome ◽

Obesity Hypoventilation

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Außerklinische Beatmung – Konzepte und Therapieempfehlungen

DMW - Deutsche Medizinische Wochenschrift ◽

10.1055/s-0042-121787 ◽

2017 ◽

Vol 142 (16) ◽

pp. 1197-1204 ◽

Cited By ~ 2

Author(s):

Sarah Schwarz ◽

Friederike Magnet ◽

Bernd Schönhofer ◽

Wolfram Windisch

Keyword(s):

Mechanical Ventilation ◽

Scientific Evidence ◽

Underlying Disease ◽

Home Mechanical Ventilation ◽

Term Survival ◽

Number Of Patients ◽

Related Quality ◽

Außerklinische Beatmung ◽

Health Related

AbstractThe prognosis of patients receiving home mechanical ventilation is very heterogeneous and depends on the underlying disease, the degree of respiratory dependency and the comorbidities. Due to the severe chronic diseases, the initiation of a long-term NIV must be done during an inpatient treatment. Two recently published randomized controlled trials using more aggressive forms of NPPV targeted at normalizing hypercapnic PaCO2 values, showed improved long term survival also in patients with an underlying diagnosis of COPD. Consequently, the number of patients receiving home mechanical ventilation has dramatically increased in recent years and more and more outpatient settings has been established without scientific evidence. Nevertheless, beside reliable care structures, ethical aspects and health related quality of life are of great importance in the context of home mechanical ventilation.

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High oxygen concentrations predispose mouse lungsto the deleterious effects of high stretch ventilation

Journal of Applied Physiology ◽

10.1152/japplphysiol.00619.2002 ◽

2003 ◽

Vol 94 (3) ◽

pp. 975-982 ◽

Cited By ~ 46

Author(s):

Timothy C. Bailey ◽

Erica L. Martin ◽

Lin Zhao ◽

Ruud A. W. Veldhuizen

Keyword(s):

Mechanical Ventilation ◽

Acute Lung Injury ◽

Lung Function ◽

Lung Injury ◽

Inflammatory Cytokines ◽

Pulmonary Surfactant ◽

Ex Vivo ◽

Lung Stretch ◽

Isolated Lungs ◽

Mechanical Ventilation Group

Mechanical ventilation is a necessary intervention for patients with acute lung injury. However, mechanical ventilation can propagate acute lung injury and increase systemic inflammation. The exposure to >21% oxygen is often associated with mechanical ventilation yet has not been examined within the context of lung stretch. We hypothesized that mice exposed to >90% oxygen will be more susceptible to the deleterious effects of high stretch mechanical ventilation. C57B1/6 mice were randomized into 48-h exposure of 21 or >90% oxygen; mice were then killed, and isolated lungs were randomized into a nonstretch or an ex vivo, high-stretch mechanical ventilation group. Lungs were assessed for compliance and lavaged for surfactant analysis, and cytokine measurements or lungs were homogenized for surfactant-associated protein analysis. Mice exposed to >90% oxygen + stretch had significantly lower compliance, altered pulmonary surfactant, and increased inflammatory cytokines compared with all other groups. Our conclusion is that 48 h of >90% oxygen and high-stretch mechanical ventilation deleteriously affect lung function to a greater degree than stretch alone.

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