REINVENT: ERS International survey on REstrictive thoracic diseases IN long term home noninvasive VENTilation
Open accessAbstract
Background and aim: Little is known about the current use of long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases, including chest wall disorders and neuromuscular disorders (NMD). This study aimed to capture the pattern of LTHNIV in patients with restrictive thoracic diseases via a web-based international survey. Methods: The survey involved European Respiratory Society (ERS) Assembly 2.02 (NIV-dedicated group), from October to December 2019. Results: 166 (22.2%) out of 748 members from 41 countries responded; 80% were physicians, of whom 43% worked in a respiratory intermediate intensive care unit. The ratio of NMD to chest wall disorders was 5:1, with amyotrophic lateral sclerosis the most frequent indication within NMD (78%). The main reason to initiate LTHNIV was diurnal hypercapnia (71%). Quality of life/sleep was the most important goal to achieve. In 25% of cases, clinicians based their choice of the ventilator on patients’ feedback. Among NIV modes, spontaneous-timed pressure support ventilation (ST-PSV) was the most frequently prescribed for day- and night-time. Mouthpieces were the preferred daytime NIV interface, whereas oro-nasal masks the first choice overnight. Heated humidification was frequently added to LTHNIV (72%). Single-limb circuits with intentional leaks (79%) were the most frequently prescribed. Follow-up was most often provided in an outpatient setting. Conclusions: This ERS survey illustrates physicians’ practices of LTHNIV in patients with restrictive thoracic diseases. NMD and, specifically, amyotrophic lateral sclerosis were the main indications for LTHNIV. NIV was started mostly because of diurnal hypoventilation with a primary goal of patient-centred benefits. Bi-level ST-PSV and oro-nasal masks were more likely to be chosen for providing NIV. LTHNIV efficacy was assessed mainly in an outpatient setting.
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Both continuous non-invasive ventilation support and invasive mechanical ventilation via tracheostomy allow patients to continue to live at home, with different impacts on quality of life.
“Both these forms of ventilation allow patients to continue to live at home with different impacts on Quality of Life (QoL) [3–6].”
From Life Experiences in Neuromuscular Tracheotomized Patients in Times of Covid-19 (2023) · cites this paper as [3]
The Introduction (page unavailable) discusses long-term home noninvasive ventilation, notes that home invasive ventilation via tracheostomy is an alternative, and associates the shift toward noninvasive ventilation with improved quality of life. It does not describe or compare the quality-of-life impacts of the two forms of ventilation, so that part of the claim is unsupported. (LLM, conf=0.84)
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- Authors
- Pierucci, P., Crimi, C., Carlucci, A., Carpagnano, G. E., Janssens, J.-P., Lujan, M., Noto, A., Wijkstra, P. J., Windisch, W., & Scala, R.
- Affiliations
- Azienda Universitaria Ospedaliera Consorziale - Policlinico Bari (IT)
- Azienda Ospedaliero Universitaria Policlinico "G.Rodolico - San Marco" (IT)
- University of Insubria (IT)
- University Hospital of Geneva (CH)
- University of Messina (IT)
- University Medical Center Groningen (NL)
- Witten/Herdecke University (DE)
- Ospedale San Donato (IT)
- Corresponding author
- Pierucci, Paola
- ORCID
- Venue
- ERJ Open Research
- Publisher
- European Respiratory Society (ERS)
- Published
- 2021-02-18
- Volume
- 7
- Issue
- 2
- Pages
- 00911-2020
- ISSN
- 2312-0541 (ISSN-L)
- PMC
- PMC8053911
- OpenAlex
- W3130173474
- Cited by
- 34
- References
- 42
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 13 · 2022: 6 · 2021: 3
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- ERJ Open Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by-nc)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion, other-oa)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- IrInSubria (University of Insubria) (submittedVersion, cc-by-nc)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by-nc)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Keywords
- neuromuscular disorders, amyotrophic lateral sclerosis, chest wall disorders, pressure support ventilation, mouthpiece, heated humidification, quality of life, sleep, clinical practice patterns
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