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Management of Ventilatory Insufficiency in Neuromuscular Patients Using Mechanical Ventilator Supported by the Korean Government.

Authors
 Seong-Woong Kang  ;  Won Ah Choi  ;  Han Eol Cho  ;  Jang Woo Lee  ;  Jung Hyun Park 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.31(6) : 976-982, 2016 
Journal Title
 JOURNAL OF KOREAN MEDICAL SCIENCE 
ISSN
 1011-8934 
Issue Date
2016
MeSH
Adult ; Aged ; Disease Management ; Female ; Home Care Services ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Neuromuscular Diseases/complications ; Neuromuscular Diseases/economics ; Neuromuscular Diseases/psychology* ; Republic of Korea ; Respiratory Insufficiency/complications ; Respiratory Insufficiency/prevention & control* ; Surveys and Questionnaires ; Ventilators, Mechanical
Keywords
Home Care ; Mechanical Ventilator ; Neuromuscular Disease ; Respiratory Insufficiency
Abstract
Since 2001, financial support has been provided for all patients with neuromuscular disease (NMD) who require ventilatory support due to the paralysis of respiratory muscles in Korea. The purpose of this study was to identify ventilator usage status and appropriateness in these patients. We included 992 subjects with rare and incurable NMD registered for ventilator rental fee support. From 21 February 2011 to 17 January 2013, ventilator usage information, regular follow-up observation, and symptoms of chronic hypoventilation were surveyed by phone. Home visits were conducted for patients judged by an expert medical team to require medical examination. Abnormal ventilatory status was assessed by respiratory evaluation. Chronic respiratory insufficiency symptoms were reported by 169 of 992 subjects (17%), while 565 subjects (57%) did not receive regular respiratory evaluation. Ventilatory status was abnormal in 102 of 343 home-visit subjects (29.7%). Although 556 subjects (56%) reported 24-hour ventilator use, only 458 (46%) had an oxygen saturation monitoring device, and 305 (31%) performed an airstacking exercise. A management system that integrates ventilator usage monitoring, counselling and advice, and home visits for patients who receive ventilator support could improve the efficiency of the ventilator support project.
Files in This Item:
T201602146.pdf Download
DOI
10.3346/jkms.2016.31.6.976
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seong Woong(강성웅) ORCID logo https://orcid.org/0000-0002-7279-3893
Park, Jung Hyun(박중현) ORCID logo https://orcid.org/0000-0003-3262-7476
Lee, Jang Woo(이장우)
Choi, Won Ah(최원아) ORCID logo https://orcid.org/0000-0003-0403-8869
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147136
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