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

DC Field Value Language
dc.contributor.author강성웅-
dc.contributor.author최원아-
dc.contributor.author박중현-
dc.contributor.author이장우-
dc.contributor.author조한얼-
dc.date.accessioned2017-02-27T08:16:16Z-
dc.date.available2017-02-27T08:16:16Z-
dc.date.issued2016-
dc.identifier.issn1011-8934-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/147136-
dc.description.abstractSince 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.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisher대한의학회(The Korean Academy of Medical Sciences)-
dc.relation.isPartOfJOURNAL OF KOREAN MEDICAL SCIENCE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHDisease Management-
dc.subject.MESHFemale-
dc.subject.MESHHome Care Services-
dc.subject.MESHHumans-
dc.subject.MESHInterviews as Topic-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeuromuscular Diseases/complications-
dc.subject.MESHNeuromuscular Diseases/economics-
dc.subject.MESHNeuromuscular Diseases/psychology*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRespiratory Insufficiency/complications-
dc.subject.MESHRespiratory Insufficiency/prevention & control*-
dc.subject.MESHSurveys and Questionnaires-
dc.subject.MESHVentilators, Mechanical-
dc.titleManagement of Ventilatory Insufficiency in Neuromuscular Patients Using Mechanical Ventilator Supported by the Korean Government.-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Rehabilitation Medicine-
dc.contributor.googleauthorSeong-Woong Kang-
dc.contributor.googleauthorWon Ah Choi-
dc.contributor.googleauthorHan Eol Cho-
dc.contributor.googleauthorJang Woo Lee-
dc.contributor.googleauthorJung Hyun Park-
dc.identifier.doi10.3346/jkms.2016.31.6.976-
dc.contributor.localIdA00041-
dc.contributor.localIdA04125-
dc.contributor.localIdA01682-
dc.contributor.localIdA03067-
dc.relation.journalcodeJ01517-
dc.identifier.eissn1598-6357-
dc.identifier.pmid27247509-
dc.subject.keywordHome Care-
dc.subject.keywordMechanical Ventilator-
dc.subject.keywordNeuromuscular Disease-
dc.subject.keywordRespiratory Insufficiency-
dc.contributor.alternativeNameKang, Seong Woong-
dc.contributor.alternativeNameChoi, Won Ah-
dc.contributor.alternativeNamePark, Jung Hyun-
dc.contributor.alternativeNameLee, Jang Woo-
dc.contributor.affiliatedAuthorKang, Seong Woong-
dc.contributor.affiliatedAuthorChoi, Won Ah-
dc.contributor.affiliatedAuthorPark, Jung Hyun-
dc.contributor.affiliatedAuthorLee, Jang Woo-
dc.citation.volume31-
dc.citation.number6-
dc.citation.startPage976-
dc.citation.endPage982-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN MEDICAL SCIENCE, Vol.31(6) : 976-982, 2016-
dc.date.modified2017-02-24-
dc.identifier.rimsid47167-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers

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