Home Mechanical Ventilation in South Korea

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MeSH: Adult ; Female ; Health Care Surveys ; Home Care Services/statistics & numerical data* ; Humans ; Male ; Middle Aged ; Muscular Dystrophies/therapy* ; Neuromuscular Diseases/therapy ; Republic of Korea ; Respiration, Artificial/statistics & numerical data* ; Retrospective Studies ; Ventilators, Mechanical/statistics & numerical data*

Keywords: Home mechanical ventilation ; neuromuscular disease ; noninvasive mechanical ventilation

Abstract: PURPOSE:
To survey the use of invasive and noninvasive home mechanical ventilation (HMV) methods in South Korea from the perspective of physical medicine and rehabilitation (PM&R).
MATERIALS AND METHODS:
For 413 users of HMV, retrospective reviews of PM&R interventions and survey of HMV methods employed from Mar 2000 to Dec 2009.
RESULTS:
Of the 413 users, the majority of whom with progressive neuromuscular disorders (NMDs) (n=358), 284 patients initially used noninvasive mechanical ventilation (NIV), while 63 others who were using tracheostomy mechanical ventilation switched to NIV as part of their rehabilitation. The NMD patients began HMV at an earlier age (34.9±20.3 yrs), and used for longer (14.7±7.5) hours than patients with non-neuromuscular causes of respiratory impairment.
CONCLUSION:
Noninvasive management was preferred over invasive ones, and transition to the former was a result of PM&R interventions.