Home-Based Care Evolution in Chronic Respiratory Failure between 2001 and 2015 (Antadir Federation Observatory)

Respiration; International Review of Thoracic Diseases
Boris MelloniJean-François Muir

Abstract

The aetiologies of chronic respiratory failure (CRF) are moving in many western countries. Obesity-Hypoventilation syndrome (OHS) has become one of the most common indications of non-invasive ventilation (NIV) with Chronic Obstructive Pulmonary Diseases (COPD). Long-Term Oxygen Therapy (LTOT) technology is the treatment plan for CRF patients in the new era. This study aimed to assess home-based care evolution in CRF patients on LTOT (LTOT) and/or NIV from the ANTADIR observatory. A computerized database from 14 regional facilities was analysed (30% of French home-treated patients). Patient age, sex, aetiology, home respiratory devices were recorded between 2001 and 2015. By the end of 2015, 12,147 CRF patients received LTOT (40%), NIV (24%), LTOT + NIV (23%), continuous positive airway pressure (CPAP; 11%) or LTOT + CPAP (3%). Between 2001 and 2015, we observed a decrease of LTOT (63-40%) in the benefit of NVI ± LTOT (25-47%). Regarding the aetiology, we note a slight decrease in obstructive disease and a significant increase in restrictive disease, mainly due to OHS. The 10-year survival was better on NIV ± LTOT than on LTOT, for overall patients and for both obstructive and restrictive patients. The 10-year survival was bette...Continue Reading

Citations

Aug 2, 2019·American Journal of Respiratory and Critical Care Medicine·Babak MokhlesiMihaela Teodorescu
Dec 7, 2018·Respirology : Official Journal of the Asian Pacific Society of Respirology·Amanda Piper, Chung-Ming Chu
Sep 15, 2020·Journal of Cardiopulmonary Rehabilitation and Prevention·Apurwa KarkiAlan M Fein
Jul 28, 2021·Respirology : Official Journal of the Asian Pacific Society of Respirology·Grégoire JollyMaxime Patout

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