Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshot

Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases was explored via the recently published international REINVENT ERS survey. The Italian subset of respondents (ITA-r), the highest above all participating nations, was analyzed and compared to non-Italian respondents (NO...

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Main Authors: Paola Pierucci, Claudia Crimi, Annalisa Carlucci, Lavinia Palma, Alberto Noto, Giovanna Elisiana Carpagnano, Raffaele Scala
Format: Article
Language:English
Published: PAGEPress Publications 2022-11-01
Series:Monaldi Archives for Chest Disease
Subjects:
Online Access:https://www.monaldi-archives.org/index.php/macd/article/view/2459
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author Paola Pierucci
Claudia Crimi
Annalisa Carlucci
Lavinia Palma
Alberto Noto
Giovanna Elisiana Carpagnano
Raffaele Scala
author_facet Paola Pierucci
Claudia Crimi
Annalisa Carlucci
Lavinia Palma
Alberto Noto
Giovanna Elisiana Carpagnano
Raffaele Scala
author_sort Paola Pierucci
collection DOAJ
description Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases was explored via the recently published international REINVENT ERS survey. The Italian subset of respondents (ITA-r), the highest above all participating nations, was analyzed and compared to non-Italian respondents (NO-ITA-r). The ITA-r represented 20% of the total answers examined. Ninety-four percent were physicians, whose half worked in a respiratory ICU (RICU). ITA-r mainly worked in community hospitals vs NO-ITA-r who are largely affiliated with university hospitals (p<0.0001). Amyotrophic lateral sclerosis (ALS) was considered the most common medical condition leading to NIV indication by both ITA-r and NO-ITA-r (93% vs 78%, p>0.5). A greater proportion of ITA-r considered MIP/MEP the most important test for NIV initiation as compared to NO-IRA-r (p<0.05). There was no significant difference for both ITA-r and NO-ITA-r as regards the other questions. This study illustrates Italian LTHNIV practices in patients with NMD and it shows some important differences with the other countries’ practices but agreement in terms of goals to achieve, reasons to initiate NIV, and practices among the two communities.
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spelling doaj.art-e4aff2d592214c1ca1292006c32953122022-12-22T03:46:38ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642022-11-0110.4081/monaldi.2022.2459Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshotPaola Pierucci0Claudia Crimi1Annalisa Carlucci2Lavinia Palma3Alberto Noto4Giovanna Elisiana Carpagnano5Raffaele Scala6Cardiothoracic Department, Respiratory and Critical Care Unit, Bari Policlinic University Hospital; Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, “Aldo Moro” University of Bari Department of Clinical and Experimental Medicine, University of CataniaDepartment of Medicine and Surgery, University of Insubria, Varese-Como; ICS Maugeri IRCCS, PaviaCardiothoracic Department, Respiratory and Critical Care Unit, Bari Policlinic University Hospital; Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, “Aldo Moro” University of Bari Department of Human Pathology of the Adult and Evolutive Age “Gaetano Barresi”, Division of Anesthesia and Intensive Care, University of Messina, Policlinico “G. Martino”, Messina; IPCF-CNR, Institute for Chemical and Physical Processes, National Research Council, Messina Cardiothoracic Department, Respiratory and Critical Care Unit, Bari Policlinic University Hospital; Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, “Aldo Moro” University of Bari Pulmonology and Respiratory Intensive Care Unit, S. Donato Hospital, ArezzoLong-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases was explored via the recently published international REINVENT ERS survey. The Italian subset of respondents (ITA-r), the highest above all participating nations, was analyzed and compared to non-Italian respondents (NO-ITA-r). The ITA-r represented 20% of the total answers examined. Ninety-four percent were physicians, whose half worked in a respiratory ICU (RICU). ITA-r mainly worked in community hospitals vs NO-ITA-r who are largely affiliated with university hospitals (p<0.0001). Amyotrophic lateral sclerosis (ALS) was considered the most common medical condition leading to NIV indication by both ITA-r and NO-ITA-r (93% vs 78%, p>0.5). A greater proportion of ITA-r considered MIP/MEP the most important test for NIV initiation as compared to NO-IRA-r (p<0.05). There was no significant difference for both ITA-r and NO-ITA-r as regards the other questions. This study illustrates Italian LTHNIV practices in patients with NMD and it shows some important differences with the other countries’ practices but agreement in terms of goals to achieve, reasons to initiate NIV, and practices among the two communities. https://www.monaldi-archives.org/index.php/macd/article/view/2459Noninvasive ventilationneuro-muscular disordersamyotrophic lateral sclerosisALSREINVENT
spellingShingle Paola Pierucci
Claudia Crimi
Annalisa Carlucci
Lavinia Palma
Alberto Noto
Giovanna Elisiana Carpagnano
Raffaele Scala
Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshot
Monaldi Archives for Chest Disease
Noninvasive ventilation
neuro-muscular disorders
amyotrophic lateral sclerosis
ALS
REINVENT
title Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshot
title_full Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshot
title_fullStr Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshot
title_full_unstemmed Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshot
title_short Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: The Italian snapshot
title_sort long term home noninvasive ventilation lthniv in restrictive thoracic diseases the italian snapshot
topic Noninvasive ventilation
neuro-muscular disorders
amyotrophic lateral sclerosis
ALS
REINVENT
url https://www.monaldi-archives.org/index.php/macd/article/view/2459
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