Academic Journal
Approach of pulmonologists in Turkey to noninvasive mechanical ventilation use at home for chronic respiratory failure
| العنوان: | Approach of pulmonologists in Turkey to noninvasive mechanical ventilation use at home for chronic respiratory failure |
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| المؤلفون: | Özsancak Uğurlu, Aylın, Berk Takir, Huriye, Ergan, Begüm, İn, Erdal, Özyılmaz, Ezgi, Ertan Edipoğlu, Özlem, Acartürk, Eylem, Güleç Balbay, Ege, Görek Dilektaşlı, Aslı, Kıvanç, Tülay, Korkmaz Ekren, Pervin, Sarınç Ulaslı, Sevinç, Doğrul, Ilgaz, Yılmazel Uçar, Elif, Olgun, Şehnaz, Devran, Ozkan, Ergün, Recai, Karakurt, Zuhal |
| المساهمون: | Tıp Fakültesi, Göğüs Hastalıkları Ana Bilim Dalı, GÖREK DİLEKTAŞLI, ASLI, JHW-9355-2023 |
| بيانات النشر: | Türk Tüberküloz ve Toraks |
| سنة النشر: | 2016 |
| المجموعة: | Açık Erişim@BUU (Bursa Uludağ Üniversitesi) |
| مصطلحات موضوعية: | Therapy, Noninvasive ventilation, Chronic respiratory failure, Survey, Chronic obstructive pulmonary disease, Science & technology, Life sciences & biomedicine, Respiratory system |
| الوصف: | Introduction: To define approach of pulmonologists in Turkey to noninvasive mechanical ventilation ( NIV) use for chronic respiratory failure ( CRF), the most currently applied technique for home mechanical ventilation.Patients and Methods: A 38-question survey, developed and tested by the authors, was distributed throughout Turkey to 2205 pulmonologists by e-mail.Results: Twenty-seven percent of the pulmonologists responded ( n= 596). Domiciliary NIV was reported to be prescribed by 340 physicians [ 57.1% of all responders and 81% of pulmonologists practicing NIV at clinical practice ( n= 420)]. NIV prescription was associated with physician's title, type of hospital, duration of medical license, total number of patients treated with NIV during residency and current number of patients treated with NIV per week ( p< 0.05). Main estimated indications were listed as chronic obstructive pulmonary disease ( median, 25-75 percentile of the prescriptions: 75%, 60-85), obesity hypoventilation syndrome ( 10%, 2-15), overlap syndrome ( 10%, 0-20) and restrictive lung disease ( 5%, 2-10). For utilization of NIV at home, Bilevel positive airway pressure-spontaneous mode ( 40%, 0-80) and oronasal mask ( 90%, 60-100) were stated as the most frequently recommended mode and interface, respectively. Pressure settings were most often titrated based on arterial blood gas findings ( 79.2%). Humidifier was stated not to be prescribed by approximately half of the physicians recommending domicilliary NIV, and the main reason for this ( 59.2%) was being un-refundable by social security foundation.Conclusion: There is a wide variation in Turkey for prescription of NIV, which is supposed to improve clinical course of patients with CRF. Further studies are required to determine the possible causes of these differences, frequency of use and patient outcomes in this setting. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | Makale - Uluslararası Hakemli Dergi; Tuberkuloz ve Torak-Tuberculosis and Thorax; https://doi.org/10.5578/tt.8651; https://www.tuberktoraks.org/linkout.aspx; https://hdl.handle.net/11452/47941; 000386262800001; 64 |
| DOI: | 10.5578/tt.8651 |
| الاتاحة: | https://hdl.handle.net/11452/47941 https://doi.org/10.5578/tt.8651 https://www.tuberktoraks.org/linkout.aspx |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.C8DA8110 |
| قاعدة البيانات: | BASE |
| DOI: | 10.5578/tt.8651 |
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