Study finds patients adhere to mechanical home ventilation for chronic obstructive pulmonary disease

Patients undergoing mechanical ventilation at home for chronic obstructive pulmonary disease (COPD) have been shown to be highly compliant with treatment, according to the results of a recent study published in International Journal of Chronic Obstructive Pulmonary Disease.
Data on clinical characteristics, fit, and ventilation parameters were collected from COPD patients receiving mechanical ventilation at home in a cross-sectional, multicenter, real-life study. Ventilation parameters and daily usage information were recorded by the ventilators’ built-in software, and lung function test data was obtained from clinical records for the previous 12 months.
Of the 569 study participants with mechanically ventilated home COPD, the majority were men (71.5%) and the median age was 72 years. There was a high prevalence of obesity (43.2%) and sleep apnea (45.8%) among this population. In total, 48.7% of patients reported a high rate of treatment adherence, with a median of 8 h / d of use. Most (91.7%) of the patients used oronasal masks.
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The study authors state: “Consistent with the most recent studies and recommendations, there appears to be a move towards higher ventilation pressures, increased use of oronasal masks and an intention to achieve normocapnia” in patients with COPD on mechanical ventilation at home.
Disclosure: Several study authors have declared affiliations with the industry. Please see the original reference for a full list of author disclosures.
Reference
Ribeiro C, Vieira AL, Pamplona P, et al. Current practices in home mechanical ventilation for chronic obstructive pulmonary disease: a real-life cross-sectional multicenter study. Int J Chron Obstruct Pulmon Dis. 2021; 16: 2217-2226. doi: 10.2147 / COPD.S314826