Mechanical ventilation in chronic respiratory insufficiency: Report on an Italian nationwide survey

M. Gasperini, E. Clini, S. Zaccaria

Research output: Contribution to journalArticlepeer-review

Abstract

Respiratory home care is an important aspect of rehabilitation programmes designed for patients needing long-term mechanical ventilation. Many differences have emerged between countries in the long-term care of these patients, depending on the different ways of supplying material, managing patients and providing equipment. The results of analysis of the data obtained in a preliminary survey carried out in 1995-1996 among 115 Italian centres operating in the field of home mechanical ventilation are presented. A questionnaire (all closed-circuit items) consisting of two sections (the first epidemiological, and the second methodological and economic) was sent to all centres. Fifty-seven out of 115 (50%) centres responded to the questionnaire, with a prevalence of responses from the north of Italy (37 centres). The responding centres had been working in this field for a mean period of 6 ± 3 yrs, and a total of 1842 patients were surveyed. The analysis focuses on the prevalence of treated diseases, methods of mechanical ventilation, regulation of prescription, evaluations carried out during follow-up, supply of equipment, costs and reimbursement, and relations with volunteer associations. A more thorough approach to all the problems emerging from this Italian survey regarding candidates for home mechanical ventilation is warranted. A more detailed comparative analysis of indications, management and costs vis-a-vis other countries should contribute towards achieving maximum uniformity of standards throughout Europe.

Original languageEnglish
Pages (from-to)394-399
Number of pages6
JournalMonaldi Archives for Chest Disease - Cardiac Series
Volume53
Issue number4
Publication statusPublished - 1998

Keywords

  • Chronic respiratory insufficiency
  • Home mechanical ventilation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

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