At-home non-invasive ventilatory assistance for children: Initial impact of a national program in Chile asistencia ventilatoria no invasiva domiciliaria en niños: Impacto inicial de un programa nacional en Chile
Author
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Francisco Prado, A.
Author
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Pamela Salinas, F.
Admission date
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2019-03-11T13:02:28Z
Available date
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2019-03-11T13:02:28Z
Publication date
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2011
Cita de ítem
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Revista Chilena de Pediatria, Volumen 82, Issue 4, 2018, Pages 289-299
Identifier
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03704106
Identifier
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07176228
Identifier
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10.4067/S0370-41062011000400003
Identifier
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https://repositorio.uchile.cl/handle/2250/165369
Abstract
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Prolonged mechanical ventilation may be provided to children with chronic ventilatory failure as non-invasive ventilatory assistance at home (NIVA). Objective: To describe clinical characteristics, evolution outcomes and Health Related Quality of Life (HRQOL) of pediatric patients admitted into the Chilean NIVA program. Patients and Methods: Medical files of patients included in the program, were reviewed during a period of 24 months (2006-2008), using follow-up protocols. Results: There were a total of 177 children, with an average age of 9.7 ± 4.7 years. Fourteen patients died of non-related causes. Diagnoses were: neuromuscular disease (NMD) 64%, myelomeningocele 6%, obstructive sleep apnea syndrome 6%, lung disease 20% and miscellaneous 4%. Compared to the previous year, hospitalization decreased from 60 to 21% (p < 0.00001) and from 1.3 hospitalizations/patient/year to 0.3 (p < 0.00001). HRQOL improved significantly, AUQUEI 17.2 ± 5.6 (p < 0.05), IRS 26.4 ± 8.2 points (p < 0.05) i
At-home non-invasive ventilatory assistance for children: Initial impact of a national program in Chile asistencia ventilatoria no invasiva domiciliaria en niños: Impacto inicial de un programa nacional en Chile