Title :

Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study

Author(s) :

Fauroux, B. [Auteur]
Khirani, S. [Auteur]
Amaddeo, A. [Auteur]
Massenavette, B. [Auteur]
Bierme, P. [Auteur]
Taytard, J. [Auteur]
Stremler, N. [Auteur]
Baravalle-Einaudi, M. [Auteur]
Mazenq, J. [Auteur]
Ioan, I. [Auteur]
Schweitzer, C. [Auteur]
Lampin, M. E. [Auteur]
Binoche, A. [Auteur]
Mordacq, Clemence [Auteur]
Centre d’Infection et d’Immunité de Lille - INSERM U 1019 - UMR 9017 - UMR 8204 [CIIL]
Bergounioux, J. [Auteur]
Mbieleu, B. [Auteur]
Rubinsztajn, R. [Auteur]
Sigur, E. [Auteur]
Labouret, G. [Auteur]
Genevois, A. [Auteur]
Becourt, A. [Auteur]
Hullo, E. [Auteur]
Pin, I. [Auteur]
Debelleix, S. [Auteur]
Galodé, F. [Auteur]
Bui, S. [Auteur]
Moreau, J. [Auteur]
Renoux, M. C. [Auteur]
Matecki, S. [Auteur]
Lavadera, M. L. [Auteur]
Heyman, R. [Auteur]
Pomedio, M. [Auteur]
Le Clainche, L. [Auteur]
Bokov, P. [Auteur]
Masson, A. [Auteur]
Hangard, P. [Auteur]
Menetrey, C. [Auteur]
Jokic, M. [Auteur]
Gachelin, E. [Auteur]
Perisson, C. [Auteur]
Pervillé, A. [Auteur]
Fina, A. [Auteur]
Giovannini-Chami, L. [Auteur]
Fleurence, E. [Auteur]
Barzic, A. [Auteur]
Breining, A. [Auteur]
Ollivier, M. [Auteur]
Labbé, G. [Auteur]
Coutier, L. [Auteur]
Aubertin, G. [Auteur]

Journal title :

Respiratory Medicine

Abbreviated title :

Respir Med

Volume number :

181

Pages :

106388

Publication date :

2021-05

ISSN :

1532-3064

English keyword(s) :

Obstructive sleep apnea
Sleep-disordered breathing
Home care
Noninvasive ventilation
Continuous positive airway pressure

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Objective To describe the characteristics of children treated with long term continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in France. Design Cross-sectional national survey. Setting Paediatric ...
Show more >Objective To describe the characteristics of children treated with long term continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in France. Design Cross-sectional national survey. Setting Paediatric CPAP/NIV teams of 28 tertiary university hospitals in France. Patients Children aged <20 years treated with CPAP/NIV since at least 3 months on June 1st, 2019. Intervention An anonymous questionnaire was filled in for every patient. Results The data of 1447 patients (60% boys), mean age 9.8 ± 5.8 years were analysed. The most frequent underlying disorders were: upper airway obstruction (46%), neuromuscular disease (28%), disorder of the central nervous system (13%), cardiorespiratory disorder (7%), and congenital bone disease (4%). Forty-five percent of the patients were treated with CPAP and 55% with NIV. Treatment was initiated electively for 92% of children, while 8% started during an acute illness. A poly(somno)graphy (P(S)G) was performed prior to treatment initiation in 26%, 36% had a P(S)G with transcutaneous carbon dioxide monitoring (PtcCO2), while 23% had only a pulse oximetry (SpO2) with PtcCO2 recording. The decision of CPAP/NIV initiation during an elective setting was based on the apnea-hypopnea index (AHI) in 41% of patients, SpO2 and PtcCO2 in 25% of patients, and AHI with PtcCO2 in 25% of patients. Objective adherence was excellent with a mean use of 7.6 ± 3.2 h/night. Duration of CPAP/NIV was 2.7 ± 2.9 years at the time of the survey. Conclusion This survey shows the large number of children treated with long term CPAP/NIV in France with numerous children having disorders other than neuromuscular diseases.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• Centre d'Infection et d'Immunité de Lille (CIIL) - U1019 - UMR 9017
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T06:53:59Z
2024-02-20T14:27:49Z
2024-02-27T15:42:56Z