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Treatment of chronic respiratory failure in kyphoscoliosis: oxygen or ventilation?

B. Buyse, W. Meersseman, M. Demedts
European Respiratory Journal 2003 22: 525-528; DOI: 10.1183/09031936.03.00076103
B. Buyse
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W. Meersseman
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M. Demedts
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    Fig. 1.—

    Survival curves of kyphoscoliotic patients treated with long-term oxygen therapy at home (LTO) or LTO and nocturnal nasal intermittent positive pressure ventilation at home (nNIPPV). ♦: LTO group; ▴: nNIPPV group.

  • Fig. 2.—
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    Fig. 2.—

    Correlation between the increase in vital capacity (VC) and the increase in maximal inspiratory mouth pressure (MIP) in patients on nocturnal nasal intermittent positive pressure ventilation and long-term oxygen therapy at home. #: (value before treatment–value after treatment)/value before treatment.

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  • Table 1—

    Pulmonary function and daytime blood gases (breathing air) prior to treatment (baseline) and when on treatment during at least 6 months (end)

    LTO group#nNIPPV group¶Difference between LTO and nNIPPV group p‐values
    BaselineEndΔ§BaselineEndΔ§BaselineEndΔ§
    nmean±sdnmean±sdnmean±sdnmean±sdnmean±sdnmean±sd
    Age yrs1562±71861±7ns
    Height cm15153±1418145±11ns
    FEV1/VC1578±181882±12ns
    PO2 on air mmHg1550±711+56±911+13±131844±81866±101854±34<0.050.010.001
    PCO2 on air mmHg1555±711+52±511+0±61860±81847±818−21±11NS0.010.0001
    VC % pred1540±169+46±169+6±231832±121844±101847±44NSNS<0.01
    VC mL15970±3879+1064±4529+4±2418645±24418830±2921851±53<0.01NS<0.01
    MIP % predNA1244±131257±171233±30
    MIP kPaNA123.7±1.1124.8±1.21234±31
    • LTO: long-term oxygen therapy at home

    • nNIPPV: nocturnal nasal intermittent positive pressure ventilation at home

    • FEV1: forced expiratory volume in one second

    • VC: vital capacity

    • PO2: partial pressure of oxygen

    • PCO2: partial pressure of carbon dioxide

    • MIP: maximal inspiratory muscle force

    • NA: not available

    • ns: nonsignificant

    • #: LTO group (10 males and five females)

    • ¶: nNIPPV group (14 males and four females)

    • +: four patients died before re-evaluation was possible and in two remaining patients a spirometric measurement was not possible

    • §: (value before treatment–value after start of treatment)/value before treatment

    • Conversion factor mmHg to kPa×0.133

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Treatment of chronic respiratory failure in kyphoscoliosis: oxygen or ventilation?
B. Buyse, W. Meersseman, M. Demedts
European Respiratory Journal Sep 2003, 22 (3) 525-528; DOI: 10.1183/09031936.03.00076103

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Treatment of chronic respiratory failure in kyphoscoliosis: oxygen or ventilation?
B. Buyse, W. Meersseman, M. Demedts
European Respiratory Journal Sep 2003, 22 (3) 525-528; DOI: 10.1183/09031936.03.00076103
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