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Effects of home ventilation on survival: Comparison in obstructive and restrictive diseases

Lamia Ouanes-Besbes, Saoussen BenAbdallah, Islem Ouanes, Fahmi Dachraoui, Fekri Abroug
European Respiratory Journal 2013 42: P2476; DOI:
Lamia Ouanes-Besbes
1ICU, CHU F.Bourguiba, Monastir, Tunisia
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Saoussen BenAbdallah
1ICU, CHU F.Bourguiba, Monastir, Tunisia
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Islem Ouanes
1ICU, CHU F.Bourguiba, Monastir, Tunisia
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Fahmi Dachraoui
1ICU, CHU F.Bourguiba, Monastir, Tunisia
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Fekri Abroug
1ICU, CHU F.Bourguiba, Monastir, Tunisia
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Abstract

Home ventilation proved effective in prolonging life in patients suffering from restrictive respiratory disease. It has recently been proposed in obstructive disease especially in patients with frequent exacerbations. We report in this study our experience with home ventilation emphasizing its impact on survival in obstructive compared to restrictive patients.

Patients and methods: Starting from 2005, 82 patients (50% males, mean age: 62±15 years) were prescribed home ventilation via facial/nasal mask and included in the present analysis. A survival analysis with LogRank test was made after a mean follow-up of 29±16 months.

Results: 48 patients had obstructive disease either isolated (n=20), or associated with obstructive sleep apnea (Overlap syndrome, n=28). The remaining 34 had restrictive pulmonary disease (mainly myopathy). At time of censoring, 70 patients were still alive. There was no statistical difference in cumulated survival between obstructive and restrictive patients (LogRank= 0.3).

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CONCLUSION: Our study shows similar survival patterns with home ventilation in obstructive and restrictive respiratory failure. The impact on quality of life should be compared too.

  • Rehabilitation
  • Ventilation/NIV
  • COPD - management
  • © 2013 ERS
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Effects of home ventilation on survival: Comparison in obstructive and restrictive diseases
Lamia Ouanes-Besbes, Saoussen BenAbdallah, Islem Ouanes, Fahmi Dachraoui, Fekri Abroug
European Respiratory Journal Sep 2013, 42 (Suppl 57) P2476;

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Effects of home ventilation on survival: Comparison in obstructive and restrictive diseases
Lamia Ouanes-Besbes, Saoussen BenAbdallah, Islem Ouanes, Fahmi Dachraoui, Fekri Abroug
European Respiratory Journal Sep 2013, 42 (Suppl 57) P2476;
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