Hwan Il Kim1, Jae Hwa Cho2, So Young Park3, Young Seok Lee4, Youjin Chang5, Won-Il Choi6, Yun Su Sim7, Jae Young Moon3, Kwangha Lee8, Ki-Suck Jung1, Sunghoon Park9. 1. Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, South Korea. 2. Department of Pulmonary and Critical Care Medicine, Gangnam Severance Hospital, Seoul, South Korea. 3. Department of Pulmonary and Critical Care Medicine, Chungnam National University Hospital, Daejeon, South Korea. 4. Department of Pulmonary and Critical Care Medicine, Korea University Guro Hospital, Seoul, South Korea. 5. Department of Pulmonary and Critical Care Medicine, Inje University Paik Hospital, Seoul, South Korea. 6. Department of Pulmonary and Critical Care Medicine, Kyeimyung University Dongsan Hospital, Daegu, South Korea. 7. Department of Pulmonary, Allergy and Critical Care Medicine, Kangnam Sacred Heart Hospital, Seoul, South Korea. 8. Department of Pulmonary and Critical Care Medicine, Pusan National University Hospital, Busan, South Korea. 9. Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, South Korea. f2000tj@gmail.com.
Abstract
BACKGROUND: In Asian countries, nationwide data on patients undergoing home mechanical ventilation are limited. METHODS: This study investigated the prevalence and primary indications for home mechanical ventilation use in South Korea by using nationwide registry data from the National Health Insurance Service. RESULTS: The study period included a total of 4,785 subjects on home mechanical ventilation (mean ± SD age, 56.0 ± 23.9 y; females, 40.1%). The estimated overall prevalence of home mechanical ventilation use in South Korea was 9.3 per 100,000, with a prevalence of 6.3 per 100,000 among children (ages < 15 y). The most common primary diagnoses were neuromuscular diseases (42.0%) and lung and/or airway diseases (27.7%). The prevalence of lung and/or airway and cerebrovascular diseases as the primary diagnosis increased with age (r = 0.310, P < .001; and r = 0.156, P < .001, respectively). Noninvasive ventilation was used by 37.2% of all the subjects, with the highest prevalence in those with neuromuscular diseases (54.4%) or chest wall diseases (53.4%). Noninvasive ventilation use was lowest among subjects with brain lesions. Home mechanical ventilation was most commonly prescribed by internists (41.3% of cases), followed by rehabilitation and neurology physicians. CONCLUSIONS: These data will aid in planning the optimal health-care system for users of home mechanical ventilation locally and will allow for comparison of home mechanical ventilation use rates among countries.
BACKGROUND: In Asian countries, nationwide data on patients undergoing home mechanical ventilation are limited. METHODS: This study investigated the prevalence and primary indications for home mechanical ventilation use in South Korea by using nationwide registry data from the National Health Insurance Service. RESULTS: The study period included a total of 4,785 subjects on home mechanical ventilation (mean ± SD age, 56.0 ± 23.9 y; females, 40.1%). The estimated overall prevalence of home mechanical ventilation use in South Korea was 9.3 per 100,000, with a prevalence of 6.3 per 100,000 among children (ages < 15 y). The most common primary diagnoses were neuromuscular diseases (42.0%) and lung and/or airway diseases (27.7%). The prevalence of lung and/or airway and cerebrovascular diseases as the primary diagnosis increased with age (r = 0.310, P < .001; and r = 0.156, P < .001, respectively). Noninvasive ventilation was used by 37.2% of all the subjects, with the highest prevalence in those with neuromuscular diseases (54.4%) or chest wall diseases (53.4%). Noninvasive ventilation use was lowest among subjects with brain lesions. Home mechanical ventilation was most commonly prescribed by internists (41.3% of cases), followed by rehabilitation and neurology physicians. CONCLUSIONS: These data will aid in planning the optimal health-care system for users of home mechanical ventilation locally and will allow for comparison of home mechanical ventilation use rates among countries.
Authors: Kyunghyun Song; Sei-Won Kim; Yun Su Sim; Tai Sun Park; Young Seok Lee; Jick Hwan Ha; Ji Young Park; Ki-Suck Jung; Sunghoon Park Journal: J Thorac Dis Date: 2021-07 Impact factor: 2.895
Authors: Mireu Park; Haerin Jang; In Suk Sol; Soo Yeon Kim; Young Suh Kim; Yoon Hee Kim; Myung Hyun Sohn; Kyung Won Kim Journal: J Korean Med Sci Date: 2019-11-04 Impact factor: 2.153