Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17174
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHannan, Liam M-
dc.contributor.authorSahi, Hamna-
dc.contributor.authorRoad, Jeremy D-
dc.contributor.authorMcDonald, Christine F-
dc.contributor.authorBerlowitz, David J-
dc.contributor.authorHoward, Mark E-
dc.date.accessioned2018-02-22T01:10:02Z-
dc.date.available2018-02-22T01:10:02Z-
dc.date.issued2016-06-
dc.identifier.citationAnnals of the American Thoracic Society 2016; 13(6): 894-903-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17174-
dc.description.abstractComparisons of home mechanical ventilation services have demonstrated considerable regional variation in patient populations managed with this therapy. The respiratory care practices used to support individuals receiving assisted ventilation also appear to vary, but they are not well described. It is uncertain whether differences in the approach to care could influence health outcomes for individuals receiving assisted ventilation. We sought to identify and describe the respiratory care practices of home ventilation providers in two different regions and determine whether care practice differences influence health-related quality of life. We conducted a cross-national survey of individuals receiving assisted ventilation managed by two statewide home mechanical ventilation providers, one in Victoria, Australia, and the other in British Columbia, Canada. The survey was used to evaluate care practices, functional and physical measures, socioeconomic attributes, and health-related quality of life. Overall, 495 individuals receiving assisted ventilation (57.2%) responded to the survey. Responders had clinical attributes similar to those of nonresponders. The Canadian population had a greater proportion of individuals with neuromuscular disorders and lesser percentages with obesity hypoventilation syndrome and chronic obstructive pulmonary disease. We also found marked differences in the reported care practices in Canada that were not fully explained by population differences. Subjects in the Canadian sample were more likely than their Australian counterparts to use invasive mechanical ventilation (24.2% vs. 2.5%; P < 0.001), to use routine airway clearance techniques (28.9% vs. 14.8%; P < 0.001), and to have had home implementation of noninvasive ventilation (39.9% vs. 3.6%; P < 0.001). Subjects in the Australian population were more likely than those in Canada to have undergone polysomnography to evaluate their ventilatory support (93.9% vs. 37.4%; P < 0.001). There was no difference in summary measures of health-related quality of life between the two sites. In a multivariable regression model, age, ability to perform activities of daily living, physical function, employment, and household income were all independently associated with health-related quality of life, but neither geographic location (Canada vs. Australia) nor underlying diagnosis were significant factors in the model. In two cohorts of individuals receiving assisted ventilation, one in Australia and the other in Canada, we found marked differences in both the care practices employed and the populations served. Despite these regional differences, measures of health-related quality of life were not different. Further research is required to examine costly or burdensome interventions that are currently used routinely in the management of individuals receiving assisted ventilation.-
dc.language.isoeng-
dc.subjectnoninvasive ventilation-
dc.subjectquality of life-
dc.subjectrespiratory insufficiency-
dc.titleCare Practices and Health-related Quality of Life for Individuals Receiving Assisted Ventilation. A Cross-National Study.-
dc.typeJournal Article-
dc.identifier.journaltitleAnnals of the American Thoracic Society-
dc.identifier.affiliationInstitute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationDepartment of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationVictorian Respiratory Support Service, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationFaculty of Medicine, Dentistry and Health Science, University of Melbourne, Melbourne, Australia-
dc.identifier.affiliationDivision of Respiratory Medicine, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada-
dc.identifier.affiliationProvincial Respiratory Outreach Program, Vancouver, British Columbia, Canada-
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27295155-
dc.identifier.doi10.1513/AnnalsATS.201509-590OC-
dc.identifier.orcid0000-0001-6517-6507-
dc.identifier.orcid0000-0003-2543-8722-
dc.identifier.pubmedid27295155-
dc.type.austinComparative Study-
dc.type.austinJournal Article-
dc.type.austinMulticenter Study-
local.name.researcherBerlowitz, David J
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptRespiratory and Sleep Medicine-
crisitem.author.deptPhysiotherapy-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
crisitem.author.deptInstitute for Breathing and Sleep-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

26
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.