Approach of pulmonologists in Turkey to noninvasive mechanical ventilation use at home for chronic respiratory failure

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dc.contributor.authorUğurlu, Aylin Özsancak
dc.contributor.authorTakır, Huriye Berk
dc.contributor.authorErgan, Begüm
dc.contributor.authorİn, Erdal
dc.contributor.authorÖzyılmaz, Ezgi
dc.contributor.authorEdipoğlu, Özlem Ertan
dc.contributor.authorKarakurt, Zuhal
dc.date.accessioned2020-04-30T22:39:36Z
dc.date.available2020-04-30T22:39:36Z
dc.date.issued2016
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionSolmaz, Esra/0000-0002-7051-5662; Ergan, Begum/0000-0003-2920-9214; Ergun, Recai/0000-0002-6702-9188en_US
dc.descriptionWOS: 000386262800001en_US
dc.descriptionPubMed: 27266279en_US
dc.description.abstractIntroduction: To define approach of pulmonologists in Turkey to noninvasive mechanical ventilation ( NIV) use for chronic respiratory failure ( CRF), the most currently applied technique for home mechanical ventilation. Patients and Methods: A 38-question survey, developed and tested by the authors, was distributed throughout Turkey to 2205 pulmonologists by e-mail. Results: Twenty-seven percent of the pulmonologists responded ( n= 596). Domiciliary NIV was reported to be prescribed by 340 physicians [ 57.1% of all responders and 81% of pulmonologists practicing NIV at clinical practice ( n= 420)]. NIV prescription was associated with physician's title, type of hospital, duration of medical license, total number of patients treated with NIV during residency and current number of patients treated with NIV per week ( p< 0.05). Main estimated indications were listed as chronic obstructive pulmonary disease ( median, 25-75 percentile of the prescriptions: 75%, 60-85), obesity hypoventilation syndrome ( 10%, 2-15), overlap syndrome ( 10%, 0-20) and restrictive lung disease ( 5%, 2-10). For utilization of NIV at home, Bilevel positive airway pressure-spontaneous mode ( 40%, 0-80) and oronasal mask ( 90%, 60-100) were stated as the most frequently recommended mode and interface, respectively. Pressure settings were most often titrated based on arterial blood gas findings ( 79.2%). Humidifier was stated not to be prescribed by approximately half of the physicians recommending domicilliary NIV, and the main reason for this ( 59.2%) was being un-refundable by social security foundation. Conclusion: There is a wide variation in Turkey for prescription of NIV, which is supposed to improve clinical course of patients with CRF. Further studies are required to determine the possible causes of these differences, frequency of use and patient outcomes in this setting.en_US
dc.identifier.doi10.5578/tt.8651en_US
dc.identifier.endpage8en_US
dc.identifier.issn0494-1373
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.5578/tt.8651
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2773
dc.identifier.volume64en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Tuberculosis & Thoraxen_US
dc.relation.ispartofTuberkuloz Ve Torak-Tuberculosis And Thoraxen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectNoninvasive ventilationen_US
dc.subjectchronic respiratory failureen_US
dc.subjectsurveyen_US
dc.subjectchronic obstructive pulmonary diseaseen_US
dc.titleApproach of pulmonologists in Turkey to noninvasive mechanical ventilation use at home for chronic respiratory failureen_US
dc.typeArticleen_US

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