[Obesity hypoventilation syndrome and initial compliance with non-invasive ventilation].

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  • Author(s): Payen F;Payen F; Greil A; Greil A; Caillaud D; Caillaud D
  • Source:
    Revue des maladies respiratoires [Rev Mal Respir] 2020 Dec; Vol. 37 (10), pp. 783-789. Date of Electronic Publication: 2020 Oct 15.
  • Publication Type:
    Journal Article; Observational Study
  • Language:
    French
  • Additional Information
    • Transliterated Title:
      Syndrome obésité hypoventilation et observance initiale de la ventilation non invasive.
    • Source:
      Publisher: Elsevier-Masson Country of Publication: France NLM ID: 8408032 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1776-2588 (Electronic) Linking ISSN: 07618425 NLM ISO Abbreviation: Rev Mal Respir Subsets: MEDLINE
    • Publication Information:
      Publication: <2009- > : Issy-les-Moulineaux Cedex, France : Elsevier-Masson
      Original Publication: Paris ; New York : Masson, c1984-
    • Subject Terms:
      Noninvasive Ventilation*/psychology ; Noninvasive Ventilation*/statistics & numerical data; Obesity Hypoventilation Syndrome/*epidemiology ; Obesity Hypoventilation Syndrome/*therapy ; Patient Compliance/*statistics & numerical data; Adult ; Aged ; Aged, 80 and over ; Comorbidity ; Female ; France/epidemiology ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Socioeconomic Factors ; Time Factors
    • Abstract:
      Introduction: The obesity hypoventilation syndrome (OHS) has an increasing prevalence. Compliance with first-line non-invasive ventilation has not been evaluated, taking into account patients' initial comorbidities. This study consisted of identification of the factors associated with compliance with non-invasive ventilation during the first six months of use.
      Methods: A monocentric retrospective study, gathering patients from the pneumology department of Gabriel-Montpied hospital in Clermont-Ferrand, from April 2010 to October 2019. The analysis was carried-out through the collection of computerised medical records (age, mode of entry, patient comorbidities) and compliance reports (average daily hours of use) provided by the regional service provider for the Auvergne area (AIRRA).
      Results: Being hospitalized for an acute exacerbation and being older than seventy-five years were factors associated with an improved compliance to non-invasive ventilation, with an increase of 1.47h/d and 2.73h/d (P value: 0.018 and 0.02, respectively). Moreover, patients with obstructive sleep apnea hypopnea syndrome and recipients of therapeutic education may prove more compliant over time.
      Conclusion: Age greater than seventy-five years and being hospitalized for an acute exacerbation are predictors of better use of non-invasive ventilation in OHS.
      (Copyright © 2020 SPLF. Published by Elsevier Masson SAS. All rights reserved.)
    • Contributed Indexing:
      Keywords: Age; Compliance; Non-invasive ventilation; Obesity-hypoventilation syndrome; Observance; SAHOS; SOH; Sleep apnoea syndrome; Ventilation non invasive; Âge
    • Publication Date:
      Date Created: 20201019 Date Completed: 20201216 Latest Revision: 20201216
    • Publication Date:
      20231215
    • Accession Number:
      10.1016/j.rmr.2020.09.003
    • Accession Number:
      33071059