Journal List > Allergy Asthma Respir Dis > v.4(3) > 1059178

Allergy Asthma Respir Dis. 2016 May;4(3):195-198. Korean.
Published online May 31, 2016.  https://doi.org/10.4168/aard.2016.4.3.195
© 2016 The Korean Academy of Pediatric Allergy and Respiratory Disease; The Korean Academy of Asthma, Allergy and Clinical Immunology
A study of the use of home mechanical ventilator and medical insurance
Sang Wook Mun,1 Hyung Young Kim,1 Hye-Young Kim,2 Hee Ju Park,1 Soo Yeon Kim,3 Young Beom Shin,4 and Seung Kook Son1
1Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea.
2Department of Pediatrics, Pusan National University Hospital, Busan, Korea.
3Department of Rehabilitation Medicine, Pusan National University School of Medicine, Yangsan, Korea.
4Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea.

Correspondence to: Seung Kook Son. Department of Pediatrics, Pusan National University Children's Hospital, 20 Geumo-ro, Meulgeum-eup, Yangsan 50612, Korea. Tel: +82-55-360-2180, Fax: +82-55-360-2181, Email: sonofs@naver.com
Received September 10, 2015; Revised October 12, 2015; Accepted October 12, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).


Abstract

Purpose

Use of a home mechanical ventilator can shorten the hospitalization duration of children with chronic respiratory failure requiring long-term use of a mechanical ventilator. In this study, the researchers analyzed patients who had used a home mechanical ventilator.

Methods

From January 2009 to July 2014, we retrospectively investigated 15 patients under 18 years of age, from 2 hospitals, and their use of home mechanical ventilators.

Results

The median age of the patients was 55 months. Ten children were male, and 5 were female. As for the type of mechanical ventilators, 10 used a pressure type, 3 used a volume type, and 2 used a volume-mask type. Analysis of underlying diseases revealed that 10 children had neuromuscular disease, 3 had pulmonary disease, and 2 suffered from hypoxic ischemic encephalopathy. The number of patients who were discharged from the hospital with a home mechanical ventilator was 13. One child died of sepsis irrespective of the mechanical ventilator. Six patients had health insurance. But 9 did not. The group with insurance had the possibility of being discharged earlier than the group without. On readmission, the length of hospitalization was also reduced in patients who had used a home mechanical ventilator.

Conclusion

Use of a mechanical ventilator at home is helpful in patients who need long-term use of a mechanical ventilator due to neuromuscular disease, chronic pulmonary diseases, and accidents because complications are rare and insurance coverage is feasible.

Keywords: Mechanical ventilator; Home; Child

Tables


Table 1
Demographic characteristics of the patients applying home mechanical ventilator (n=15)
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Table 3
Duration from tracheostomy to applying home mechanical ventilator according to insurance (n=13)
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Table 4
Duration of hospitalization depending on applying home mechanical ventilator
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