Outcome of noninvasive ventilation in children with neuromuscular disease

H. K. Young, A. Lowe, D. A. Fitzgerald, C. Seton, K. A. Waters, E. Kenny, L. S. Hynan, S. T. Iannaccone, K. N. North, M. M. Ryan

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

OBJECTIVE: To assess the effect of institution of noninvasive ventilation (NIV) on clinical outcome and quality of life (QOL) in a cohort of children with severe neuromuscular disorders. METHODS: We reviewed records and obtained clinical data from the year prior to commencing NIV and annually thereafter. Data obtained included diagnosis, patient symptoms, mortality, NIV adverse effects, pulmonary function tests, polysomnographic data, length of hospitalizations, and health care costs. Patients and parents completed questionnaires assessing QOL with NIV and recalling QOL before NIV. RESULTS: Fourteen of 17 (82%) suitable patients were enrolled. Follow-up ranged from 6 to 84 months (median 30). Symptoms of daytime sleepiness (p = 0.003) and headache (p = 0.046) improved after initiation of NIV. Sleep quality assessed by polysomnography also improved. Hospitalization rates (p = 0.002) and health care costs (p = 0.003) decreased. QOL remained stable after NIV, despite disease progression. CONCLUSION: Treatment of respiratory failure, in children with neuromuscular disease, with noninvasive ventilation results in a reduction in symptoms, hospitalizations, and health care costs without adverse effects on quality of life.

Original languageEnglish (US)
Pages (from-to)198-201
Number of pages4
JournalNeurology
Volume68
Issue number3
DOIs
StatePublished - Jan 1 2007

ASJC Scopus subject areas

  • Clinical Neurology

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    Young, H. K., Lowe, A., Fitzgerald, D. A., Seton, C., Waters, K. A., Kenny, E., Hynan, L. S., Iannaccone, S. T., North, K. N., & Ryan, M. M. (2007). Outcome of noninvasive ventilation in children with neuromuscular disease. Neurology, 68(3), 198-201. https://doi.org/10.1212/01.wnl.0000251299.54608.13