Decision making of amyotrophic lateral sclerosis patients on noninvasive ventilation to receive tracheostomy positive pressure ventilation

被引:11
作者
Kurisaki, Ryoichi [1 ,2 ]
Yamashita, Satoshi [2 ]
Sakamoto, Tetsuro [1 ]
Maruyoshi, Natsue [1 ]
Uekawa, Kazutoshi [1 ]
Uchino, Makoto [2 ]
Ando, Yukio [2 ]
机构
[1] Natl Hosp Org, Kumamoto Minami Natl Hosp, Dept Neurol, Kumamoto 8690593, Japan
[2] Kumamoto Univ, Grad Sch Med Sci, Dept Neurol, Chuo Ku, Kumamoto 8608556, Japan
关键词
Amyotrophic lateral sclerosis; Decision making; Noninvasive positive pressure ventilation; Respiratory management; Tracheostomy positive pressure ventilation; QUALITY-OF-LIFE; RESPIRATORY AIDS; ALS; PROLONGATION; MANAGEMENT; NEUROLOGY; SURVIVAL; CARE;
D O I
10.1016/j.clineuro.2014.07.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: We retrospectively evaluated the decision-making process of amyotrophic lateral sclerosis (ALS) patients on noninvasive positive pressure ventilation (NPPV) concerning respiratory management with tracheostomy positive pressure ventilation (TPPV) in the future. Patients and methods: We investigated the clinical characteristics of 29 consecutive ALS patients who had been introduced to NPPV during a 7-year period from September 2001 to August 2008 at our institution. We evaluated whether they had decided or not to undergo respiratory management with TPPV when NPPV was introduced and compared the clinical characteristics of the patients in these 2 groups. Results: At the point of introduction of NPPV, 16 patients had made a definite decision on whether to receive TPPV for life, whereas 13 patients made their decision after its introduction. Finally, 12 patients (75.0%) of the former group and only 3 patients (23.1%) of the latter group refused to live with TPPV. Thus, among the patients who hesitated to decide whether to receive TPPV after the initiation of NPPV, a significantly higher number (P = 0.002) ultimately transferred to TPPV. Conclusion: In Japan, NPPV is an important factor promoting the decision to receive TPPV for patients who worried about the transition to TPPV. Further study is needed to realize what kind of an education actually influences on decision-making for TPPV and results in the happiness of ALS patients. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:28 / 31
页数:4
相关论文
共 18 条
  • [1] Aboussouan LS, 2001, MUSCLE NERVE, V24, P403, DOI 10.1002/1097-4598(200103)24:3<403::AID-MUS1013>3.0.CO
  • [2] 2-3
  • [3] EFNS task force on management of amyotrophic lateral sclerosis: guidelines for diagnosing and clinical care of patients and relatives - An evidence-based review with good practice points
    Andersen, PM
    Borasio, GD
    Dengler, R
    Hardiman, O
    Kollewe, K
    Leigh, PN
    Pradat, PF
    Silani, V
    Tomik, B
    [J]. EUROPEAN JOURNAL OF NEUROLOGY, 2005, 12 (12) : 921 - 938
  • [4] Age at onset influences on wide-ranged clinical features of sporadic amyotrophic lateral sclerosis
    Atsuta, Naoki
    Watanabe, Hirohisa
    Ito, Mizuki
    Tanaka, Fumiaki
    Tamakoshi, Akiko
    Nakano, Imaharu
    Aoki, Masashi
    Tsuji, Shoji
    Yuasa, Tatsuhiko
    Takano, Hirold
    Hayashi, Hideaki
    Kuzuhara, Shigeld
    Sobue, Gen
    [J]. JOURNAL OF THE NEUROLOGICAL SCIENCES, 2009, 276 (1-2) : 163 - 169
  • [5] Amyotrophic lateral sclerosis - Prolongation of life by noninvasive respiratory aids
    Bach, JR
    [J]. CHEST, 2002, 122 (01) : 92 - 98
  • [6] AMYOTROPHIC-LATERAL-SCLEROSIS - PREDICTORS FOR PROLONGATION OF LIFE BY NONINVASIVE RESPIRATORY AIDS
    BACH, JR
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1995, 76 (09): : 828 - 832
  • [7] Effects of non-invasive ventilation on survival and quality of life in patients with amyotrophic lateral sclerosis
    Bourke, SC
    Tomlinson, M
    Williams, TL
    Bullock, RE
    Shaw, PJ
    Gibson, GJ
    [J]. LANCET NEUROLOGY, 2006, 5 (02) : 140 - 147
  • [9] The ALSFRS-R: a revised ALS functional rating scale that incorporates assessments of respiratory function
    Cedarbaum, JM
    Stambler, N
    Malta, E
    Fuller, C
    Hilt, D
    Thurmond, B
    Nakanishi, A
    [J]. JOURNAL OF THE NEUROLOGICAL SCIENCES, 1999, 169 (1-2) : 13 - 21
  • [10] Ethical issues in invasive mechanical ventilation for amyotrophic lateral sclerosis
    Hirano, Yuko
    Yamazaki, Yoshihiko
    [J]. NURSING ETHICS, 2010, 17 (01) : 51 - 63