Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study

被引：23

作者：

Fauroux, Brigitte ^{[1
,2
]}

Khirani, Sonia ^{[1
,2
,3
]}

Amaddeo, Alessandro ^{[1
,2
]}

Massenavette, Bruno ^{[4
]}

Bierme, Priscille ^{[5
]}

Taytard, Jessica ^{[6
,7
]}

Stremler, Nathalie ^{[8
]}

Baravalle-Einaudi, Melisande ^{[8
]}

Mazenq, Julie ^{[8
]}

Ioan, Iulia ^{[9
]}

Schweitzer, Cyril ^{[9
]}

Lampin, Marie Emilie ^{[10
]}

Binoche, Alexandra ^{[10
]}

Mordacq, Clemence ^{[11
]}

Bergounioux, Jean ^{[12
]}

Mbieleu, Blaise ^{[12
]}

Rubinsztajn, Robert ^{[13
]}

Sigur, Elodie ^{[14
]}

Labouret, Geraldine ^{[14
]}

Genevois, Aline ^{[14
]}

Becourt, Arnaud ^{[15
]}

Hullo, Eglantine ^{[16
]}

Pin, Isabelle ^{[16
,17
,18
]}

Debelleix, Stephane ^{[19
]}

Galode, Francois ^{[19
]}

Bui, Stephanie ^{[19
]}

Moreau, Johan ^{[20
,21
]}

Renoux, Marie Catherine ^{[20
]}

Matecki, Stefan ^{[20
,22
]}

Lavadera, Marc Lubrano ^{[23
]}

Heyman, Rachel ^{[24
]}

Pomedio, Michael ^{[25
]}

Le Clainche, Laurence ^{[26
]}

Bokov, Plamen ^{[26
]}

Masson, Alexandra ^{[27
]}

Hangard, Pauline ^{[27
]}

Menetrey, Celine ^{[27
]}

Jokic, Mikael ^{[28
]}

Gachelin, Elsa ^{[29
]}

Perisson, Caroline ^{[30
]}

Perville, Anne ^{[31
]}

Fina, Agnes ^{[32
]}

Giovannini-Chami, Lisa ^{[32
]}

Fleurence, Emmanuelle ^{[33
]}

Barzic, Audrey ^{[34
]}

Breining, Audrey ^{[35
]}

Ollivier, Morgane ^{[36
]}

Labbe, Guillaume ^{[37
]}

Coutier, Laurianne ^{[4
]}

Aubertin, Guillaume ^{[5
,38
,39
]}

机构：

[1] Hop Necker Enfants Malad, AP HP, Pediat Noninvas Ventilat & Sleep Unit, F-75015 Paris, France

[2] Univ Paris, VIFASOM, F-75004 Paris, France

[3] ASV Sante, F-92000 Gennevilliers, France

[4] Hosp Civils Lyon, Paediat Intens Care Unit, Hop Femme Mere Enfant, F-69677 Bron, France

[5] Hosp Civils Lyon, Pediat Pulmonol & Allergol Unit, F-69677 Bron, France

[6] Hop Armand Trousseau, AP HP, Pediat Pulmonol Dept, F-75012 Paris, France

[7] Sorbonne Univ, INSERM UMR S 1158, Paris, France

[8] Hop La Timone, AP HM, Pediat Dept, Pediat Ventilat Unit, F-13385 Marseille, France

[9] Univ Lorraine, Univ Childrens Hosp, Pediat Dept, DevAH,CHRU Nanc, F-54000 Nancy, France

[10] CHU Lille, Pediat Intens Care Unit, Hop Jeanne de Flandre, Ave Eugene Avinee, F-59037 Lille, France

[11] CHU Lille, Hop Jeanne de Flandre, Pediat Pulmonol & Allergol Unit, Ave Eugene Avinee, F-59037 Lille, France

[12] Hop Raymond Poincare, AP HP, Pediat Intens Care Unit, F-92380 Garches, France

[13] Hop Necker Enfants Malad, F-75015 Paris, France

[14] Hop Enfants, Pediat Pulmonol & Allergol Unit, F-31000 Toulouse, France

[15] CHU Amiens Picardie, Pediat Pulmonol, F-80054 Amiens, France

[16] CHU Grenoble, Hop Couple Enfant, Pediat Pulmonol Unit, F-38000 Grenoble, France

[17] INSERM, Inst Adv Biosci, F-38000 Grenoble, France

[18] Grenoble Alpes Univ, F-38000 Grenoble, France

[19] CHU Bordeaux, CIC P Bordeaux 1401, Hop Pellegrin Enfants, Pediat Pulmonol Unit, F-33076 Bordeaux, France

[20] Montpellier Univ Hosp, Pediat Cardiol & Pulmonol Dept, F-34000 Montpellier, France

[21] Univ Montpellier, INSERM U1046, UMR CNRS 9214, Physiol & Expt Biol Heart & Muscles Lab PHYMEDEXP, F-34000 Montpellier, France

[22] Univ Hosp, Physiol Dept, Funct Explorat Lab, F-34000 Montpellier, France

[23] Univ Hosp Charles Nicolle, Pediat Dept, Resp Dis Allergy & CF Unit, F-76000 Rouen, France

[24] Hop Pontchaillou, Pediat Unit, Dept Phys Med & Rehabil, F-35033 Rennes, France

[25] CHU Reims, Amer Mem Hosp, Pediat Intens Care Unit, F-51000 Reims, France

[26] Hop Robert Debre, AP HP, Pediat Noninvas Ventilat, F-75018 Paris, France

[27] Hop Mere & Enfant, Pediat Unit, F-87042 Limoges, France

[28] CHU Caen Normandie, Pediat Intens Care Unit, F-14033 Caen, France

[29] CHU Felix Guyon, Pediat Dept, F-97404 St Denis, La Reunion, France

[30] CHU Sud Reunion, Pediat Dept, F-97448 St Pierre, La Reunion, France

[31] Hop Enfants ASFA, F-97404 St Denis, La Reunion, France

[32] CHU Lenval, Hop Pediat Nice, Pediat Pulmonol & Allergol Dept, Nice, France

[33] Hlth Ctr Children & Adolescents, ESEAN APF, F-44200 Nantes, France

[34] CHU Brest, Pediat Dept, F-29200 Brest, France

[35] CHU Strasbourg, Pediat Dept, F-67000 Strasbourg, France

[36] CHU Angers, Pediat Intens Care Unit, F-49100 Angers, France

[37] CHU Estaing, Pediat Pulmonol & Allergol Unit, F-63003 Clermont Ferrand, France

[38] Sorbonne Univ, INSERM UMR S 938, Ctr Rech St Antoine CRSA, F-75014 Paris, France

[39] Ramsay Gen Sante, Ctr Pneumol Enfant, F-92100 Boulogne, France

来源：

RESPIRATORY MEDICINE | 2021年 / 181卷

关键词：

Continuous positive airway pressure; Noninvasive ventilation; Home care; Sleep-disordered breathing; Obstructive sleep apnea; HOME MECHANICAL VENTILATION; CHILDREN; CPAP; INITIATION;

D O I：

10.1016/j.rmed.2021.106388

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To describe the characteristics of children treated with long term continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in France. Design: Cross-sectional national survey. Setting: Paediatric CPAP/NIV teams of 28 tertiary university hospitals in France. Patients: Children aged <20 years treated with CPAP/NIV since at least 3 months on June 1st, 2019. Intervention: An anonymous questionnaire was filled in for every patient. Results: The data of 1447 patients (60% boys), mean age 9.8 +/- 5.8 years were analysed. The most frequent underlying disorders were: upper airway obstruction (46%), neuromuscular disease (28%), disorder of the central nervous system (13%), cardiorespiratory disorder (7%), and congenital bone disease (4%). Forty-five percent of the patients were treated with CPAP and 55% with NIV. Treatment was initiated electively for 92% of children, while 8% started during an acute illness. A poly(somno)graphy (P(S)G) was performed prior to treatment initiation in 26%, 36% had a P(S)G with transcutaneous carbon dioxide monitoring (PtcCO(2)), while 23% had only a pulse oximetry (SpO(2)) with PtcCO(2) recording. The decision of CPAP/NIV initiation during an elective setting was based on the apnea-hypopnea index (AHI) in 41% of patients, SpO(2) and PtcCO(2) in 25% of patients, and AHI with PtcCO(2) in 25% of patients. Objective adherence was excellent with a mean use of 7.6 +/- 3.2 h/night. Duration of CPAP/NIV was 2.7 +/- 2.9 years at the time of the survey. Conclusion: This survey shows the large number of children treated with long term CPAP/NIV in France with numerous children having disorders other than neuromuscular diseases.

引用

页数：7

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