Long-term Home Mechanical Ventilation of Children in İstanbul

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dc.authorscopusidErkan Çakır / 55760137800
dc.authorwosidErkan Çakır / LJD-9252-2024
dc.contributor.authorYanaz, Mürüvvet
dc.contributor.authorÜnal, Füsun
dc.contributor.authorHepkaya, Evrim
dc.contributor.authorYazan, Hakan
dc.contributor.authorCan Oksay, Sinem
dc.contributor.authorKöstereli, Ebru
dc.contributor.authorYılmaz Yeğit, Cansu
dc.contributor.authorBaşkan, Azer Kılıç
dc.contributor.authorOnay, Zeynep Reyhan
dc.contributor.authorGulieva, Aynur
dc.contributor.authorSoyyiğit, Aslınur
dc.contributor.authorKalyoncu, Mine
dc.contributor.authorKüçük, Hanife Büşra
dc.contributor.authorAyhan, Yetkin
dc.contributor.authorErgenekon, Almala Pınar
dc.contributor.authorAtağ, Emine
dc.contributor.authorUzuner, Selçuk
dc.contributor.authorİkizoğlu, Nilay Baş
dc.contributor.authorKılınç, Ayşe Ayzıt
dc.contributor.authorAy, Pınar
dc.contributor.authorEralp, Ela Erdem
dc.contributor.authorGökdemir, Yasemin
dc.contributor.authorÖktem, Sedat
dc.contributor.authorÇakır, Erkan
dc.contributor.authorGirit, Saniye
dc.contributor.authorUyan, Zeynep Seda
dc.contributor.authorÇokuğraş, Haluk
dc.contributor.authorErsu, Refika
dc.contributor.authorKaradağ, Bülent
dc.contributor.authorKarakoç, Fazilet
dc.date.accessioned2025-04-18T10:48:42Z
dc.date.available2025-04-18T10:48:42Z
dc.date.issued2025
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractOBJECTIVE: The aims of this multi-center study were to describe the characteristics of children receiving long-term home mechanical ventilation (HMV) in İstanbul and to compare the patients receiving non-invasive and invasive ventilation. MATERIAL AND METHODS: This cross-sectional multicenter study included all children receiving long-term HMV followed by admission to six tertiary hospitals. The data were collected between May 2020 and May 2021. Demographic data and data regarding HMV were collected from the patient charts. RESULTS: The study included 416 participants. The most common diagnoses were neuromuscular (35.1%) and neurological diseases (25.7%). Among the patients, 49.5% (n = 206) received non-invasive ventilation (NIV), whereas 50.5% (n = 210) received invasive ventilation. The median age at initiation was significantly younger in the invasive ventilation group than in the NIV group (10 vs. 41 months, P < 0.001). Most subjects in the NIV group (81.1%) received ventilation support only during sleep, whereas most subjects in the invasive ventilation group (55.7%) received continuous ventilator support (P < 0.001). In addition to ventilation support, 41.9% of the subjects in the invasive ventilation group and 28.6% in the NIV group received oxygen supplementation (P = 0.002). Within the last year, 59.1% (n = 246) of the subjects were hospitalized. The risk factors for hospitalization were invasive ventilation, continuous ventilatory support, oxygen supplementation, tube feeding, and swallowing dysfunction (P = 0.002, 0.009, <0.001, <0.001 and <0.001 respectively). CONCLUSION: Despite the increasing use of NIV in most studies, half of the study population received invasive ventilation. Patients receiving invasive ventilation were more likely to require continuous ventilator support and oxygen supplementation and were at increased risk of hospitalization. © 2025 The Author.
dc.identifier.citationYanaz, M., Ünal, F., Hepkaya, E., Yazan, H., Oksay, S. C., Köstereli, E., ... & Karakoç, F. (2025). Long-term Home Mechanical Ventilation of Children in İstanbul. Thoracic Research and Practice, 26(1), 25.
dc.identifier.doi10.4274/ThoracResPract.2024.24042
dc.identifier.endpage31
dc.identifier.issn29799139
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85216738681
dc.identifier.scopusqualityQ4
dc.identifier.startpage25
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7194
dc.identifier.volume26
dc.indekslendigikaynakScopus
dc.institutionauthorÇakır, Erkan
dc.institutionauthoridErkan Çakır / 0000-0002-1438-7854
dc.language.isoen
dc.publisherAVES
dc.relation.ispartofThoracic Research and Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectChronic Respiratory Failure
dc.subjectLong-term Home Mechanical Ventilation
dc.subjectNon-invasive Ventilation
dc.titleLong-term Home Mechanical Ventilation of Children in İstanbul
dc.typeArticle

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