Chronic respiratory failure. Home mechanical ventilation Telemedicine Telemonitoring
Conditions
Interventions
Sixty patients will be randomized for either initiation of ventilatory support at home (group A, n=30, intervention group) or for initiation of it in the hospital (group B, n=30).
Thereafter group A
Sponsors
University Medical Center Groningen, Department of Pulmonology
Eligibility
Inclusion criteria
Inclusion criteria: 1. Chronic respiratory failure. 2. Patients with neuromusculaire diseases or ribcage abnormality who suffer from complaints of alveolar hypoventilation (fatigue, headache or dyspnoea) combined with at least one of the following characteristics: • PaCO2 > 6.0 kPa daytime. • PaCO2 > 6.0 kPa at night. • Orthopneu as a result of diaphragm paralysis.
Exclusion criteria
Exclusion criteria: 1. Invasive ventilatory support. 2. Patients admitted to a nursing home. 3. Insufficient health/social support. 4. Patients with strictly COPD. 5. Age < 18 years. 6. The physical condition and his of her social environment is sub optimal for starting non-invasive ventilation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Gas exchange (PaCO2 and PaO2) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Health related quality of life - Lung function; VC - Costs - Social environment - Telemedicine | — |
Contacts
Public ContactAnda Hazenberg
Universitair Medisch Centrum Groningen Centrum voor Thuisbeademing
Outcome results
None listed