Five-Year Follow-Up and Outcomes of Noninvasive Ventilation in Subjects With Neuromuscular Diseases.

Abstract

INTRODUCTION:

The purpose of this study was to investigate the 5-year outcomes of noninvasive ventilation (NIV) application in different neuromuscular disease (NMD) groups.

METHODS:

We categorized 180 subjects who had initiated NIV between March 2001 and August 2009 into 4 groups and followed them for > 5 y. The NIV maintenance rate and average duration, applying time, and forced vital capacity (FVC) were investigated at the time NIV was initiated and 5 y after NIV initiation in each group.

RESULTS:

In subjects with amyotrophic lateral sclerosis (ALS), Duchenne muscular dystrophy (DMD), and spinal muscular atrophy (SMA)-congenital myopathy, the 5-year subjects who continued to use NIV over time were 22.5%, 89.4%, and 91.3%, respectively, and the average NIV maintenance durations were 21.53 ± 19.26 months, 55.22 ± 11.47 months, and 57.48 ± 8.34 months, respectively (P < .001). Median daily applying time changed from 8.0 h to 24.0 h (P < .001), from 8.0 h to 12.0 h (P < .001), and from 8.0 h to 9.0 h (P = .11) in subjects with ALS, DMD, and SMA-congenital myopathy, respectively. FVC decreased significantly after 5 y except in the group with combined SMA-congenital myopathy.

CONCLUSIONS:

NIV was tolerated long-term without significant increases in daily application time for most subjects with NMD. However, in individuals with ALS, development of severe bulbar symptoms can risk maintaining NIV.

• Authors: Mi Ri Suh, Won Ah Choi, Dong Hyun Kim, Jang Woo Lee, Eun Young Kim, Seong-Woong Kang
• Journal: Respiratory care (Respir Care) Vol. 63 Issue 3 Pg. 274-281 (Mar 2018) ISSN: 1943-3654 [Electronic] United States
• PMID: 29298901 (Publication Type: Journal Article)
• Copyright: Copyright © 2018 by Daedalus Enterprises.

Topics

• Adolescent
• Adult
• Aged
• Amyotrophic Lateral Sclerosis (complications, physiopathology)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Muscular Atrophy, Spinal (complications, congenital, physiopathology)
• Muscular Dystrophy, Duchenne (complications, physiopathology)
• Noninvasive Ventilation
• Respiratory Insufficiency (etiology, physiopathology, therapy)
• Survival Rate
• Time Factors
• Tracheostomy
• Vital Capacity
• Young Adult