WITHDRAWN: Long-term ventilation in children: Ten years later

Abstract

This article has been withdrawn for editorial reasons because the journal will be published only in English. In order to avoid duplicated records, this article can be found at http://dx.doi.org/10.1016/j.rppnen.2014.03.017. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

Long-Term Ventilation at Home and Pediatric Palliative Care: Patients’ Characterization in an Italian Regional Survey

“…The percentage distribution of the various diseases and disorders in our sample was only partially consistent with other reports [1][2][3][4][5][6][7][8][10][11][12][13][31][32][33][34][35][36]: while the percentages relating to NMDs and CCHS were similar, there was a much lower rate of lung and airway diseases (bronchial dysplasia, malaria, ciliary dyskinesia, OSAS, and other respiratory diseases with chronic hypoventilation) in our sample, with 3.6% as opposed to 25-35% in the literature [1][2][3][4][5][6]8,9,[11][12][13][31][32][33][34][35][36]. This may relate to patient care and clinical or organizational factors particular to our setting: patients are only referred to the regional reference center if they are under 18 years old and have complex, lifethreatening diseases posing very complicated care issues.…”

“…Unlike the series described in other studies [29,30], there were no older cases because patients are transferred to the adult services when they reach the age of 18, in accordance with current Italian legislation. The mean age of our sample was much lower than in other studies concerning pediatric populations on LTMV-H [1][2][3][4][5][6][7][8][10][11][12][31][32][33][34][35]: the Canadian studies [3] describe a sample with a mean age of 9.5 years, and the other Italian reports concern samples with a mean age of 8 years [6]. As for gender, the distribution in our cohort revealed no major differences among patients requiring LTMV-H, with only a slight prevalence of male gender (55%), as reported elsewhere [13].…”

“…The aim of this study was to identify the demographic and clinical features of the pediatric patients on LTMV-H in our region [1][2][3][4][5][6][7][8][10][11][12][13][31][32][33][34][35] with a view to making the best possible arrangements for their care.…”

Finnish children who needed long‐term home respiratory support had severe sleep‐disordered breathing and complex medical backgrounds

“…[12][13][14] Also, home invasive ventilation in children has risen since the year 1999, especially with younger children. 15,16 This establishes the need to educate more physicians who can be involved in the care of these children. 16 On 5 November 2015, the European Respiratory Society Task Force published guidelines on obstructive sleep apnoea for children aged 2-18 years.…”

“…Also, the development of masks and respiratory support devices has given physicians a better chance to treat a broader spectrum of SDB patients 12–14 . Also, home invasive ventilation in children has risen since the year 1999, especially with younger children 15,16 . This establishes the need to educate more physicians who can be involved in the care of these children 16 …”