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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 10 (10page)
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Background: The number of children using home mechanical ventilation (HMV) has increased markedly in Europe and North America, but little is known about the situation in Korea. We described the clinical characteristics of children using HMV and investigated the current situation of HMV utilization in children. Methods: Data on HMV prescriptions in year 2016 for children under the age of 19 was retrieved from the National Health Insurance Service for nationwide information. For more detailed information, data from year 2016 to 2018 was also retrieved from a tertiary center, Severance Children's Hospital. Results: Nationwide, 416 children were prescribed with HMV in 2016, with an estimated prevalence of 4.4 per 100,000 children, of which 64.2% were male and mean age was 6-year- old. The estimated number of patients using invasive ventilators via tracheostomy was 202 (49%). Neuromuscular diseases were the most frequent cause (217; 52%), followed by central nervous system diseases (142; 34%), and cardiopulmonary diseases (57; 14%). In the tertiary center, a total of 62 children were prescribed with HMV (19 [31%] with non-invasive ventilation; 43 [69%] with invasive ventilation]. The number of children with HMV increased from 11 in 2016 to 29 in 2018. The mean age for initiation of HMV was 3.1 years and male patients comprised 65%. The most frequent diagnostic reason for HMV was central nervous system diseases (68%), followed by cardiopulmonary diseases (19%) and neuromuscular diseases (13%). Five patients died during the study period and five patients weaned from HMV. Conclusion: This study provides insights on the present situation of HMV utilization in Korean children.
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참고문헌 (25)
참고문헌 신청
Simonds AK / 2003 / Home ventilation / Eur Respir J Suppl 47(47 Suppl):38s~46s
Lloyd-Owen SJ / 2005 / Patterns of home mechanical ventilation use in Europe : results from the Eurovent survey / Eur Respir J 25(6):1025~1031
Mehta S / 2001 / Noninvasive ventilation / Am J Respir Crit Care Med 163(2):540~577
Graham RJ / 2007 / Chronic ventilator need in the community : a 2005 pediatric census of Massachusetts / Pediatrics 119(6):e1280~e1287
Gowans M / 2007 / The population prevalence of children receiving invasive home ventilation in Utah / Pediatr Pulmonol 42(3):231~236
Lloyd-Owen SJ / 2005 / Patterns of home mechanical ventilation use in Europe : results from the Eurovent survey / Eur Respir J 25(6):1025~1031
Mehta S / 2001 / Noninvasive ventilation / Am J Respir Crit Care Med 163(2):540~577
Graham RJ / 2007 / Chronic ventilator need in the community : a 2005 pediatric census of Massachusetts / Pediatrics 119(6):e1280~e1287
Gowans M / 2007 / The population prevalence of children receiving invasive home ventilation in Utah / Pediatr Pulmonol 42(3):231~236
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