The benefits of a home non-invasive ventilation retrieval service: Improved effectiveness and environmental sustainability in challenging times

IF 3.5 3区医学 Q2 RESPIRATORY SYSTEM Chronic Respiratory Disease Pub Date : 2022-01-01 DOI:10.1177/14799731221081857

A. Oakes, P. Antoine-Pitterson, Alastair Watson, B. Cooper, R. Mukherjee

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Abstract

In the last 6 months, home non-invasive ventilation (NIV) services have faced several unanticipated challenges to their effectiveness and delivery as the result of a ‘perfect storm’ of the COVID-19 pandemic demands. We developed and delivered an innovative follow-up service, to support home NIV delivery, and improve cost-effectiveness and sustainability during COVID-19. Between Feb-2019 and Nov-2020, 92 post-acute patients were issued with home NIV; 25 (27%) out of the 92 patients had unused NIV machines successfully retrieved. The median (IQR) days of home NIV usage were 207 (98) for patients who had their machines returned. All the unused NIV machines retrieved were within the 5-year working life guaranteed by the manufacturer and were all redeployed after appropriate reconditioning and infection control measures. Without the home-visiting and recycling pilot, we would have relied on patients and families to return the unused machines. Given the expected disruption to NIV machine supply for at least the foreseeable 12–18 months, we feel it is important to get this important message out to other home NIV services urgently. Wider implementation of this novel approach could increase the availability of this vital resource and help meet the current demand on home NIV services.

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家庭无创通风检索服务的好处：在充满挑战的时代提高效率和环境可持续性

在过去的6个月里，由于COVID-19大流行需求的“完美风暴”，家庭无创通气(NIV)服务的有效性和交付面临了一些意想不到的挑战。我们开发并提供了一项创新的后续服务，以支持家庭提供NIV，并提高COVID-19期间的成本效益和可持续性。2019年2月至2020年11月，92例急性后患者发放家庭NIV;92例患者中有25例(27%)成功取出未使用的NIV机器。对于归还机器的患者，家中使用NIV的中位数(IQR)天为207(98)。所有回收的未使用的NIV机器均在制造商保证的5年使用寿命内，并在经过适当的修复和感染控制措施后全部重新部署。如果没有家访和回收试点，我们就只能依靠病人和家属来归还没用过的机器。考虑到至少在可预见的12-18个月内NIV机器供应的预期中断，我们认为将这一重要信息紧急传达给其他家庭NIV服务非常重要。更广泛地实施这种新方法可以增加这种重要资源的可用性，并有助于满足目前对家庭NIV服务的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Respiratory Disease RESPIRATORY SYSTEM-

CiteScore

5.90

自引率

7.30%

发文量

审稿时长

11 weeks

期刊介绍： Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.