Health Care Use, Costs, and Survival Trajectory of Home Mechanical Insufflation-Exsufflation

Louise Rose; Tom Fisher; Regina Pizzuti; Reshma Amin; Ruth Croxford; Craig M Dale; Roger Goldstein; Sherri Katz; David Leasa; Doug McKim; Mika Nonoyama; Anu Tandon; Andrea Gershon

doi:10.4187/respcare.09263

Research ArticleOriginal Research

Health Care Use, Costs, and Survival Trajectory of Home Mechanical Insufflation-Exsufflation

Louise Rose, Tom Fisher, Regina Pizzuti, Reshma Amin, Ruth Croxford, Craig M Dale, Roger Goldstein, Sherri Katz, David Leasa, Doug McKim, Mika Nonoyama, Anu Tandon and Andrea Gershon

Respiratory Care February 2022, 67 (2) 191-200; DOI: https://doi.org/10.4187/respcare.09263

Louise Rose

Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King’s College London, London, United Kingdom.

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For correspondence: louise.rose@kcl.ac.uk

Tom Fisher

Ventilator Equipment Pool, Kingston, Canada.

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Regina Pizzuti

Ventilator Equipment Pool, Kingston, Canada.

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Reshma Amin

Division of Respiratory Medicine, Hospital for Sick Children (SickKids) and SickKids Research Institute, University of Toronto, Toronto, Canada.

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Ruth Croxford

ICES, Toronto, Canada.

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Craig M Dale

Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada; and Department of Critical Care, Sunnybrook Health Sciences Centre and Sunnybrook Research Institute, Toronto, Canada.

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Roger Goldstein

West Park Healthcare Centre, Toronto, Canada and also affiliated with the Faculty of Medicine, University of Toronto, Toronto, Canada.

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Sherri Katz

Children’s Hospital of Eastern Ontario and Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Canada.

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David Leasa

Department of Medicine, Divisions of Critical Care and Respirology, London Health Sciences Centre, London, Canada; and Faculty of Medicine, Western University, London, Canada.

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Doug McKim

The Ottawa Hospital Respiratory Rehabilitation and The Ottawa Hospital Sleep Centre and Ottawa Hospital Research Institute, Ottawa, Canada and also affiliated with the Faculty of Medicine, University of Ottawa, Ottawa, Canada.

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Mika Nonoyama

Faculty of Health Sciences, Ontario Tech University, Oshawa, Canada and also affiliated with the Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.

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Anu Tandon

Division of Respirology, Sunnybrook Health Sciences Centre and also affiliated with the Faculty of Medicine, University of Toronto, Toronto, Canada.

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Andrea Gershon

Division of Respirology, Sunnybrook Health Sciences Centre and Sunnybrook Research Institute, Toronto, Canada; ICES, Toronto, Canada and also affiliated with the Faculty of Medicine, University of Toronto, Toronto, Canada.

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Fig. 1.
Predicted costs for a nonambulatory participant with ALS (ie, reference case).
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Fig. 2.
Predicted costs for an ambulatory participant in the lowest-cost age group (age 35–49 y).

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Respiratory Care

Vol. 67, Issue 2

1 Feb 2022

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Health Care Use, Costs, and Survival Trajectory of Home Mechanical Insufflation-Exsufflation

Louise Rose, Tom Fisher, Regina Pizzuti, Reshma Amin, Ruth Croxford, Craig M Dale, Roger Goldstein, Sherri Katz, David Leasa, Doug McKim, Mika Nonoyama, Anu Tandon, Andrea Gershon

Respiratory Care Feb 2022, 67 (2) 191-200; DOI: 10.4187/respcare.09263

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Health Care Use, Costs, and Survival Trajectory of Home Mechanical Insufflation-Exsufflation

Louise Rose, Tom Fisher, Regina Pizzuti, Reshma Amin, Ruth Croxford, Craig M Dale, Roger Goldstein, Sherri Katz, David Leasa, Doug McKim, Mika Nonoyama, Anu Tandon, Andrea Gershon

Respiratory Care Feb 2022, 67 (2) 191-200; DOI: 10.4187/respcare.09263

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mechanical insufflation-exsufflation
neuromuscular disease
cough assist
health care utilization
costs

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