RT Journal Article
SR Electronic
T1 Home Mechanical Ventilation Use in South Korea Based on National Health Insurance Service Data
JF Respiratory Care
FD American Association for Respiratory Care
SP 528
OP 535
DO 10.4187/respcare.06310
VO 64
IS 5
A1 Hwan Il Kim
A1 Jae Hwa Cho
A1 So Young Park
A1 Young Seok Lee
A1 Youjin Chang
A1 Won-Il Choi
A1 Yun Su Sim
A1 Jae Young Moon
A1 Kwangha Lee
A1 Ki-Suck Jung
A1 Sunghoon Park
YR 2019
UL http://rc.rcjournal.com/content/64/5/528.abstract
AB BACKGROUND: In Asian countries, nationwide data on patients undergoing home mechanical ventilation are limited.METHODS: This study investigated the prevalence and primary indications for home mechanical ventilation use in South Korea by using nationwide registry data from the National Health Insurance Service.RESULTS: The study period included a total of 4,785 subjects on home mechanical ventilation (mean ± SD age, 56.0 ± 23.9 y; females, 40.1%). The estimated overall prevalence of home mechanical ventilation use in South Korea was 9.3 per 100,000, with a prevalence of 6.3 per 100,000 among children (ages < 15 y). The most common primary diagnoses were neuromuscular diseases (42.0%) and lung and/or airway diseases (27.7%). The prevalence of lung and/or airway and cerebrovascular diseases as the primary diagnosis increased with age (r = 0.310, P < .001; and r = 0.156, P < .001, respectively). Noninvasive ventilation was used by 37.2% of all the subjects, with the highest prevalence in those with neuromuscular diseases (54.4%) or chest wall diseases (53.4%). Noninvasive ventilation use was lowest among subjects with brain lesions. Home mechanical ventilation was most commonly prescribed by internists (41.3% of cases), followed by rehabilitation and neurology physicians.CONCLUSIONS: These data will aid in planning the optimal health-care system for users of home mechanical ventilation locally and will allow for comparison of home mechanical ventilation use rates among countries.