Home ventilation: The Green Lane Hospital experience

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dc.contributor.author Hancox, R.J. en
dc.contributor.author Whyte, K.F. en
dc.contributor.author Baxter, J.M. en
dc.date.accessioned 2009-06-09T03:44:37Z en
dc.date.available 2009-06-09T03:44:37Z en
dc.date.issued 2000 en
dc.identifier.citation New Zealand Medical Journal 113 (1122), 500-503. 2000 en
dc.identifier.issn 0028-8446 en
dc.identifier.other 11198544 en
dc.identifier.uri http://hdl.handle.net/2292/4288 en
dc.description An open access copy of this article is available and complies with the copyright holder/publisher conditions. en
dc.description.abstract Aims. To describe the characteristics and outcomes of patients treated with domiciliary nocturnal support ventilation (NSV). Methods. Case-note review of all patients treated with home NSV by Green Lane Hospital. Results. 111 patients received home NSV between 1990 and 1999. 59 had respiratory failure due to obesityhypoventilation syndrome (OHS), most of whom were Maori or Pacific Island people. Their mean BMI was 53 kg/m2. They frequently presented acutely, and often in extremis. After a median duration of 22 months treatment, 37 patients continued treatment. Four have died, but none from respiratory failure. Other causes of repsiratory failure included: neuromuscular disease (26), kyphoscoliosis (19) and obstructive sleep apnoea (8). Patients who did not have OHS were mostly of New Zealand European ethnicity, required lower ventilation pressures than patients with OHS, and had better arterial blood gases on treatment. After a median follow-up of 35 months, however, fourteen have died. 33 continued on treatment. Both OHS and non- OHS patients had high deprivation scores according to NZdep96. This was most apparent for patients with OHS. Conclusions. OHS is an important cause of respiratory failure in New Zealand, particularly affecting Maori and Pacific people. The prognosis of OHS treated with NSV appears to be good despite significant co-morbidity. en
dc.publisher NZMA en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://journal.nzma.org.nz/journal/copyright.html en
dc.source.uri http://www.nzma.org.nz/journal/113-1122 en
dc.title Home ventilation: The Green Lane Hospital experience en
dc.type Journal Article en
dc.subject.marsden Fields of Research::320000 Medical and Health Sciences en
pubs.issue 1122 en
pubs.begin-page 500 en
pubs.volume 113 en
dc.description.version VoR - Version of Record en
dc.rights.holder Copyright: New Zealand Medical Association (NZMA) en
pubs.end-page 503 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en

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