000			na a22 4500
100			_91431 _aLuna Paredes, Carmen _ePediatría
999			_c5893 _d5893
003			PC5893
005			20211130062807.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH120
041			_aspa
245	0	0	_aVentilación mecánica domiciliaria en niños: estudio multicéntrico español. _h[artículo]
260			_bAnales de pediatría (Barcelona, Spain : 2003), _c2013
300			_a78(4):227-33.
500			_aFormato Vancouver: González Cortés R, Bustinza Arriortua A, Pons Ódena M, García Teresa MA, Cols Roig M, Gaboli M et al. Ventilación mecánica domiciliaria en niños: estudio multicéntrico español. An Pediatr (Barc). 2013 Apr;78(4):227-33.
501			_aPMID: 22959780
504			_aContiene 16 referencias
520			_aIntroduction: Domiciliary mechanical ventilation (DMV) use is increasing in children. Few studies have analysed the characteristics of patients using this technique. Materials and methods: An observational, descriptive, transversal, multicentre study was conducted on patients between 1 month and 16 years of age dependent on domiciliary mechanical ventilation. Results: A total of 163 patients with a median age of 7.6 years from 17 Spanish hospitals were studied. The main reasons for DMV were neuromuscular disorders. The median age at beginning of DMV was 4.6 years. Almost three-quarters (71.3%) received non-invasive ventilation. Patients depending on invasive ventilation were younger, started DMV at an earlier age, and had more hours of mechanical ventilation per day. The large majority (80.9%) used DMV during sleep time only, and 11.7% during the whole day. Only 3.4% of patients had external health assistance. Just under half (48.2%) were being followed up in specific DMV or multidisciplinary clinics. Almost three-quarters (72.1%) of patients attended school (42.3% with adapted schooling). Only 47.8% of school patients had specific caregivers in their schools. Conclusions: DMV in children is used in a very heterogeneous group of patients, and in an important number of patients it is started before the third year of life. Despite there being a significant proportion of patients with a high dependency on DMV, few families receive specific support at home or at school, and health care surveillance is variable and poorly coordinated.
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/5/pc5893.pdf _ySolicitar documento
942			_n0 _2ddc _cART