The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders

Abdurrahman Erdem Basaran; Ayşen Başaran; Tuğba Kazlı; Suzan Yılmaz Durmuş; Özgür Duman; Şenay Haspolat; Ayşen Bingöl

Makale detayları

The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders

Yazarlar:

Abdurrahman Erdem Basaran | Ayşen Başaran | Tuğba Kazlı | Suzan Yılmaz Durmuş | Özgür Duman | Şenay Haspolat | Ayşen Bingöl

Yayıncı:

Akdeniz University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Akdeniz Tıp Dergisi Vol.9 Issue 1, pp.90-97

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281183

pISSN:

2687-2781

Anahtar kelimeler:

Özet:

 Background: Respiratory complications are a significant cause of morbidity and mortality in patients with neuromuscular diseases NMD. The aim of this study was to examine the demographic data of subjects with NMD using a mechanical insufflation-exsufflation MI-E device and the effect of an MI-E device on quality of life QoL and hospitalization. Methods: The study included patients under 18 years with NMD followed up in the Pediatric Pulmonology Polyclinic between December 2019 and December 2020. Twenty-seven patients with NMD using an MI-E for at least 3 months were enrolled in the study group and 30 patients with NMD using only manuel airway clearance techniques were enrolled in the control group. Data were collected with respect to clinical and demographic characteristics, the MI-E device settings, ease of expectoration visual analogue scores EE, and the QoL scores. Thirteen subjects, who used an MI-E device for more than 12 months, were assessed pre-and post-MI-E use hospitalization data for respiratory reasons. Results: The mean EE scores were significantly higher after MI-E device use compared to before. Among participants who were evaluated pre- and post-MI-E use there was a significant decrease in the number of hospital admissions and length of stay. The mean QoL scores of subjects diagnosed with spinal muscular atrophy SMA with tracheostomy in study group were determined to be significantly higher than SMA with tracheostomy in control group. Conclusions: Use of an MI-E device made a positive contribution to EE, number of hospital admissions and length of stay in patients with NMD, and it contributed positively to QoL in patients with SMA.

 Background: Respiratory complications are a significant cause of morbidity and mortality in patients with neuromuscular diseases NMD. The aim of this study was to examine the demographic data of subjects with NMD using a mechanical insufflation-exsufflation MI-E device and the effect of an MI-E device on quality of life QoL and hospitalization. Methods: The study included patients under 18 years with NMD followed up in the Pediatric Pulmonology Polyclinic between December 2019 and December 2020. Twenty-seven patients with NMD using an MI-E for at least 3 months were enrolled in the study group and 30 patients with NMD using only manuel airway clearance techniques were enrolled in the control group. Data were collected with respect to clinical and demographic characteristics, the MI-E device settings, ease of expectoration visual analogue scores EE, and the QoL scores. Thirteen subjects, who used an MI-E device for more than 12 months, were assessed pre-and post-MI-E use hospitalization data for respiratory reasons. Results: The mean EE scores were significantly higher after MI-E device use compared to before. Among participants who were evaluated pre- and post-MI-E use there was a significant decrease in the number of hospital admissions and length of stay. The mean QoL scores of subjects diagnosed with spinal muscular atrophy SMA with tracheostomy in study group were determined to be significantly higher than SMA with tracheostomy in control group. Conclusions: Use of an MI-E device made a positive contribution to EE, number of hospital admissions and length of stay in patients with NMD, and it contributed positively to QoL in patients with SMA.

 Background: Respiratory complications are a significant cause of morbidity and mortality in patients with neuromuscular diseases NMD. The aim of this study was to examine the demographic data of subjects with NMD using a mechanical insufflation-exsufflation MI-E device and the effect of an MI-E device on quality of life QoL and hospitalization. Methods: The study included patients under 18 years with NMD followed up in the Pediatric Pulmonology Polyclinic between December 2019 and December 2020. Twenty-seven patients with NMD using an MI-E for at least 3 months were enrolled in the study group and 30 patients with NMD using only manuel airway clearance techniques were enrolled in the control group. Data were collected with respect to clinical and demographic characteristics, the MI-E device settings, ease of expectoration visual analogue scores EE, and the QoL scores. Thirteen subjects, who used an MI-E device for more than 12 months, were assessed pre-and post-MI-E use hospitalization data for respiratory reasons. Results: The mean EE scores were significantly higher after MI-E device use compared to before. Among participants who were evaluated pre- and post-MI-E use there was a significant decrease in the number of hospital admissions and length of stay. The mean QoL scores of subjects diagnosed with spinal muscular atrophy SMA with tracheostomy in study group were determined to be significantly higher than SMA with tracheostomy in control group. Conclusions: Use of an MI-E device made a positive contribution to EE, number of hospital admissions and length of stay in patients with NMD, and it contributed positively to QoL in patients with SMA.

 Giriş: Nöromusküler hastalığı NMH olan olgularda en önemli morbidite ve mortalite nedeni solunumsal komplikasyonlardır. Çalışmanın amacı Mekanik İnsuflasyon-Eksuflasyon Mİ-E cihazı kullanan NMHli olguların demografik verilerini ve Mİ-E cihazının yaşam kalitesine ve hastane yatışına olan etkisini incelemekti. Gereç ve Yöntemler: Aralık 2019 ve Aralık 2020 tarihleri arasında Çocuk Göğüs Hastalıkları Polikliniğinde NMH tanısıyla takip edilen 18 yaşından küçük hastalar çalışmaya dahil edildi. En az 3 aydır Mİ-E cihazı kullanan 27 NMH li hasta çalışma grubuna ve sadece manuel solunum yolu temizleme teknikleri kullanan 30 hasta kontrol grubuna alındı. Klinik ve demografik özellikleri, Mİ-E cihazı ayarları, balgam çıkarmadaki kolaylık vizüel analog skorları BÇK ve yaşam kalitesi skorlarıyla ilgili veriler toplandı. Mİ-E cihazını 12 aydan uzun süre kullanan 13 olgunun Mİ-E cihazı öncesi ve sonrası solunumsal nedenlerle hastaneye yatış verileri değerlendirildi. Bulgular: Mİ-E cihazı kullanımı sonrası BÇK skorları cihaz kullanımı öncesine göre istatiksel anlamlı yüksekti. Mİ-E cihazı kullanımı öncesi ve sonrası değerlendirilen olgularda hastaneye yatış sayısında ve süresinde istatistiksel anlamlı azalma vardı. Çalışma grubu içerisindeki trakeostomili spinal musküler atrofi SMA tanılı olguların yaşam kalitesi skorları ortalaması kontrol grubundaki trakeostomili SMAlı olgulara göre istatistiksel anlamlı yüksek saptandı. Sonuç: Mİ-E cihazı kullanımı NMHli hastalarda BÇKya, hastaneye yatış sayı ve süresine olumlu katkı sağladı ve SMAlı hastalarda yaşam kalitesine olumlu katkıda bulundu.

Makale detayları

The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders

Yazarlar:

Abdurrahman Erdem Basaran | Ayşen Başaran | Tuğba Kazlı | Suzan Yılmaz Durmuş | Özgür Duman | Şenay Haspolat | Ayşen Bingöl

Yayıncı:

Akdeniz University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Akdeniz Tıp Dergisi Vol.9 Issue 1, pp.90-97

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281183

pISSN:

2687-2781

mechanical insufflation-exsufflation

neuromuscular disorder

MI-E device

quality of life

Mekanik İnsuflasyon-Eksuflasyon

nöromusküler hastalık

Mİ-E cihazı

yaşam kalitesi

Sayı

Makale detayları

Yazarlar: Abdurrahman Erdem Basaran | Ayşen Başaran | Tuğba Kazlı | Suzan Yılmaz Durmuş | Özgür Duman | Şenay Haspolat | Ayşen Bingöl

Yayıncı: Akdeniz University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Akdeniz Tıp Dergisi Vol.9 Issue 1, pp.90-97

Belge Tipi: Makale

Yayın Tarihi: 1/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001281183

pISSN: 2687-2781

Sayı

Yazarlar:

Abdurrahman Erdem Basaran | Ayşen Başaran | Tuğba Kazlı | Suzan Yılmaz Durmuş | Özgür Duman | Şenay Haspolat | Ayşen Bingöl

Yayıncı:

Akdeniz University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Akdeniz Tıp Dergisi Vol.9 Issue 1, pp.90-97

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281183

pISSN:

2687-2781