Universität zu Köln

Karagiannidis, C., Strassmann, S., Callegari, J., Kochanek, M., Janssens, U. and Windisch, W. (2019). Evolving Epidemiology of Home Mechanical Ventilation: A Rapidly Growing Challenge for Patient Care. Pneumologie, 73 (11). S. 670 - 677. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8790

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Abstract

Background Home mechanical ventilation is dramatically evolving in Germany. Patients with non-invasive and invasive ventilation are increasingly treated at home. In-hospital treatment of these patients is also necessary either for control visits or the management of acute medical problems. However, the development of in-hospital patient care, morbidity and mortality of these patients is unknown. Methods All patients with long-term dependence on mechanical ventilation for more than three months requiring hospitalisation between 2006 and 2016 were analysed (data obtained from the Federal Statistical Office of Germany). Results There was an exponential increase in the number of in-patients with long-termdependence ofmechanical ventilation. While 24 845 patients were treated in- hospital in 2006, 86 117 patients were treated in 2016. Correspondingly, mortality decreased from 13.2% (2006) to 5.7% (2016). In addition, in 2016 47% of all patients were treated on the intensive care or high dependency care unit. Overall, patients had been severely ill, as there were plenty of medical and neurological co- morbidities. Themost common diagnosis was COPD with 58% of all cases, followed by several cardi- ology diagnosis. A high number of patients had an impairment of renal function (24 %), in part requiring dialysis. Conclusions The rapid development of home mechanical ventilation substantially impacts on the development of the hospital landscape in Germany. The exponential increase of these care-intensive patients is challenging for the health care system and requires a discussion about its limits.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Karagiannidis, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Strassmann, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Callegari, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kochanek, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Janssens, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Windisch, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-129326
DOI:	10.1055/a-0976-9119
Journal or Publication Title:	Pneumologie
Volume:	73
Number:	11
Page Range:	S. 670 - 677
Date:	2019
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8790
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Respiratory System Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12932