Advertisement

The Role of Non-invasive Home Mechanical Ventilation in Elderly Patients with Chronic Obstructive Pulmonary Disease

  • Szymon Skoczyński
  • Patrycja Rzepka-Wrona
Chapter

Abstract

COPD is a fatal disease leading to premature death and disability. Currently due to improved COPD exacerbations and comorbidities management, improved patient survival is observed. This results in increasing abundance of elderly COPD population. However, poorly assessed in research results, NIV treatment of elderly patients has different outcomes and risk factors. The chapter describes specificity of NIV treatment in elderly patients.

Abbreviations

6 MWT

Six minute walking test

AHRF

Acute hypercapnic respiratory failure

ARF

Acute respiratory failure

COPD

Chronic obstructive pulmonary disease

COPD-AE

COPD acute exacerbation

CRF

Chronic respiratory failure

IMV

Invasive mechanical ventilation

IPAP

Inspiratory positive airway pressure

ISHLT

International Society for Heart and Lung Transplantation

NIV

Non-invasive ventilation

References

  1. 1.
    Farrero E, Prats E, Manresa F, Escarrabill J. Outcome of non-invasive domiciliary ventilation in elderly patients. Respir Med. 2007;101(6):1068–73.CrossRefGoogle Scholar
  2. 2.
    Köhnlein T, Windisch W, Köhler D, et al. Non-invasive positive pressure ventilation for the treatment of severe stable chronic obstructive pulmonary disease: a prospective, multicentre, randomised, controlled clinical trial. Lancet Respir Med. 2014;2(9):698–705.CrossRefGoogle Scholar
  3. 3.
    Jerpseth H, Dahl V, Nortvedt P, Halvorsen K. Older patients with late-stage COPD: their illness experiences and involvement in decision-making regarding mechanical ventilation and noninvasive ventilation. J Clin Nurs. 2018;27(3–4):582–92.CrossRefGoogle Scholar
  4. 4.
    Tissot A, Jaffre S, Gagnadoux F, et al. Home non-invasive ventilation fails to improve quality of life in the elderly: results from a Multicenter Cohort Study. PLoS One. 2015;10(10):e0141156.CrossRefGoogle Scholar
  5. 5.
    Zhou L, Li X, Guan L, et al. Home noninvasive positive pressure ventilation with built-in software in stable hypercapnic COPD: a short-term prospective, multicenter, randomized, controlled trial. Int J Chron Obstruct Pulmon Dis. 2017;12:1279–86.  https://doi.org/10.2147/COPD.S127540.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Duiverman ML. Noninvasive ventilation in stable hypercapnic COPD: what is the evidence? ERJ Open Res. 2018;4(2):00012–2018.CrossRefGoogle Scholar
  7. 7.
    van Gemert JP, Brijker F, Witten MA, Leenen LP. Intubation after noninvasive ventilation failure in chronic obstructive pulmonary disease: associated factors at emergency department presentation. Eur J Emerg Med. 2015;22(1):49–54.CrossRefGoogle Scholar
  8. 8.
    Çiftci F, Çiledağ A, Erol S, Kaya A. Non-invasive ventilation for acute hypercapnic respiratory failure in older patients. Wien Klin Wochenschr. 2017;129(19–20):680–6.CrossRefGoogle Scholar
  9. 9.
    Chan KY, Cheng LS, Mak IW, et al. Delirium is a strong predictor of mortality in patients receiving non-invasive positive pressure ventilation. Lung. 2017;195(1):115–25.CrossRefGoogle Scholar
  10. 10.
    Callegari J, Magnet FS, Taubner S, et al. Interfaces and ventilator settings for long-term noninvasive ventilation in COPD patients. Int J Chron Obstruct Pulmon Dis. 2017;12:1883–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Szymon Skoczyński
    • 1
  • Patrycja Rzepka-Wrona
    • 1
  1. 1.Department of PneumonologySchool of Medicine in Katowice, Medical University of SilesiaKatowicePoland

Personalised recommendations