Home Mechanical Ventilation Use in South Korea Based on National Health Insurance Service Data
- Authors
- Kim, Hwan Il; Cho, Jae Hwa; Park, So Young; Lee, Young Seok; Chang, Youjin; Choi, Won-Il; Sim, Yun Su; Moon, Jae Young; Lee, Kwangha; Jung, Ki-Suck; Park, Sunghoon
- Issue Date
- May-2019
- Publisher
- DAEDALUS ENTERPRISES INC
- Keywords
- home mechanical ventilation; noninvasive ventilation; prevalence
- Citation
- RESPIRATORY CARE, v.64, no.5, pp.528 - 535
- Indexed
- SCIE
SCOPUS
- Journal Title
- RESPIRATORY CARE
- Volume
- 64
- Number
- 5
- Start Page
- 528
- End Page
- 535
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/189476
- DOI
- 10.4187/respcare.06310
- ISSN
- 0020-1324
- Abstract
- BACKGROUND: In Asian countries, nationwide data on patients undergoing home mechanical ventilation are limited. METHODS: This study investigated the prevalence and primary indications for home mechanical ventilation use in South Korea by using nationwide registry data from the National Health Insurance Service. RESULTS: The study period included a total of 4,785 subjects on home mechanical ventilation (mean +/- SD age, 56.0 +/- 23.9 y; females, 40.1%). The estimated overall prevalence of home mechanical ventilation use in South Korea was 9.3 per 100,000, with a prevalence of 6.3 per 100,000 among children (ages < 15 y). The most common primary diagnoses were neuromuscular diseases (42.0%) and lung and/or airway diseases (27.7%). The prevalence of lung and/or airway and cerebrovascular diseases as the primary diagnosis increased with age (r = 0.310, P < .001; and r = 0.156, P < .001, respectively). Noninvasive ventilation was used by 37.2% of all the subjects, with the highest prevalence in those with neuromuscular diseases (54.4%) or chest wall diseases (53.4%). Noninvasive ventilation use was lowest among subjects with brain lesions. Home mechanical ventilation was most commonly prescribed by internists (41.3% of cases), followed by rehabilitation and neurology physicians. CONCLUSIONS: These data will aid in planning the optimal health-care system for users of home mechanical ventilation locally and will allow for comparison of home mechanical ventilation use rates among countries.
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