Delivery of noninvasive ventilation to people living with motor neuron disease in the UK

Author:

Musson Lucy S.ORCID,Baxter Susan K.,Norman PaulORCID,O'Brien DavidORCID,Elliott MarkORCID,Bianchi Stephen,Kaltsakas Georgios,McDermott Christopher J.ORCID,Stavroulakis TheocharisORCID,Hobson Esther V.

Abstract

ObjectiveNoninvasive ventilation (NIV) improves survival and quality of life in motor neuron disease (MND), but many patients fail to receive effective ventilation. This study aimed to map the respiratory clinical care for MND patients at a service and individual healthcare professional (HCP) level to understand where attention may be needed to ensure all patients receive optimal care.MethodsTwo online surveys of HCPs working with MND patients in the UK were conducted. Survey 1 targeted HCPs providing specialist MND care. Survey 2 targeted HCPs working in respiratory/ventilation services and community teams. Data were analysed using descriptive and inferential statistics.ResultsResponses from 55 HCPs providing specialist MND care who worked at 21 MND care centres and networks and 13 Scotland Health Boards were analysed from Survey 1. Responses from 85 HCPs from respiratory/ventilation services and 73 HCPs from community teams, representing 97 services, were analysed from Survey 2. Significant differences in practice were identified at each stage of the respiratory care pathway as well as evidence of the need for improvement. This included when patients were referred to respiratory services, the time taken waiting to commence NIV, the availability of sufficient NIV equipment and provision of services, particularly out of hours.ConclusionWe have highlighted significant disparity in MND respiratory care practices. Increased awareness of the factors that influence NIV success and the performance of individuals and services is important for optimal practice.

Funder

National Institute for Health Research

Publisher

European Respiratory Society (ERS)

Subject

Pulmonary and Respiratory Medicine

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