[Initiation of long-term non-invasive ventilation at home: current practices and expected issues. Surveys from the CasaVNI working party].
BACKGROUND
At the initiative of the Antadir Federation, the expert group CasaVNI has undertaken a study of the current situation and the medium term outlook of the initiation of long term non-invasive ventilation (NIV) in France and other countries.


METHODS
Three surveys have been undertaken: (1) the first concerning the modalities of installation and surveillance of long-term NIV in France, (2) a second concerning the same modalities in other countries, (3) a third concerning the current prevalence and expected incidence of long-term NIV over the next few years.


RESULTS
The initiation of long-term NIV takes place in hospital in the majority of cases (France 76%, elsewhere 79%) and the surveillance mainly at a day hospital (France 59%, elsewhere 43%). Despite the interrogation of many sources, the working party has been unable to determine the exact incidence and prevalence of patients receiving long-term NIV in France.


CONCLUSIONS
With regard to the initiation of long-term NIV, clinical studies and guidelines are still necessary to validate the alternatives that will permit a response to the increasing demand while maintaining high standards.
Antadir, 66, boulevard Saint-Michel, 75006 Paris, France. veale.dan@gmail.com
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Veale
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Borel
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Rida
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Pontier
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Muir
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Leger
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Rabec
D002908:Chronic Disease; D006699:Home Care Services; D006801:Humans; D011175:Positive-Pressure Respiration / Q000592:standards / Q000706:statistics & numerical data; D012131:Respiratory Insufficiency / Q000628:therapy*; D011795:Surveys and Questionnaires; D013997:Time Factors