Long-term home mechanical ventilation in the United States.
Patients requiring prolonged mechanical ventilation are rapidly increasing in number. Improved ICU care has resulted in many patients surviving acute respiratory failure to require prolonged mechanical ventilation during convalescence. Also, mechanical ventilation is increasingly used  as a therapeutic option for patients with symptomatic chronic hypoventilation, with an increased effort to predict nocturnal hypoventilation to initiate ventilation earlier. There are continued efforts by ventilator manufacturers to improve home ventilators. These factors point to a likely  increase in the number of patients receiving home mechanical ventilation in the United States. Unfortunately, there are no comprehensive databases or national registry of home ventilator patients-therefore the number of home ventilator patients is unknown. There are real challenges to  providing mechanical ventilation in the home, which include caregiver training, adequacy of respiratory care, and reimbursement.
Mobile Medical Maintenance, Leo, Indiana 46765, USA. akingrrt@aol.com
Angela C
AC
King
D059019:Clinical Coding; D004867:Equipment Design; D018575:Home Care Services, Hospital-Based / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage; D006278:Medicare / Q000191:economics / Q000706:statistics & numerical data; D018579:Patient Selection; D011788:Quality of Life; D012121:Respiration, Artificial / Q000191:economics / Q000706:statistics & numerical data*; D014139:Tracheostomy; D014481:United States; D012122:Ventilators, Mechanical