Clinical Characteristics of Patients Initiated on Long-Term Noninvasive Ventilation Support: A Single-Center Experience

Year 2024, Volume: 24 Issue: 3, 168 - 173, 03.01.2025

Cansu Yılmaz Yegit , Esin Aldemir , Erkut Ozturk , Mehmet Arda Kılınç , Mehmet Gümüştaş Hasan Onal , Alican Hatemi Merih Çetinkaya

https://doi.org/10.26650/jchild.2024.1507342

Abstract

Objective: Long-term noninvasive ventilation (NIV) support is increasingly being used by pediatricians for children with complex medical diseases. However, data on NIV support among children in Turkiye are limited.

Methods: This study included children who received long-term NIV support between July 2022 and July 2024 at a single center. Demographic and clinical characteristics and short-term clinical outcomes were retrospectively evaluated.

Results: A total of 30 patients were included. The median age at NIV initiation was 39.5 months (range: 9–108 months), and the most common underlying etiology was cardiovascular diseases (n = 9, 30%). Twenty-six patients were discharged with long-term NIV support, with a median discharge time of 5.5 days (range: 3–13 days) after NIV initiation. Of the 26 patients discharged with NIV support, four died during follow-up. Three patients, all of whom were from the cardiovascular group, no longer required respiratory support.

Conclusions: NIV can be used effectively for a wide variety of diseases in children. Understanding the current status of NIV support in our clinical setting may help us design a protocol to improve future outcomes.

Keywords

Noninvasive ventilation, pediatrics, cardiovascular diseases

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