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. 2022 Jun:197:106831.
doi: 10.1016/j.rmed.2022.106831. Epub 2022 Mar 28.

The impact of the COVID-19 pandemic on home mechanical ventilation services: A national survey

Amar J Shah  1 , Eui-Sik Suh  2 , George Kaltsakas  2 , Michelle Ramsay  2 , Anita Saigal  1 , Patrick B Murphy  2 , Alison Armstorng  3 , Swapna Mandal  4
Affiliations

The impact of the COVID-19 pandemic on home mechanical ventilation services: A national survey

Amar J Shah et al. Respir Med. 2022 Jun.

Abstract

The COVID-19 pandemic has caused major disruption to healthcare services globally. We present the findings of a national survey of home mechanical ventilation (HMV) services in England and Wales. 30 HMV services (60%) responded. There was a significant reduction in outpatient services with 93% of services not offering routine face-to-face appointments, although most centres were able to offer emergency appointments for ventilation review and set-up. HMV inpatient capacity was reassigned, and HMV service staff re-deployed in the majority of centres (97%). The initial wave of the COVID-19 pandemic left a service backlog of a median of 87 outpatient appointments [range 0-1500] and a median of 4 patients (range 0-100) awaiting NIV set-up.

Keywords: COVID-19; Non-invasive ventilation; Sleep medicine.

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Conflict of interest statement

PM declares grants from Breas, Philips, GSK and Fisher & Paykel. None of these grants are for the present manuscript. Also declares payment or honoraria for lectures and educational events for Philips, ResMed, Fisher & Paykel, Santhera, GSK and Chiesi. Declares support for attending meetings for Philips and ResMed and participates on a data safety monitoring board/advisory borad for ResMed.

AA declares grants from Breas UL, not in relation to the present manuscript. Also declares payment for speaker fees for Fisher & Paykel and collaborative funding for delivery of networking event for breas UK, Philips, ResMed, Intersurgical, Remerve, Dolby Vivisol, Hamilton, Kapitex, Aerogen All other authors declare no completing interests.

Figures

Image 1
Graphical abstract
Fig. 1
Fig. 1
Disruption caused by the pandemic to ventilation services across England and Wales a) Investigations provided (any form) during the pandemic. The X-axis represents the total number of centres that normally provide these investigations. b) Inpatient investigations provided during the pandemic. The X-axis represents the total number of centres that normally provide these investigations. c) Staff re-deployment during the pandemic.
See this image and copyright information in PMC

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