Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jul 11;93(9):1024-1026.
doi: 10.1136/jnnp-2021-327968. Online ahead of print.

Respiratory support in a population-based ALS cohort: demographic, timing and survival determinants

Affiliations

Respiratory support in a population-based ALS cohort: demographic, timing and survival determinants

Adriano Chio et al. J Neurol Neurosurg Psychiatry. .
No abstract available

Keywords: MOTOR NEURON DISEASE; NEUROEPIDEMIOLOGY.

PubMed Disclaimer

Conflict of interest statement

Competing interests: CM, A Canosa, UM, RV, FP, MCT, LS, AM, FR, NL, FDM, LM, GM: No disclosures. A Calvo has received a research grant from Cytokinetics. A Chiò serves on scientific advisory boards for Mitsubishi Tanabe, Roche, Denali Pharma, Cytokinetics, Lilly and Amylyx.

Figures

Figure 1
Figure 1
(A) Survival after non-invasive mechanical ventilation (NIMV) according to FVC% performed before NIMV (n=308). FVC% <50% (blue) 85 cases, median survival time 0.66 year (IQR 0.33–1.66); FVC% 50–59 (green) 48 cases, median survival time 0.84 (IQR 0.43–1.84); FVC% 60–69 (black) 85 cases, median survival time 1.08 (IQR 0.74–2.75), FVC% 70–79 (red) 65 cases, median survival time 1.34 (IQR 0.75–2.82), FVC% ≥80 (violet) 25 cases, median survival time 2.51 (1.49–5.00) (p<0.0001). (B) Survival after invasive mechanical ventilation (IMV) in patients who did (blue) and did not (green) undergo NIMV before performing IMV (p<0.014). (C) Survival from amyotrophic lateral sclerosis (ALS) onset. NIMV+IMV (violet), median survival time 6.09 (IQR 3.89->10); IMV alone (red) median survival time 3.40 (IQR 1.95–5.41) (p<0.0001); NIMV (blue) median survival time 2.84 (IQR 1.75–5.25); non-respiratory support (green) median survival time 2.41 (IQR 1.33–5.18).

References

    1. Hardiman O, Al-Chalabi A, Chio A, et al. . Amyotrophic lateral sclerosis. Nat Rev Dis Primers 2017;3:17071. 10.1038/nrdp.2017.71 - DOI - PubMed
    1. Dreyer P, Lorenzen CK, Schou L, et al. . Survival in ALS with home mechanical ventilation non-invasively and invasively: a 15-year cohort study in West Denmark. Amyotroph Lateral Scler Frontotemporal Degener 2014;15:62–7. 10.3109/21678421.2013.837929 - DOI - PubMed
    1. Spittel S, Maier A, Kettemann D, et al. . Non‐invasive and tracheostomy invasive ventilation in amyotrophic lateral sclerosis: utilization and survival rates in a cohort study over 12 years in Germany. Eur J Neurol 2021;28:1160–71. 10.1111/ene.14647 - DOI - PubMed
    1. Magelssen M, Holmøy T, Horn MA, et al. . Ethical challenges in tracheostomy-assisted ventilation in amyotrophic lateral sclerosis. J Neurol 2018;265:2730–6. 10.1007/s00415-018-9054-x - DOI - PubMed
    1. Burkhardt C, Neuwirth C, Sommacal A, et al. . Is survival improved by the use of NIV and PEG in amyotrophic lateral sclerosis (ALS)? A post-mortem study of 80 ALS patients. PLoS One 2017;12:e0177555. 10.1371/journal.pone.0177555 - DOI - PMC - PubMed