Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study.

Apr 15, 2021

Contributor: Brigitte Fauroux,Sonia Khirani,Alessandro Amaddeo,Bruno Massenavette,Priscille Bierme,Jessica Taytard,Nathalie Stremler,Melisande Baravalle-Einaudi,Julie Mazenq,Iulia Ioan,Cyril Schweitzer,Marie Emilie Lampin,Alexandra Binoche,Clemence Mordacq,Jean Bergounioux,Blaise Mbieleu,Robert Rubinsztajn,Elodie Sigur,Geraldine Labouret,Aline Genevois,Arnaud Becourt,Eglantine Hullo,Isabelle Pin,Stéphane Debelleix,François Galodé,Stéphanie Bui,Johan Moreau,Marie Catherine Renoux,Stefan Matecki,Marc Lubrano Lavadera,Rachel Heyman,Michael Pomedio,Laurence Le Clainche,Plamen Bokov,Alexandra Masson,Pauline Hangard,Celine Menetrey,Mikael Jokic,Elsa Gachelin,Caroline Perisson,Anne Pervillé,Agnes Fina,Lisa Giovannini-Chami,Emmanuelle Fleurence,Audrey Barzic,Audrey Breining,Morgane Ollivier,Guillaume Labbé,Laurianne Coutier,Guillaume Aubertin

Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study.

To describe the characteristics of children treated with long term continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in France.
Cross-sectional national survey.
Paediatric CPAP/NIV teams of 28 tertiary university hospitals in France.
Children aged <20 years treated with CPAP/NIV since at least 3 months on June 1st, 2019.
An anonymous questionnaire was filled in for every patient.
The data of 1447 patients (60% boys), mean age 9.8 ± 5.8 years were analysed. The most frequent underlying disorders were: upper airway obstruction (46%), neuromuscular disease (28%), disorder of the central nervous system (13%), cardiorespiratory disorder (7%), and congenital bone disease (4%). Forty-five percent of the patients were treated with CPAP and 55% with NIV. Treatment was initiated electively for 92% of children, while 8% started during an acute illness. A poly(somno)graphy (P(S)G) was performed prior to treatment initiation in 26%, 36% had a P(S)G with transcutaneous carbon dioxide monitoring (PtcCO), while 23% had only a pulse oximetry (SpO) with PtcCO recording. The decision of CPAP/NIV initiation during an elective setting was based on the apnea-hypopnea index (AHI) in 41% of patients, SpO and PtcCO in 25% of patients, and AHI with PtcCO in 25% of patients. Objective adherence was excellent with a mean use of 7.6 ± 3.2 h/night. Duration of CPAP/NIV was 2.7 ± 2.9 years at the time of the survey.
This survey shows the large number of children treated with long term CPAP/NIV in France with numerous children having disorders other than neuromuscular diseases.

Copyright © 2021 Elsevier Ltd. All rights reserved.

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About The Expert

Brigitte Fauroux

Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, F-75015, Paris, France; Université de Paris, VIFASOM, F-75004, Paris, France. Electronic address: brigitte.fauroux@aphp.fr.

Sonia Khirani

Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, F-75015, Paris, France; Université de Paris, VIFASOM, F-75004, Paris, France; ASV Santé, F-92000, Gennevilliers, France.

Alessandro Amaddeo

Pediatric Noninvasive Ventilation and Sleep Unit, AP-HP, Hôpital Necker-Enfants Malades, F-75015, Paris, France; Université de Paris, VIFASOM, F-75004, Paris, France.

Bruno Massenavette

Paediatric Intensive Care Unit, Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, 69677, Bron, France.

Priscille Bierme

Pediatric Pulmonology and Allergology Unit, Hospices Civils de Lyon, 69677, Bron, France.

Jessica Taytard

Pediatric Pulmonology Department, AP-HP, Hôpital Armand Trousseau, F-75012, Paris, France; Sorbonne Université, INSERM UMR-S, 1158, Paris, France.

Nathalie Stremler

Pediatric Ventilation Unit, Pediatric Department, AP-HM, Hôpital La Timone, 13385, Marseille, France.

Melisande Baravalle-Einaudi

Pediatric Ventilation Unit, Pediatric Department, AP-HM, Hôpital La Timone, 13385, Marseille, France.

Julie Mazenq

Pediatric Ventilation Unit, Pediatric Department, AP-HM, Hôpital La Timone, 13385, Marseille, France.

Iulia Ioan

Pediatric Department, University Children’s Hospital, CHRU Nanc, Université de Lorraine, DevAH, F-54000, Nancy, France.

Cyril Schweitzer

Pediatric Department, University Children’s Hospital, CHRU Nanc, Université de Lorraine, DevAH, F-54000, Nancy, France.

Marie Emilie Lampin

Pediatric Intensive Care Unit, Hôpital Jeanne de Flandre, CHU Lille, Avenue Eugène Avinée, 59037, Lille Cédex, France.

Alexandra Binoche

Pediatric Intensive Care Unit, Hôpital Jeanne de Flandre, CHU Lille, Avenue Eugène Avinée, 59037, Lille Cédex, France.

Clemence Mordacq

Pediatic Pulmonology and Allergology Unit, Hôpital Jeanne de Flandre, CHU Lille, Avenue Eugène Avinée, 59037, Lille Cédex, France.

Jean Bergounioux

Pediatric Intensive Care Unit, AP-HP, Hôpital Raymond Poincaré, F-92380, Garches, France.

Blaise Mbieleu

Pediatric Intensive Care Unit, AP-HP, Hôpital Raymond Poincaré, F-92380, Garches, France.

Robert Rubinsztajn

Hôpital Necker-Enfants Malades, F-75015, Paris, France.

Elodie Sigur

Pediatric Pulmonology and Allergology Unit, Hôpital des Enfants, 31000, Toulouse, France.

Geraldine Labouret

Pediatric Pulmonology and Allergology Unit, Hôpital des Enfants, 31000, Toulouse, France.

Aline Genevois

Pediatric Pulmonology and Allergology Unit, Hôpital des Enfants, 31000, Toulouse, France.

Arnaud Becourt

Pediatric Pulmonology, CHU Amiens Picardie, 80054, France.

Eglantine Hullo

Pediatric Pulmonology Unit, Hôpital Couple-Enfant, CHU Grenoble, 38000, Grenoble, France.

Isabelle Pin

Pediatric Pulmonology Unit, Hôpital Couple-Enfant, CHU Grenoble, 38000, Grenoble, France; INSERM, Institute for Advanced Biosciences, 38000, Grenoble, France; Grenoble Alpes University, 38000, Grenoble, France.

Stéphane Debelleix

Pediatric Pulmonology Unit, Hôpital Pellegrin-Enfants, CIC-P Bordeaux 1401, CHU de Bordeaux, 33076, Bordeaux, France.

François Galodé

Pediatric Pulmonology Unit, Hôpital Pellegrin-Enfants, CIC-P Bordeaux 1401, CHU de Bordeaux, 33076, Bordeaux, France.

Stéphanie Bui

Pediatric Pulmonology Unit, Hôpital Pellegrin-Enfants, CIC-P Bordeaux 1401, CHU de Bordeaux, 33076, Bordeaux, France.

Johan Moreau

Pediatric Cardiology and Pulmonology Department, Montpellier University Hospital, 34000, Montpellier, France; Physiology and Experimental Biology of Heart and Muscles Laboratory-PHYMEDEXP, UMR CNRS 9214, INSERM U1046, University of Montpellier, 34000, Montpellier, France.

Marie Catherine Renoux

Pediatric Cardiology and Pulmonology Department, Montpellier University Hospital, 34000, Montpellier, France.

Stefan Matecki

Pediatric Cardiology and Pulmonology Department, Montpellier University Hospital, 34000, Montpellier, France; Functional Exploration Laboratory, Physiology Department, University Hospital, 34000, Montpellier, France.

Marc Lubrano Lavadera

Respiratory Diseases, Allergy and CF Unit, Pediatric Department, University Hospital Charles Nicolle, 76000, Rouen, France.

Rachel Heyman

Pediatric Unit, Department of Physical Medicine and Rehabilitation, Hôpital Pontchaillou, Rennes, 35033, Rennes, France.

Michael Pomedio

Pediatric Intensive Care Unit, American Memorial Hospital, CHU Reims, 51000, Reims, France.

Laurence Le Clainche

Pediatric Noninvasive Ventilation, AP-HP, Hôpital Robert Debré, F-75018, Paris, France.

Plamen Bokov

Pediatric Noninvasive Ventilation, AP-HP, Hôpital Robert Debré, F-75018, Paris, France.

Alexandra Masson

Pediatric Unit, Hôpital de la Mère et de l’Enfant, 87042, Limoges, France.

Pauline Hangard

Pediatric Unit, Hôpital de la Mère et de l’Enfant, 87042, Limoges, France.

Celine Menetrey

Pediatric Unit, Hôpital de la Mère et de l’Enfant, 87042, Limoges, France.

Mikael Jokic

Pediatric Intensive Care Unit, CHU de Caen Normandie, 14033, Caen, France.

Elsa Gachelin

Pediatric Department, CHU Félix Guyon, F-97404, Saint Denis, La Réunion, France.

Caroline Perisson

Pediatric Department, CHU Sud Réunion, F-97448, Saint Pierre, La Réunion, France.

Anne Pervillé

Hôpital d’Enfants – ASFA, F-97404, Saint Denis, La Réunion, France.

Agnes Fina

Pediatric Pulmonology and Allergology Department, Hôpitaux Pédiatriques de Nice CHU-Lenval, Nice, France.

Lisa Giovannini-Chami

Pediatric Pulmonology and Allergology Department, Hôpitaux Pédiatriques de Nice CHU-Lenval, Nice, France.

Emmanuelle Fleurence

ESEAN-APF, Health Center for Children and Adolescents, 44200, Nantes, France.

Audrey Barzic

Pediatric Department, CHU Brest, 29200, Brest, France.

Audrey Breining

Pediatric Department, CHU Strasbourg, 67000, Strasbourg, France.

Morgane Ollivier

Pediatric Intensive Care Unit, CHU Angers, 49100, Angers, France.

Guillaume Labbé

Pediatric Pulmonology and Allergology Unit, CHU d’Estaing, 63003, Clermont-Ferrand, France.

Laurianne Coutier

Paediatric Intensive Care Unit, Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, 69677, Bron, France.

Guillaume Aubertin

Pediatric Pulmonology and Allergology Unit, Hospices Civils de Lyon, 69677, Bron, France; Sorbonne Université, INSERM UMR-S 938, Centre de Recherche Saint-Antoine (CRSA), F-75014, Paris, France; Centre de Pneumologie de l’enfant, Ramsay Générale de Santé, 92100, Boulogne-Billancourt, France.

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Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study.

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