The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders

Kazlı, Tuğba; yılmaz durmuş, suzan; Bingöl, Ayşen; haspolat, senay; Başaran, Abdurrahman Erdem; Başaran, Ayşen; duman, ozgur

doi:10.53394/akd.1164632

The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders

Abdurrahman BAŞARAN, (Akdeniz Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Pediatri Bölümü, Antalya, Türkiye)

Ayşen BAŞARAN, (Akdeniz Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Pediatri Bölümü, Antalya, Türkiye)

Tuğba KAZLI, (Akdeniz Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Pediatri Bölümü, Antalya, Türkiye)

Suzan YILMAZ DURMUŞ, (Akdeniz Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Pediatri Bölümü, Antalya, Türkiye)

Özgür DUMAN, (Akdeniz Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Pediatri Bölümü, Antalya, Türkiye)

senay haspolat, (Akdeniz Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Pediatri Bölümü, Antalya, Türkiye)

Ayşen BİNGÖL (Akdeniz Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Pediatri Bölümü, Antalya, Türkiye)

Akdeniz Tıp Dergisi

4 2

Yıl: 2023 Cilt: 9 Sayı: 1 Sayfa Aralığı: 90 - 97 Metin Dili: İngilizce DOI: 10.53394/akd.1164632 İndeks Tarihi: 22-05-2023

The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders

Öz:

Objective: Respiratory complications are a significant cause of morbidity and mortality in patients with neuromuscular diseases (NMD). The aim of this study was to examine the demographic data of subjects with NMD using a mechanical insufflation-exsufflation (MI-E) device and the effect of an MI-E device on quality of life (QoL) and hospitalization. Material and Methods: The study included patients under 18 years with NMD followed up in the Pediatric Pulmonology Section between December 2019 and December 2020. Twenty-seven patients with NMD using an MI-E for at least 3 months were enrolled in the study group and 30 patients with NMD using only manuel airway clearance techniques were enrolled in the control group. Data were collected with respect to clinical and demographic characteristics, the MI-E device settings, ease of expectoration visual analogue scores (EE), and the QoL scores. Thirteen subjects, who used an MI-E device for more than 12 months, were assessed pre-and post-MI-E use hospitalization data for respiratory reasons. Results: The mean EE scores were significantly higher after MI-E device use compared to before. Among participants who were evaluated pre- and post-MI-E use there was a significant decrease in the number of hospital admissions and length of stay. The mean QoL scores of subjects diagnosed with spinal muscular atrophy (SMA) with tracheostomy in study group were determined to be significantly higher than SMA with tracheostomy in control group. Conclusions: The use of MI-E device showed a positive effect to EE, number of hospital admissions and length of stay in patients with NMD. In addition, it contributed positively of QoL scores in patients with SMA.

Anahtar Kelime: mechanical insufflation-exsufflation neuromuscular disorder MI-E device quality of life

Mekanik İnsuflasyon-Eksuflasyon Cihazının Nöromusküler Hastalıkları Olan Çocuklarda Yaşam Kalitesine ve Hastane Yatışına Etkisi

Öz:

Amaç: Nöromusküler hastalığı (NMH) olan olgularda en önemli morbidite ve mortalite nedeni solunumsal komplikasyonlardır. Çalışmanın amacı Mekanik İnsuflasyon-Eksuflasyon (Mİ-E) cihazı kullanan NMH’li olguların demografik verilerini ve Mİ-E cihazının yaşam kalitesine ve hastane yatışına olan etkisini incelemekti. Gereç ve Yöntemler: Aralık 2019 ve Aralık 2020 tarihleri arasında Çocuk Göğüs Hastalıkları Polikliniği’nde NMH tanısıyla takip edilen 18 yaşından küçük hastalar çalışmaya dahil edildi. En az 3 aydır Mİ-E cihazı kullanan 27 NMH‘li hasta çalışma grubuna ve sadece manuel solunum yolu temizleme teknikleri kullanan 30 hasta kontrol grubuna alındı. Klinik ve demografik özellikleri, Mİ-E cihazı ayarları, balgam çıkarmadaki kolaylık vizüel analog skorları (BÇK) ve yaşam kalitesi skorlarıyla ilgili veriler toplandı. Mİ-E cihazını 12 aydan uzun süre kullanan 13 olgunun Mİ-E cihazı öncesi ve sonrası solunumsal nedenlerle hastaneye yatış verileri değerlendirildi. Bulgular: Mİ-E cihazı kullanımı sonrası BÇK skorları cihaz kullanımı öncesine göre istatiksel anlamlı yüksekti. Mİ-E cihazı kullanımı öncesi ve sonrası değerlendirilen olgularda hastaneye yatış sayısında ve süresinde istatistiksel anlamlı azalma vardı. Çalışma grubu içerisindeki trakeostomili spinal musküler atrofi (SMA) tanılı olguların yaşam kalitesi skorları ortalaması kontrol grubundaki trakeostomili SMA’lı olgulara göre istatis- tiksel anlamlı yüksek saptandı. Sonuç: Mİ-E cihazı kullanımı NMH'li hastalarda BÇK’ya, hastaneye yatış sayı ve süresine olumlu katkı sağladı ve SMA'lı hastalarda yaşam kalitesine olumlu katkıda bulundu.

Anahtar Kelime: Mekanik İnsuflasyon-Eksuflasyon Nöromusküler hastalık Mİ-E cihazı Yaşam kalitesi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Başaran A, Başaran A, Kazlı T, yılmaz durmuş s, duman o, haspolat s, Bingöl A (2023). The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. , 90 - 97. 10.53394/akd.1164632
Chicago	Başaran Abdurrahman Erdem,Başaran Ayşen,Kazlı Tuğba,yılmaz durmuş suzan,duman ozgur,haspolat senay,Bingöl Ayşen The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. (2023): 90 - 97. 10.53394/akd.1164632
MLA	Başaran Abdurrahman Erdem,Başaran Ayşen,Kazlı Tuğba,yılmaz durmuş suzan,duman ozgur,haspolat senay,Bingöl Ayşen The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. , 2023, ss.90 - 97. 10.53394/akd.1164632
AMA	Başaran A,Başaran A,Kazlı T,yılmaz durmuş s,duman o,haspolat s,Bingöl A The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. . 2023; 90 - 97. 10.53394/akd.1164632
Vancouver	Başaran A,Başaran A,Kazlı T,yılmaz durmuş s,duman o,haspolat s,Bingöl A The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. . 2023; 90 - 97. 10.53394/akd.1164632
IEEE	Başaran A,Başaran A,Kazlı T,yılmaz durmuş s,duman o,haspolat s,Bingöl A "The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders." , ss.90 - 97, 2023. 10.53394/akd.1164632
ISNAD	Başaran, Abdurrahman Erdem vd. "The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders". (2023), 90-97. https://doi.org/10.53394/akd.1164632

APA	Başaran A, Başaran A, Kazlı T, yılmaz durmuş s, duman o, haspolat s, Bingöl A (2023). The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. Akdeniz Tıp Dergisi, 9(1), 90 - 97. 10.53394/akd.1164632
Chicago	Başaran Abdurrahman Erdem,Başaran Ayşen,Kazlı Tuğba,yılmaz durmuş suzan,duman ozgur,haspolat senay,Bingöl Ayşen The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. Akdeniz Tıp Dergisi 9, no.1 (2023): 90 - 97. 10.53394/akd.1164632
MLA	Başaran Abdurrahman Erdem,Başaran Ayşen,Kazlı Tuğba,yılmaz durmuş suzan,duman ozgur,haspolat senay,Bingöl Ayşen The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. Akdeniz Tıp Dergisi, vol.9, no.1, 2023, ss.90 - 97. 10.53394/akd.1164632
AMA	Başaran A,Başaran A,Kazlı T,yılmaz durmuş s,duman o,haspolat s,Bingöl A The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. Akdeniz Tıp Dergisi. 2023; 9(1): 90 - 97. 10.53394/akd.1164632
Vancouver	Başaran A,Başaran A,Kazlı T,yılmaz durmuş s,duman o,haspolat s,Bingöl A The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders. Akdeniz Tıp Dergisi. 2023; 9(1): 90 - 97. 10.53394/akd.1164632
IEEE	Başaran A,Başaran A,Kazlı T,yılmaz durmuş s,duman o,haspolat s,Bingöl A "The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders." Akdeniz Tıp Dergisi, 9, ss.90 - 97, 2023. 10.53394/akd.1164632
ISNAD	Başaran, Abdurrahman Erdem vd. "The Effect of a Mechanical Insufflation-Exsufflation Device on Quality of Life and Hospitalization of Children with Neuromuscular Disorders". Akdeniz Tıp Dergisi 9/1 (2023), 90-97. https://doi.org/10.53394/akd.1164632