지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 1,024 - 1,033 (10page)
이용수
초록· 키워드
오류제보하기
Purpose: Patients with respiratory failure associated with neurological dysfunction often require mechanical ventilator support,which poses increased economic burden and ventilator-associated complications. A diaphragm pacing system (DPS) is an implanteddevice that provides respiratory support for such patients. In this systematic review, we reviewed the literature to assessthe safety and efficacy of DPS for patients with respiratory failure resulting from amyotrophic lateral sclerosis (ALS) or cervicalspinal cord injuries. Materials and Methods: The following databases were searched from July 10 to July 30, 2018: MEDLINE, EMBASE, Cochran library,KoreaMed, Research Information Sharing Service, Korean studies Information Service System, Korea Institute of Scienceand Technology Information, and Korean Medical database. The abstracts and full texts of the searched articles were reviewed bytwo reviewers. Results: The search keywords generated 197 articles: two randomized controlled trials, two case-control studies, and one case reportinvolving patients with ALS; one cohort study, one case-control study, and two case reports involving patients with cervicalspine injury; and one case report involving patients with both conditions were included. The primary outcome was safety profile(complications and adverse event) and efficacy (overall survival and sleep improvement). Complications and adverse eventswere more common in patients with ALS and spinal cord injury receiving DPS than in controls. Efficacy outcomes were inconsistentacross ALS studies. Conclusion: Based on safety and efficacy results, we do not support using DPS to manage respiratory failure in patients with ALSor cervical spine injury.
목차
등록된 정보가 없습니다.
참고문헌 (40)
참고문헌 신청
Lechtzin N / 2006 / Respiratory effects of amyotrophic lateral sclerosis : problems and solutions / Respir Care 51:871~884
Lo V / 2013 / Critical care management of patients with acute spinal cord injury / J Neurosurg Sci 57:281~292
Berlowitz DJ / 2016 / Identifying who will benefit from non-invasive ventilation in amyotrophic lateral sclerosis/motor neurone disease in a clinical cohort / J Neurol Neurosurg Psychiatry 87:280~286
1999 / Clinical indications for noninvasive positive pressure ventilation in chronic respiratory failure due to restrictive lung disease, COPD, and nocturnal hypoventilation--a consensus conference report / Chest 116:521~534
Morelot-Panzini C / 2019 / NIV in amyotrophic lateral sclerosis : the ‘when’ and ‘how’ of the matter / Respirology 24:521~530
Lo V / 2013 / Critical care management of patients with acute spinal cord injury / J Neurosurg Sci 57:281~292
Berlowitz DJ / 2016 / Identifying who will benefit from non-invasive ventilation in amyotrophic lateral sclerosis/motor neurone disease in a clinical cohort / J Neurol Neurosurg Psychiatry 87:280~286
1999 / Clinical indications for noninvasive positive pressure ventilation in chronic respiratory failure due to restrictive lung disease, COPD, and nocturnal hypoventilation--a consensus conference report / Chest 116:521~534
Morelot-Panzini C / 2019 / NIV in amyotrophic lateral sclerosis : the ‘when’ and ‘how’ of the matter / Respirology 24:521~530
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