The use of home mechanical ventilation has increased over the last two decades

In order to assess the use of home mechanical ventilation, invasive or non-invasive, between 2000 and 2023, French and Belgian authors carried out a review of the literature:

  • 32 studies with a total of 8815 children undergoing home ventilation were included;
  • 37% of the children had a neuromuscular disease;
  • over the past 24 years, the use of home mechanical ventilation has increased, with an estimated prevalence of 7.4 per 100,000 children;
  • this increase is in favor of non-invasive ventilation, the use of which rose in particular between 2020 and 2023, with a median age of onset of 8.2 years;
  • however, invasive ventilation remains frequent, particularly in countries less familiar with NIV, with an average age of onset of use of 3.3 years.

 

Invasive versus non-invasive paediatric home mechanical ventilation: review of the international evolution over the past 24 years. Toussaint M, van Hove O, Leduc D et al. Thorax. 2024 Fev.