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Caracterización socio-demográfica y clínica
de pacientes adultos en ventilación mecánica
no invasiva domiciliaria. Ministerio de Salud.
Chile
MarianelaAndrade A.*, MónicaAntolini T.**, Krishnna Canales H.***,
Mauricio Fuentes A.****, Maricella Mazzei P.***** y César Maquilón O.**
Socio-demographic and clinical characterization of adult patients in non-invasive
home mechanical ventilation. Ministry of Health. Chile
Introduction:
Non-invasive home mechanical ventilation (NIHMV) is delivered in Chile since
2008 throughout a public program, including equipment and professionals.
Objectives:
1) Charac-
terize the socio-demographic and clinical profile of the adult patient under NIHMV and 2) Propose
improvements in social health care.
Methodology:
Descriptive cross-sectional study, through face-to-
face home interview and review of official databases. Sample of 267 subjects, both gender, over 20
years-old, with Chronic Global Respiratory Failure (CGRF) in NIHMV. In 2016 there were 413 active
patients.
Results:
Women 144 (53.9%), mean age 58.6 ± 18 years-old; 25.5% had COPD and 24% had
a hypoventilation obesity syndrome, average PaCO
2
at the time of admission to program was 59 ± 11
mmHg, they were ventilated since 3.2 ± 2.4 years, 7.6 ± 2.4 h a day. Subjects “without instruction” and
with “incomplete basic education” represents 40.7% of the sample. 46.4% were retired persons; 3%
lived in a precarious hut; 19.8% cohabited with relatives or close friends; 49% did not have a partner;
4.8% lived alone; 68.6% was oxygen dependent; 40% had an altered Golberg test; 17.7% “has a major
limitation, unable to perform self-care”.
Conclusions:
Our patients have a severe socio-demographic
and clinical deterioration, due to low schooling level, predominance of older adults, a major incapa-
city for working and patients have a more severe disease with higher baseline PaCO
2
levels, compared
to European studies. NIHMV programs must adopt a social health approach and be inserted into the
health network in social service, and cardiovascular and mental health programs.
Key words:
Non-invasive home mechanical ventilation; Obesity Hypoventilation Syndrome; Pul-
monary Disease, Chronic Obstructive; Cross sectional studies; Adult; Humans.
Resumen
Introducción:
La ventilación mecánica no invasiva domiciliaria (VMNID) se entrega en Chile des-
de el año 2008 mediante un programa público. Incluye equipamiento y profesionales.
Objetivos:
1) Ca-
racterizar el perfil socio-demográfico y clínico del usuario adulto con VMNID y 2) Proponer mejoras
Este trabajo no contó con ningún financiamiento de institución gubernamental, sociedad médica, empresa u otra orga-
nización.
* Kinesióloga, Programa AVNIA (Asistencia Ventilatoria no Invasiva en Adultos AVNIA), MINSAL (Ministerio de
Salud) y Hospital San José SSMN (Servicio de Salud Metropolitano Norte). Santiago. Magíster de Salud Pública,
Escuela de Salud Pública, Universidad de Chile. Santiago, Chile.
** Broncopulmonar, Programa AVNIA, MINSAL y Departamento de Enfermedades Respiratorias, Clínica Dávila,
Santiago, Chile.
*** Enfermera, Programa AVNIA, MINSAL y enfermera supervisora de la Unidad de Cuidados Intensivos, Clínica
Dávila, Santiago, Chile.
**** Estadístico, Escuela Salud Pública, Universidad de Chile. Santiago, Chile.
*****Socióloga, Escuela Salud Pública, Universidad de Chile. Santiago, Chile.
Rev Chil Enferm Respir 2018; 34: 10-18
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