Percorrer por autor "Oliveira, Rui Paulo Pinto"
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- Predicting exacerbations in patients with chronic respiratory failure and home mechanical ventilation using telemonitoring platforms: A prospective observational studyPublication . Oliveira, Rui Paulo Pinto; Noites, Andreia; Caneiras, Cátia; Santos, RitaVentilotherapy is the main treatment for patients with hypercapnic chronic respiratory failure and nowadays, there has been discussion on how telemonitoring can benefit this patients. With that, the main objective of this study is to analyze if telemonitoring platforms can predict exacerbation of these patients and additionally analyze the prescription pattern of ventilotherapy and develop a template for the ventilatory report analysis. The study was divided into 3 phases: (1) descriptive analysis of current ventilation prescription practices in patients with chronic respiratory failure referred to a Portuguese home respiratory healthcare company; (2) descriptive analysis of telemonitoring platforms with a template suggestion of ventilation report, using a focus group; (3) prospective observational analysis of ventilation parameters to predict early exacerbations. Majority of patients (99%; n=1089) patients were ventilated by pressure modes (1). The focus group compared both platforms and developed a template with the most important ventilatory variables to assure a good adherence to the treatment (2). Lastly, results showed no statistical significance in all the independent variables (3). Prescription in Portugal might remain pressure-based. Additionally, there is an increased need for development of a universal layout to analyze ventilatory reports. Additional studies are needed to evaluate the potential of telemonitoring.