Document Detail


Home ventilation for amyotrophic lateral sclerosis patients: outcomes, costs, and patient, family, and physician attitudes.
MedLine Citation:
PMID:  8437718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We conducted this study to better inform amyotrophic lateral sclerosis (ALS) patients about home ventilation and to assist them in decision-making. We gathered data on the prevalence of ALS patients on home ventilation in northern Illinois and the percentage who chose it, and we asked identified subjects, their families, and physicians for their attitudes toward home ventilation. Fewer than 10% of ALS patients had chosen home ventilation, and fewer than 5% were still on it. Seventeen patients (90%) were glad to have chosen home ventilation and would choose it again. Family caregivers reported major burdens, and only half would choose it for themselves. The mean yearly cost of home ventilation was $153,252. Home ventilation is effective for ALS patients had desired by the small number who undergo it, but it imposes significant burdens on families.
Authors:
A H Moss; P Casey; C B Stocking; R P Roos; B R Brooks; M Siegler
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurology     Volume:  43     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-03-23     Completed Date:  1993-03-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  438-43     Citation Subset:  AIM; IM    
Affiliation:
Center for Health Ethics and Law, West Virginia University Health Sciences Center, Morgantown 26506-9022.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Amyotrophic Lateral Sclerosis / economics,  nursing*,  psychology
Attitude
Attitude of Health Personnel
Family / psychology
Female
Health Care Costs
Home Care Services* / economics
Humans
Illinois
Male
Middle Aged
Physicians
Prognosis
Questionnaires
Respiration, Artificial / economics,  methods*,  psychology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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