- Northumbria Healthcare NHS Trust
Research output: Contribution to journal › Article
At exercise iso-time (where work completed was consistent between pNIV and PLB), 8/24 patients were DH non-responders (DH: 240±40ml, p=0.001 greater using pNIV). 16/24 were DH responders (DH: 220±50ml, p=0.001 lower using pNIV). Compared to DH responders, DH non-responders exhibited greater resting DH (RV/TLC: 65±4% versus 56±2%; p=0.028) and did not improve exercise tolerance (pNIV: 30.9±3.4 versus PLB: 29.9±3.3 min; p=0.603). DH responders increased exercise tolerance (pNIV: 34.9±2.4 versus PLB: 27.1±2.3 min; p=0.001). Resting RV/TLC% was negatively associated with the magnitude of DH when using pNIV compared to PLB (r=-0.42; p=0.043).
Patients with profound DH were less likely to improve exercise tolerance with pNIV. Further studies using auto-adjusted ventilators are warranted.