Volume 9 Supplement 1

International Conference for Healthcare and Medical Students (ICHAMS) 2013

Open Access

A neuromuscular respiratory outpatient clinic: Patient profile and experience (Beaumont Hospital)

  • K Carty1,
  • M Guidon1 and
  • C Egan2
BMC Proceedings20159(Suppl 1):A28

https://doi.org/10.1186/1753-6561-9-S1-A28

Published: 14 January 2015

Background

Neuromuscular disorders (NMD) such as Duchenne Muscular Dystrophy (DMD) are characterised by slow progressive muscle atrophy and weakness [1]. Weak respiratory muscles, loss of ambulation and mechanical factors, cause a reduction in total lung capacity (TLC) and Vital Capacity (VC). Patients are at risk of developing acute conditions that decrease pulmonary function and in turn trigger acute respiratory failure [2]. Due to advancements in respiratory interventions NMD patients are progressing into an adulthood healthcare setting, there is a need for intervention in this phase of transition [1]. Currently in Ireland, children with NMD are diagnosed in a paediatric setting and transition to adult services without a designated medical consultant. In January 2012 a multidisciplinary Neuromuscular Respiratory Clinic was established in Beaumont Hospital. This is the first clinic of its kind in an adult setting in Ireland.

Methods

The main aim of this project was to profile the patients who have attended the clinic since its establishment and to survey all patients who attended to determine patient clinic satisfaction. The patient profile was completed using a retrospective review of patient charts that attended the clinic from January 2012. Patients were surveyed at a clinic visit during the summer period.

Results

Forty-one patient records were reviewed. The majority of the patients (56%) presented with a form of Muscular Dystrophy (MD). 76% of patients were male. The age range upon first visit was 18 – 69 years with 51% of patients under 35yrs. 78% of patients reported a Peak Cough Flow below 270 L/min and 22% had an FVC of less than 1 Litre. 7 out of the 13 patients who had pulmonary function tests carried out recorded an FEV1 less than 50% of the predicted value. Interventions provided included breath stacking, deep breathing exercises and the use of a cough assist device. Eleven patients made a return visit to the clinic within one year of their first appointment. Due to unforeseen circumstances only eight patients completed the survey, 88% of patients felt they could had a good communication with the care team and 50% felt their visit to the clinic would lead to fewer health problems.

Conclusions

The low age profile justifies the need for this clinic. There is currently no clinic in Ireland accommodating this patient group and access to a care-team such as this is vital to the continued management of their condition. Overall patient satisfaction was positive although the number surveyed was small.

Authors’ Affiliations

(1)
Department of Physiotherapy, Royal College of Surgeons in Ireland
(2)
Beaumont Hospital

References

  1. Passamno L, Gagila A, Palladina A, Iggiano E, et al: Improvement of survival in Duchenne Muscular Dystrophy: Retrospective analysis of 835 patients. Acta Myologica. 2012, 31 (2): 121-125.Google Scholar
  2. Bach JR, Zhitnikov S: The management of Neuromuscular Ventilatory Failure. Seminars in Pediatric Neurology. 1998, 5 (2): 92-105.View ArticlePubMedGoogle Scholar

Copyright

© Carty et al; licensee BioMed Central Ltd. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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