PT - JOURNAL ARTICLE AU - C Wallis AU - E Jardine AU - S Beaton AU - J Paton TI - A national survey of paediatric long-term ventilation in the UK AID - 10.1136/adc.2010.186338.4 DP - 2010 Apr 01 TA - Archives of Disease in Childhood PG - A2--A2 VI - 95 IP - Suppl 1 4099 - http://adc.bmj.com/content/95/Suppl_1/A2.1.short 4100 - http://adc.bmj.com/content/95/Suppl_1/A2.1.full SO - Arch Dis Child2010 Apr 01; 95 AB - Aims The last decade has seen a significant increase in the number of children receiving long-term ventilatory (LTV) support. There are a number of reasons for this including improved home ventilators for children, better designed paediatric face masks and a new ethos for long-term respiratory support at home. A previous survey undertaken in 1997 revealed 136 such children. The current number and status are required for allocation of healthcare resources for these high-cost, complex children.Methods Because of the protean nature of this cohort, it was elected to do a spot census. A standard questionnaire was devised by consensus and 39 lead clinicians were identified who supervise children on LTV in the UK. All children (<17 years) receiving ventilatory support for all/part of the 24-h day for a period of at least 3 months at midnight on the 30th September 2008 were included. Data were entered to an online form and after anonymisation and encryption were stored at a central data monitoring centre.Results 944 children/young people were identified. 58% were male and 91% lived at home. 212 children were ventilated by tracheostomy while 714 used facial mask interface. Three children had phrenic nerve pacing in addition to a tracheostomy. 18 were unknown. The medical causes for ventilatory support were divided into three main categories:Respiratory: (350) of which upper airway obstruction and obesity dominated; 11 had chronic lung disease of prematurity;CNS: (184) of which 57 had congenital central hypoventilation, 22 had high spinal injury; 21 acquired hypoventilation;Musculoskeletal: (410) the commonest cause was Duchenne muscular dystrophy (92); 64 children had spinal muscular atrophy (SMA) type II and 12 SMA type I.Conclusions This study has shown a very substantial increase in the numbers of children on LTV since the last UK survey. The increased use of non-invasive ventilation in neuromuscular patients is the main contributor. The vast majority of the children (including those on 24-h tracheostomy ventilation) are managed at home. These data will inform future health provision and also form the basis for a wider study into other aspect of home ventilation in childhood.