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HTA of Domiciliary Invasive Ventilation for Adults with Spinal Cord Injuries

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HIQA has commenced work on a health technology assessment (HTA) of domiciliary invasive ventilation for adults with spinal cord injuries.

Individuals with high spinal cord injuries (in the neck region) have complex healthcare needs due to complications such as the complete paralysis of all four limbs and torso (tetraplegia) and respiratory failure. In order to breathe, a small number of these individuals will have lifelong dependency on invasive mechanical ventilation via tracheostomy. There are many challenges in safely discharging home these individuals who require invasive mechanical ventilation. As a result, these individuals often remain in hospital for a prolonged period of time.

This HTA will assess the organisational, budget impact and resource implications, as well as the social and ethical issues arising from the provision of care to these individuals within their own home. The findings of the assessment will inform a decision by the HSE on the national delivery of care to adults with spinal cord injuries who require permanent invasive mechanical ventilation and in whom discharge home is deemed clinically appropriate.

This assessment was requested by the National Clinical Programme for Rehabilitation Medicine in the Health Service Executive (HSE) and the Spinal Cord System of Care Programme in the National Rehabilitation Hospital (NRH).

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