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May 20, 2026American Journal of Respiratory and Critical Care Medicine

A77-09 Heterogeneity in Care Trajectories and Survival After Non-Invasive Ventilation Initiation in Amyotrophic Lateral Sclerosis: A Nationwide Cluster Analysis

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Authors

PTP TankéréEBE BernardEHE Herquelot

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Overview

Retrospective analysis finds diverse health trajectories after non-invasive ventilation in ALS, suggesting patient-specific timing for treatment initiation.

Key Points

  • This study aims to characterize health trajectories surrounding non-invasive ventilation (NIV) in ALS and explore the relationship between NIV timing and survival.
  • Retrospective analysis of ALS patients receiving NIV from the French national health insurance database (2015-2019)
  • Time sequence analysis and K-clustering used to identify patient clusters based on NIV initiation timing and survival
  • Examination of clinical events, comorbidities, and healthcare utilization patterns
  • 3,443 patients included; median age 67 years, median time from diagnosis to NIV initiation was 10.8 months
  • Survival varied significantly; patients in clusters with late NIV initiation had different profiles influencing their outcomes
  • Cluster B showed prolonged survival with late NIV initiation, predominantly featuring spinal onset ALS and low comorbidity burden

Cite This Study

Tankéré et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f19f03e14405aa9a5e4https://doi.org/10.1093/ajrccm/aamag162.4653
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Health trajectories of patients with amyotrophic lateral sclerosis before and after initiation of non-invasive ventilation: a French nationwide database analysis2026
  2. 2Predictors of survival following initiation of non-invasive ventilation in patients with amyotrophic lateral sclerosis2024
  3. 3Initiation of noninvasive ventilation in patients with amyotrophic lateral sclerosis2024 · 7 citations
  4. 4Home mechanical ventilation for amyotrophic lateral sclerosis–a national study of survival and treatment trends across 27 years2026
  5. 5Health Trajectories around Noninvasive Ventilation Initiation for Obesity Hypoventilation Syndrome2025 · 3 citations