Clinical Features of Patients on Home Oxygen Therapy Due to Chronic Respiratory Failure at One University Hospital
The Korean Journal of Internal Medicine
; : 311-316, 2012.
Article
em En
| WPRIM
| ID: wpr-195162
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS:
Home oxygen therapy (HOT) costs a great deal every year and demand for the service is growing. In Korea, health insurance has covered HOT since November 1, 2006. The objective of this study was to evaluate clinical features of patients who used long-term HOT due to chronic respiratory failure and to determine the appropriateness of oxygen prescriptions.METHODS:
Between November 2006 and April 2010, patients prescribed long-term HOT were enrolled in the study at a tertiary university referral hospital and their medical records and telephone survey information were evaluated. In total, 340 patients were evaluated retrospectively.RESULTS:
Regarding the initial indications for HOT, their mean PaO2 was 49.8 mmHg and mean SpO2 was 82.2%. Underlying diseases included chronic obstructive pulmonary disease (COPD, 19.8%), lung cancer (12.6%), and interstitial lung disease (11.2%). The admission rate within 1 year was 53.4% and the average number of admissions was 1.64/patient. Other underlying diseases for which oxygen was prescribed, despite not meeting the insurance coverage criteria, were lung cancer (36.6%) and interstitial pneumonia (16.6%).CONCLUSIONS:
Home oxygen prescriptions have increased since health insurance coverage was extended. However, cases of oxygen prescriptions frequently do not meet the coverage criteria. It is important to discuss extending the coverage criteria to other disease groups, such as interstitial lung disease and lung cancer, in terms of cost-effectiveness. Further, physicians prescribing oxygen therapy should be educated regarding the criteria.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Oxigenoterapia
/
Insuficiência Respiratória
/
Fatores de Tempo
/
Avaliação de Programas e Projetos de Saúde
/
Doença Crônica
/
Estudos Retrospectivos
/
Causas de Morte
/
Cooperação do Paciente
/
Resultado do Tratamento
/
Serviços Hospitalares de Assistência Domiciliar
Tipo de estudo:
Evaluation_studies
/
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
The Korean Journal of Internal Medicine
Ano de publicação:
2012
Tipo de documento:
Article