A Specific Home Care Program Improves the Survival of Patients With Chronic Obstructive Pulmonary Disease Receiving Long Term Oxygen Therapy

Rizzi, Maurizio; Grassi, Mario; Pecis, Marica; Andreoli, A.; Taurino, Anna Eugenia; Sergi, Maria Chiara; Fanfulla, Francesco

doi:10.1016/j.apmr.2008.08.223

Cited by 27 publications

(24 citation statements)

References 38 publications

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“…Cross-sectional studies have reported ‘added value’ from reviewing patients in their homes, which included identifying and correcting problems with the concentrator, humidifier, the length of the patient's tubing and factors impacting on the patient’s usage 56 57. In a prospective 10-year case–control study in which 217 LTOT patients were randomised to ‘home care’ (defined as 6-monthly hospital appointments and 2–3-monthly home visits) or standard care (management by hospital physician only), home care decreased exacerbation rates 58. Randomisation of 122 LTOT patients to follow-up with a hospital-based homecare programme (monthly phone call, home visits every 3 months, and home or hospital visits on a demand basis) or conventional medical care, demonstrated significantly decreased costs in the homecare follow-up group, which was mainly due to a reduction in use of hospital resources, despite the cost of running the service itself 59.…”

Section: Long-term Oxygen Therapymentioning

confidence: 99%

British Thoracic Society guidelines for home oxygen use in adults: accredited by NICE

Hardinge

Annandale

Bourne

et al. 2015

Thorax

270

262

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Section: Long-term Oxygen Therapymentioning

confidence: 99%

British Thoracic Society guidelines for home oxygen use in adults: accredited by NICE

Hardinge

Annandale

Bourne

et al. 2015

Thorax

270

262

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“…Most U.S. home health care services are funded by Medicare (National Association for Home Care [NAHC], 2008) and have been shown to be cost effective (NAHC, 2008); to reduce long-term institutionalization (Pande, Laditka, Laditka, & Davis, 2007), mortality (Rizzi et al, 2009), and hospitalization (Rizzi et al, 2009;Shaughnessy et al, 2002); and to improve health status (Shaughnessy et al, 2002). Medicare home care outcomes are currently monitored via the Outcomes and Assessment Information Set (OASIS; NAHC, 2008).…”

mentioning

confidence: 99%

Current Occupational Therapy Publications in Home Health: A Scoping Review

Craig

2012

The American Journal of Occupational Therapy

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PURPOSE.Recently, home health services have been a topic of increasing interest. Occupational therapy practice and utilization patterns in home care have not been the subject of recent research.METHOD. I examined 65 publications addressing current occupational therapy practice in U.S. home health. Articles were analyzed to uncover factors influencing occupational therapy utilization and practice. RESULTS.Results indicate that research has looked at a variety of typologies and efficacy measures for occupational therapy in home care. However, occupational therapy utilization and practice patterns in home health do not appear to be entirely consistent with research. I identify factors explaining this inconsistency and make research and practice recommendations.CONCLUSION. Results suggest that system challenges limit the utilization and practice of occupational therapy to deliver expected outcomes in home health practice.

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“…These units can remind important points about disease and concentrator to patients and caregivers, do saturation check, medications prescriptions and -if needed-organize hospital admission. As reported before home care program reduces the mortality and hospital admissions [11]. According to the 2010 estimations the median age of Turkey is 28.9.…”

Section: Discussionmentioning

confidence: 87%

Long term oxygen therapy and factors affecting patient adherence

Erol

Yıldızeli

Gülen

et al. 2012

CMJ

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Aim. Long-term oxygen therapy delays the adverse effects of chronic hypoxemia and improves survival. Long term oxygen therapy must be administered at least fifteen hours a day in order to be effective. Adherence to long-term oxygen therapy is the main problem. In this study we evaluated patient adherence to long-term oxygen therapy and reasons of poor compliance. Method. A questionnaire was administered to 51 patients whom long-term oxygen therapywas prescribed at Mardin State Hospital or Kızıltepe State hospital between 2009 and March 2012. Questionnaire was administered face to face or on telephone call. Results. Among 51 patients 32 were male, 19 were female. Thirty seven patients (72.5%) had chronic obstructive pulmonary disease. Thirteen patients (25.5%) were using oxygen at least fifteen hours a day. Remaining 38 patients (74.5%) were using less than fifteen hours. Of these 38 patients 22 patients were using oxygen whenever they had dyspnea, 3 patients at night and remaining 13 patients were using oxygen between 2 to 10 hours. Forty four patients reported improvement with long-term oxygen therapy , 2 patients said that they didn't notice any improvements and 5 patients were not sure about benefits of long-term oxygen therapy . Twenty seven patients (52.9%) knew that they should use at least fifteen hours. Among these 27 patients 15 patients were using less than prescribed hours, although they knew they should use at least fifteen hours. Only 4 patients reported reasons for poor compliance. One patient was afraid of getting addicted, one patient suffered from noise and two patients reported that they were not at home during day time. Conclusion. This study revealed that compliance with long-term oxygen therapy is an important issue. We think that poor compliance is due to inadequate patient information. Home care service can help for both patient education and followup.Keywords: Chronic respiratory failure, long-term oxygen therapy, patient adherence Özet Amaç. Uzun süreli oksijen tedavisi kronik hipoksinin yan etkilerini geciktiren ve sağkalımı artıran bir tedavidir. Etkin olabilmesi için oksijenin günde en az on beş saat kullanılması gerekmektedir. Bu calışmada hastalarımızın tedaviye uyum sorununu ve uyumsuzluğun sebeplerini araştırdık. Metod. 2009 ve Mart 2012 arasında Mardin ve Kızıltepe Devlet Hastanelerinde uzun süreli oksijen tedavisi reçete edilen 51 hastaya telefonla veya yüz yüze anket uygulandı. Bulgular. Elli bir hastadan 32'si erkek 19'u kadındı. Otuz yedi hastanın (%72,5) tanısı kronik obstruktif akciğer hastalığı idi. On üç (%25,5) hasta günde en az 15 saat oksijen kullanıyordu. Kalan otuz sekiz (%74,5) hasta ise reçetelenen 15 saatten daha az kullanıyordu. Bu 38 hastadan 22'si nefes darlığı hissettiklerinde, 3'ü gece ve kalan 13 hasta ise 2 ile 10 saat arasında düzensiz kullanıyordu. Kırk dört hasta uzun süreli oksijen tedavisinden fayda gördüğünü ifade etti. İki hasta fayda görmediğini kalan 5 hasta ise fayda görüp görmediğinden emin olmadığını ifade etti. Yirmi yedi hasta oksijeni...

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A Specific Home Care Program Improves the Survival of Patients With Chronic Obstructive Pulmonary Disease Receiving Long Term Oxygen Therapy

Cited by 27 publications

References 38 publications

British Thoracic Society guidelines for home oxygen use in adults: accredited by NICE

British Thoracic Society guidelines for home oxygen use in adults: accredited by NICE

Current Occupational Therapy Publications in Home Health: A Scoping Review

Long term oxygen therapy and factors affecting patient adherence

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