El control de la oxigenoterapia domiciliaria en un hospital comarcal

Manresa, J.M.; Sena, F.

doi:10.1016/S0300-2896(01)75086-7

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and translational research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

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Un total de 76 pacientes recibían OD (63/100.000 habitantes). De los 60 pacientes con EPOC, el 50% tenía una indicación idónea; el 65% cumplían más de 15 h de oxigenoterapia y la hipoxemia no se había corregido en el 26%. La UCO retiró el oxígeno a 28 pacientes (reducción del 37%) e inició OD a 27 nuevos pacientes, 11 de los cuales reciben oxígeno líquido. Acualmente, 46 pacientes reciben OD (38/100.000)

Conclusiones

a) El 54% de los pacientes con OD tienen una indicación idónea y un adecuado cumplimiento, y se ha verificado la corrección de la hipoxemia; b) la creación de una UCO mejora el control de la OD, y c) la prevalencia de OD en nuestras comarcas se ha reducido de 63 a 38/100.000 habitantes

Palabras clave:

Oxigenoterapia

Enfermedad pulmonar obstructiva crónica

Objectives

This study aimed a) to evaluate correct use of domiciliary oxygen therapy (DOT); b) to estimate the prevalence of DOT, and c) to evaluate DOT based on the same parameters after intervention by the monitoring team

Patients and Method

Cross-sectional, prospective study of all patients receiving DOT before and after initiation of monitoring. We administered spirometric tests, analyzed indications for and compliance with DOT and monitored pulse oxymetry in order to adjust oxygen flow

Results

Seventy-six patients were receiving DOT (63/100,000 inhabitants). Among the 60 patients with COPD, half met ideal indications for prescribing DOT, 65% complied with over 15 h of DOT, and hypoxemia was not corrected for 26%. Monitoring resulted in withdrawal of DOT from 28 patients (reduction of 37%), and DOT was prescribed for 27 new patients, 11 of whom received liquid oxygen. At the end of the study, 46 patients were receiving DOT (38/100,000 inhabitants)

Conclusions

a) Ideal indications for DOT, adequate compliance and correction of hypoxemia were observed in 54% of the patients undergoing therapy; b) creation of a special service to care for patients receiving DOT improves monitoring, and c) the prevalence of DOT in our area has been reduced from 63 to 38/100,000 inhabitants

Keywords:

Oxygen therapy

Chronic obstructive pulmonary disease

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