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

摘要: Abstract Rizzi M, Grassi Pecis Andreoli A, Taurino AE, Sergi Fanfulla F. A specific home care program improves the survival of patients with chronic obstructive pulmonary disease receiving long term oxygen therapy. Objectives To analyze influence a (HC) on outcomes (COPD) long-term therapy (LTOT) in comparison standard (SC). Design 10-year follow-up study 2 parallel cohorts (HC vs SC). Setting University hospital. Participants One hundred and eight HC 109 managed conventionally. Interventions The consisted outpatient clinical functional evaluations every 6 months, domiciliary assessments by team including pneumologist, respiratory nurse, rehabilitation therapist to 3 months or more, as needed. Main Outcome Measures Mortality; exacerbation, hospital intensive unit admission rate. Results entered were groups did not differ for age, sex, body mass index, COPD severity comorbid conditions. overall mortality during was 63% median 96±38 months. curves SC statistically significantly different (log-rank, −16.04; P =.0001). In Cox proportional hazards model, inclusion associated an increased rate, whereas conditions requirement mechanical ventilation decreased During entire follow-up, had lower number exacerbations/year than patients. Conclusions disease-oriented is effective reducing admissions requiring LTOT.