Oxygen Indications and Utilization in a Diverse, Urban Community Setting.

Autor: Karki A; Jamaica Hospital Medical Center, Jamaica, New York (Drs Karki, Morante, Ullah, Patel, and Fein and Ms Cervellione); University of Florida Health at Gainesville (Dr Karki); NYU School of Medicine, New York (Dr Fein); and Hofstra Northshore-LIJ School of Medicine, Hempstead, New York (Dr Fein)., Morante J, Cervellione KL, Ullah T, Patel V, Fein AM
Jazyk: angličtina
Zdroj: Journal of cardiopulmonary rehabilitation and prevention [J Cardiopulm Rehabil Prev] 2020 Nov; Vol. 40 (6), pp. 438-440.
DOI: 10.1097/HCR.0000000000000543
Abstrakt: Purpose: Long-term oxygen therapy (LTOT) is widely used to treat chronic obstructive pulmonary disease (COPD) and other conditions with severe hypoxemia, imposing a large financial burden on the American health care system.
Methods: To better understand oxygen prescription and its use in a multiethnic community hospital, we completed a prospective, observational study with a survey design in our multicultural population to better recognize patient understanding of oxygen indications and utilization.
Results: The survey was conducted at three outpatient pulmonary clinics. Among the 94 respondents (42% men and 58% women; age 71.8 ± 13 yr), 64% were current or former smokers. Sixty-one percent had primary diagnoses other than COPD, most commonly interstitial lung disease and congestive heart failure. One-third used oxygen for <12 hr daily. Oxygen use was variable among those to whom it was prescribed. Thirty-two percent of patients described themselves as noncompliant with their prescribed therapy due to poor equipment ergonomics, burdensome machine weight, and negative self-image and social stigma when using oxygen.
Conclusions: Chronic obstructive pulmonary disease represented <50% of LTOT patients who were surveyed. Our data suggest that more structured prescribing practices and patient education should be studied if compliance is to be increased.
Databáze: MEDLINE
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