2014
DOI: 10.1186/1471-2466-14-127
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Evaluation of oxygen prescription in relation to hospital admission rate in patients with chronic obstructive pulmonary disease

Abstract: BackgroundLong term oxygen therapy (LTOT) has a strong evidence base in COPD patients with respiratory failure, but prescribing practices are recognized to need reform to ensure appropriate use and minimize costs. In the UK, since February 2006, all Home Oxygen prescription is issued by hospitals, making respiratory specialists totally in charge of home oxygen prescription. It has been widely noted that inappropriate home oxygen, often for intermittent use (“short burst”), is frequently prescribed in patients … Show more

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Cited by 23 publications
(19 citation statements)
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“…Although HOT is known to increase survival, reduce admission rates and improve the quality of life in patients with COPD and chronic respiratory failure [37,38], the relationship between HOT and patient progress following an AECOPD episode is not clearly defined. Recent literature shows apparently contradictory results in the relationship between HOT and prognosis after AECOPD: mortality, admission rate and average stay increase according to some studies [39][40][41]; and patients with HOT would show higher survival rates after admission to ICU and lower admission numbers according to other authors [42,43].…”
Section: Discussionmentioning
confidence: 99%
“…Although HOT is known to increase survival, reduce admission rates and improve the quality of life in patients with COPD and chronic respiratory failure [37,38], the relationship between HOT and patient progress following an AECOPD episode is not clearly defined. Recent literature shows apparently contradictory results in the relationship between HOT and prognosis after AECOPD: mortality, admission rate and average stay increase according to some studies [39][40][41]; and patients with HOT would show higher survival rates after admission to ICU and lower admission numbers according to other authors [42,43].…”
Section: Discussionmentioning
confidence: 99%
“…Although hospital readmission rates in patients with exacerbations of COPD have been reported to be reduced with the use of oxygen therapy as part of a post-hospitalization multicomponent care program, 23 there are conflicting results from retrospective studies on the impact of long-term oxygen therapy on hospitalization rates. [24][25][26][27] Nevertheless, some health care professionals perceive that oxygen therapy may prevent potential hospital readmissions by improving recovery or managing relapses at home. It is possible that the use of home oxygen therapy may result in increased health care utilization for support or due to falls or oxygen toxicity as a result of its use.…”
Section: Discussionmentioning
confidence: 99%
“… 15 Also, regarding oxygen prescription, hospital admission is more likely in LTOT users and medical costs are increasing due to the inappropriate use of oxygen. 16 …”
Section: Introductionmentioning
confidence: 99%