Characteristics of patients who progress from bridging to long-term oxygen therapy

التفاصيل البيبلوغرافية
العنوان: Characteristics of patients who progress from bridging to long-term oxygen therapy
المؤلفون: Kirk Kee, Eli Dabscheck, Belinda Miller, Kovi Levin, Brigitte M. Borg
المصدر: Internal medicine journal. 48(11)
سنة النشر: 2017
مصطلحات موضوعية: Male, medicine.medical_specialty, medicine.medical_treatment, Severity of Illness Index, 03 medical and health sciences, Pulmonary Disease, Chronic Obstructive, 0302 clinical medicine, Oxygen therapy, Outcome Assessment, Health Care, Internal Medicine, medicine, Humans, 030212 general & internal medicine, Hypoxia, Acute hospital, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Home care service, Long-term oxygen therapy, Oxygen Inhalation Therapy, Retrospective cohort study, Hypoxia (medical), Middle Aged, PaO2 measurement, Patient Discharge, Oxygen, 030228 respiratory system, Emergency medicine, Cohort, Female, medicine.symptom, Blood Gas Analysis, business
الوصف: BACKGROUND Patients with persistent hypoxia following an acute hospital admission may be discharged with 'bridging' domiciliary oxygen as per criteria defined by the Thoracic Society of Australia and New Zealand. The need for continuous long-term oxygen therapy (LTOT) is then reassessed at a clinic review 1-2 months later. AIM To describe the characteristics of patients discharged from an acute hospital admission with continuous short-term oxygen therapy (STOT), and subsequently to investigate for differences between subjects who proceeded to qualify for continuous LTOT versus those who were able to cease STOT at review. METHODS This is a retrospective cohort study involving all subjects discharged from Alfred Health between 2011 and 2015 inclusive with bridging domiciliary oxygen. Multiple biochemical, physiological and demographic characteristics were collated and analysed. RESULTS Of all patients prescribed continuous STOT at time of discharge, 47.3% qualified for LTOT at outpatient review. This cohort had a significantly lower PaO2 measurement at time of discharge, compared with those who no longer qualified. CONCLUSION PaO2 at time of discharge provides a signal with the potential to identify who will require continuous LTOT following an acute hospital admission. Additionally, this study highlights the need to re-evaluate patients' oxygen requirements during a period of clinical stability.
تدمد: 1445-5994
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b858b7b7e472db191687aed8917d2c78
https://pubmed.ncbi.nlm.nih.gov/29345397
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....b858b7b7e472db191687aed8917d2c78
قاعدة البيانات: OpenAIRE