Does Home Oxygen Therapy Slow Down the Progression of Chronic Obstructive Pulmonary Diseases?.
10.14475/kjhpc.2015.18.2.128
- Author:
Kyu Tae HAN
1
;
Sun Jung KIM
;
Eun Cheol PARK
;
Ki Bong YOO
;
Jeoung A KWON
;
Tae Hyun KIM
Author Information
1. Department of Public Health, Graduate School, Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Chronic obstructive pulmonary disease;
Oxygen inhalation therapy;
Home care services;
Respiratory mechanics
- MeSH:
Home Care Services;
Humans;
Inpatients;
Logistic Models;
Lung Diseases, Obstructive*;
National Health Programs;
Oxygen Inhalation Therapy;
Oxygen*;
Pulmonary Disease, Chronic Obstructive;
Respiratory Mechanics
- From:Korean Journal of Hospice and Palliative Care
2015;18(2):128-135
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: As the National Health Insurance Service (NHIS) began to cover home oxygen therapy (HOT) services from 2006, it is expected that the new services have contributed to overall positive outcome of patients with chronic obstructive pulmonary disease (COPD). We examined whether the usage of HOT has helped slow down the progression of COPD. METHODS: We examined hospital claim data (N=10,798) of COPD inpatients who were treated in 2007~2012. We performed chi2 tests to analyze the differences in the changes to respiratory impairment grades. Multiple logistic regression analysis was used to identify factors that are associated with the use of HOT. Finally, a generalized linear mixed model was used to examine association between the HOT treatment and changes to respiratory impairment grades. RESULTS: A total of 2,490 patients had grade 1 respiratory impairment, and patients with grades 2 or 3 totaled 8,308. The OR for use of HOT was lower in grade 3 patients than others (OR: 0.33, 95% CI: 0.30~0.37). The maintenance/mitigation in all grades, those who used HOT had a higher OR than non-users (OR: 1.41, 95% CI: 1.23~1.61). CONCLUSION: HOT was effective in maintaining or mitigating the respiratory impairment in COPD patients.
