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Revista americana de medicina respiratoria

On-line version ISSN 1852-236X

Abstract

LISANTI, Raúl et al. Programa de oxigenoterapia domiciliaria de la Obra Social de Empleados públicos (OSEP), Mendoza (Argentina), experiencia de 7 años. Rev. amer. med. respiratoria [online]. 2011, vol.11, n.4, pp.218-225. ISSN 1852-236X.

Introduction: The Domiciliary Oxygen therapy (DO) represents more than 70% of the total cost of the medical care of hypoxemic patients. This paper presents the experience of the Program of Oxygen Therapy and Non Invasive Ventilation of the Health Insurance Service of Public Employees of Mendoza. The objectives were to know the prevalence, demographic and epidemiologic characteristics, main reasons for oxygen therapy prescription, oxygen supply equipment, duration of oxygen therapy and reasons for discharge from the DO therapy at the Health Insurance Service of Public Employees of Mendoza. Material and method: The investigation method was a retrospective evaluation of the clinical records and database of patients registered in the program from January 2004 to December 2010. They were divided into Domiciliary Chronic Oxygen Therapy (DCO) and Oxygen Therapy Special Situations (OSS). Results: 839 patients were registered in the DO program. They were divided into: a) DCO: 498 patients, mean age 67.95 years; 60.85% were males. The main cause for prescription was COPD (68%) and average duration of treatment 20,56 months. b) OSS: 341 patients, mean age 62.43 years; 51% were females. The main cause for prescription was neoplasic illnesses (52.2%; Lung Cancer 50%) and average time of duration of treatment was 5.45 months. Conclusions: The DCO represented 59% of the prescriptions, the prevalence was 19.8 inhabitants per 100 000 per year, much less than the European rates. The main cause for prescription was COPD (68%) which was associated to the smoking habit in 99% of cases. The oxygen was supplied through oxygen concentrators in 79.5% of patients and the average duration of treatment was 20.56 months. The OSS represented 41% of the prescriptions, the prevalence was 16.85 per 100,000 inhabitants per year. The main causes for prescription were the neoplasic terminal illnesses (52.2% of cases) and the lung cancer represented 50% of cases. The discharge rate was high (87.4%), the case fatality was 78.2% and the average duration of treatment was 5.45 months.

Keywords : Domiciliary oxygen therapy; Domiciliary chronic oxygen therapy; Oxygen therapy in special situations.

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