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Does home oxygen therapy slow down the progression of chronic obstructive pulmonary diseases?

 Kyu-Tae Han  ;  Sun Jung Kim  ;  Eun-Cheol Park  ;  Ki-Bong Yoo  ;  Jeoung A Kwon  ;  Tae Hyun Kim 
 Korean Journal of Hospice and Palliative Care (한국호스피스완화의료학회지), Vol.18(2) : 128-135, 2015 
Journal Title
Korean Journal of Hospice and Palliative Care(한국호스피스완화의료학회지)
Issue Date
Chronic obstructive pulmonary disease ; Oxygen inhalation therapy ; Home care services ; Respiratory mechanics
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 χ2 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.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
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