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Home oxygen therapy reduces risk of hospitalisation in patients with chronic obstructive pulmonary disease: a population-based retrospective cohort study, 2005-2012
DC Field | Value | Language |
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dc.contributor.author | 김영삼 | - |
dc.contributor.author | 김태현 | - |
dc.contributor.author | 남정모 | - |
dc.contributor.author | 박은철 | - |
dc.date.accessioned | 2018-03-26T16:48:56Z | - |
dc.date.available | 2018-03-26T16:48:56Z | - |
dc.date.issued | 2015 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/156847 | - |
dc.description.abstract | OBJECTIVE: This study evaluated the effect of home oxygen therapy (HOT) on hospital admissions in chronic obstructive pulmonary disease (COPD) patients. DESIGN AND SETTING: Using nationwide health insurance claims from 2002-2012, we conducted a longitudinal population-based retrospective cohort study. PARTICIPANTS: Individuals who were aged 40 years or above and newly diagnosed with COPD in 2005. OUTCOME MEASURES: The primary outcome was total number of hospitalisations during the study period. Participants were matched using HOT propensity scores and were stratified by respiratory impairment (grade 1: FEV1 ≤25% or PaO2 ≤55 mm Hg; grade 2: FEV1 ≤30% or PaO2 56-60 mm Hg; grade 3: FEV1 ≤40% or PaO2 61-65 mm Hg; 'no grade': FEV1 or PaO2 unknown), then a negative binomial regression analysis was performed for each group. RESULTS: Of the 36,761 COPD patients included in our study, 1330 (3.6%) received HOT. In a multivariate analysis of grade 1 patients performed before propensity score matching, the adjusted relative risk of hospitalisation for patients who did not receive HOT was 1.27 (95% CI 1.01 to 1.60). In a multivariate analysis of grade 1 patients performed after matching, the adjusted relative risk for patients who did not receive HOT was 1.65 (95% CI 1.25 to 2.18). In grade 2 or grade 3 patients, no statistical difference in hospital admission risk was detected. In the 'no grade' group of patients, HOT was associated with an increased risk of hospitalisation. CONCLUSIONS: HOT reduces the risk of hospital admission in COPD patients with severe hypoxaemia. However, apart from these patients, HOT use is not associated with hospital admissions. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | BMJ Publishing Group Ltd | - |
dc.relation.isPartOf | BMJ OPEN | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Home Care Services* | - |
dc.subject.MESH | Hospitalization/statistics & numerical data | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Oxygen Inhalation Therapy* | - |
dc.subject.MESH | Pulmonary Disease, Chronic Obstructive/physiopathology | - |
dc.subject.MESH | Pulmonary Disease, Chronic Obstructive/therapy* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk | - |
dc.subject.MESH | Time Factors | - |
dc.title | Home oxygen therapy reduces risk of hospitalisation in patients with chronic obstructive pulmonary disease: a population-based retrospective cohort study, 2005-2012 | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Internal Medicine | - |
dc.contributor.googleauthor | Kyoung Hee Cho | - |
dc.contributor.googleauthor | Young Sam Kim | - |
dc.contributor.googleauthor | Chung Mo Nam | - |
dc.contributor.googleauthor | Tae Hyun Kim | - |
dc.contributor.googleauthor | Sun Jung Kim | - |
dc.contributor.googleauthor | Kyu-Tae Han | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.identifier.doi | 10.1136/bmjopen-2015-009065 | - |
dc.contributor.localId | A00707 | - |
dc.contributor.localId | A01082 | - |
dc.contributor.localId | A01264 | - |
dc.contributor.localId | A01618 | - |
dc.relation.journalcode | J00380 | - |
dc.identifier.eissn | 2044-6055 | - |
dc.identifier.pmid | 26621517 | - |
dc.subject.keyword | PRIMARY CARE | - |
dc.subject.keyword | RESPIRATORY MEDICINE (see Thoracic Medicine) | - |
dc.contributor.alternativeName | Kim, Young Sam | - |
dc.contributor.alternativeName | Kim, Tae Hyun | - |
dc.contributor.alternativeName | Nam, Jung Mo | - |
dc.contributor.alternativeName | Park, Eun Chul | - |
dc.contributor.affiliatedAuthor | Kim, Young Sam | - |
dc.contributor.affiliatedAuthor | Kim, Tae Hyun | - |
dc.contributor.affiliatedAuthor | Nam, Jung Mo | - |
dc.contributor.affiliatedAuthor | Park, Eun Chul | - |
dc.citation.volume | 5 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | e009065 | - |
dc.identifier.bibliographicCitation | BMJ OPEN, Vol.5(11) : e009065, 2015 | - |
dc.identifier.rimsid | 39975 | - |
dc.type.rims | ART | - |
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