Tuberc Respir Dis.  2005 Feb;58(2):160-166.

Long-term oxygen therapy in patients with chronic respiratory failure in one university hospital

• Huh JW
• Lee JY
• Hong SB
• Oh YM
• Shim TS
• Lim CM
• Lee SD
• Kim WS
• Kim DS
• Kim WD
• Koh Y

Abstract

BACKGROUND: Although home oxygen therapy in hypoxemic patients with chronic lung disease has been increasing over the decade in Korea, the present state has not been known well. This study was done to know the situation of home oxygen therapy in a Korean university hospital.
METHODS
Between January 1, 2000 and August 31, 2003, 86 patients prescribed home oxygen therapy by the pulmonary physicians of Asan Medical Center were investigated using their medical record and questionnaire.
RESULTS
Patients (52 men, mean age of 61 years) with home oxygen therapy were increasing by every year. Underlying diseases were COPD (n=29), tuberculous destroyed lung (n=18), bronchiectasis (n=15), ILD (n=12), and others. Baseline FEV1/FVC, FVC, and FEV1 of patients were 58.4+/-25.2%, 54.5+/-17.1% of predicted, and 41.7+/-20.6% of pred. Mean oxygen flow was 1.5 L/min and mean duration per day was 14.5 hours. During therapy, mean PaO2 values have increased from 51.2 to 77.7 mm Hg and PaCO2 values have increased from 47.5 to 49.6 mm Hg. Only 16.5% of the subjects were monitored by visiting nurses or pulse oximeter. Three year survival rate was 56.6% and hypercapnic patients showed better prognosis.
CONCLUSION
The patients with home oxygen therapy were increasing yearly and a part of them were monitored. The hypercapnea respiratory failure patients would have better prognosis.

Keyword

Chronic lung disease; Home oxygen therapy; Hypercapnea; Survival

MeSH Terms

Bronchiectasis
Chungcheongnam-do
Humans
Korea
Lung
Lung Diseases
Male
Medical Records
Nurses, Community Health
Oxygen*
Prognosis
Pulmonary Disease, Chronic Obstructive
Surveys and Questionnaires
Respiratory Insufficiency*
Survival Rate
Oxygen