Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/33245 http://dx.doi.org/10.2223/JPED.2050 |
Resumo: | Objectives: To describe the clinical and laboratory characteristics of patients on long-term home oxygen therapy followed up by the home care program of Hospital das Clinicas, School of Medicine, Universidade de São Paulo, during a period of 8 years, and to compare groups with and without secondary pulmonary hypertension. To estimate the cost of the program using oxygen concentrators versus oxygen cylinders provided by the hospital.Methods: A descriptive, retrospective cohort study of patients on long-term home oxygen therapy followed up from 2002 to 2009 at the Unit of Pulmonology, Children's Institute, Hospital das Clinicas, School of Medicine, Universidade de São Paulo.Results: We studied 165 patients, of whom 53% were male, with the following medians: age at the beginning of oxygen therapy - 3.6 years; duration of oxygen therapy - 7 years; and survival time after beginning of oxygen therapy - 3.4 years. the main diagnoses were: cystic fibrosis (22%), bronchopulmonary dysplasia (19%), and bronchiolitis obliterans (15%). of the 33 patients who underwent spirometry, 70% had severe obstructive lung disease. Echocardiogram was performed in 134 patients; 51% of them had secondary pulmonary hypertension. There was a statistically significant association between pulmonary hypertension and need of higher oxygen flows (chi-square, p = 0.011), and pulmonary hypertension and longer duration of oxygen therapy (Logrank, p = 0.0001). There was no statistically significant difference between survival time after the beginning of oxygen therapy and pulmonary hypertension. the average monthly costs of the program were: US$ 7,392.93 for concentrators and US$ 16,630.92 for cylinders.Conclusions: Long-term home oxygen therapy was used to treat different chronic diseases, predominantly in infants and preschool children. There was a high frequency of pulmonary hypertension associated with longer periods of oxygen use and greater oxygen flow, without association with survival rate. the use of concentrators instead of cylinders may reduce costs significantly. |
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Munhoz, Andrea S. [UNIFESP]Adde, Fabiola V.Nakaie, Cleyde M. A.Doria Filho, UlyssesSilva Filho, Luiz V. R. F.Rodrigues, Joaquim C.Universidade Federal de São Paulo (UNIFESP)Universidade de São Paulo (USP)2016-01-24T14:05:55Z2016-01-24T14:05:55Z2011-01-01Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 87, n. 1, p. 13-18, 2011.0021-7557http://repositorio.unifesp.br/handle/11600/33245http://dx.doi.org/10.2223/JPED.2050S0021-75572011000100003-en.pdfS0021-75572011000100003-pt.pdfS0021-7557201100010000310.2223/JPED.2050WOS:000288225400003Objectives: To describe the clinical and laboratory characteristics of patients on long-term home oxygen therapy followed up by the home care program of Hospital das Clinicas, School of Medicine, Universidade de São Paulo, during a period of 8 years, and to compare groups with and without secondary pulmonary hypertension. To estimate the cost of the program using oxygen concentrators versus oxygen cylinders provided by the hospital.Methods: A descriptive, retrospective cohort study of patients on long-term home oxygen therapy followed up from 2002 to 2009 at the Unit of Pulmonology, Children's Institute, Hospital das Clinicas, School of Medicine, Universidade de São Paulo.Results: We studied 165 patients, of whom 53% were male, with the following medians: age at the beginning of oxygen therapy - 3.6 years; duration of oxygen therapy - 7 years; and survival time after beginning of oxygen therapy - 3.4 years. the main diagnoses were: cystic fibrosis (22%), bronchopulmonary dysplasia (19%), and bronchiolitis obliterans (15%). of the 33 patients who underwent spirometry, 70% had severe obstructive lung disease. Echocardiogram was performed in 134 patients; 51% of them had secondary pulmonary hypertension. There was a statistically significant association between pulmonary hypertension and need of higher oxygen flows (chi-square, p = 0.011), and pulmonary hypertension and longer duration of oxygen therapy (Logrank, p = 0.0001). There was no statistically significant difference between survival time after the beginning of oxygen therapy and pulmonary hypertension. the average monthly costs of the program were: US$ 7,392.93 for concentrators and US$ 16,630.92 for cylinders.Conclusions: Long-term home oxygen therapy was used to treat different chronic diseases, predominantly in infants and preschool children. There was a high frequency of pulmonary hypertension associated with longer periods of oxygen use and greater oxygen flow, without association with survival rate. the use of concentrators instead of cylinders may reduce costs significantly.Universidade Federal de São Paulo, Escola Paulista Med, São Paulo, BrazilUniv São Paulo, Fac Med, São Paulo, BrazilUniversidade Federal de São Paulo, Escola Paulista Med, São Paulo, BrazilWeb of Science13-18porSoc Brasil PediatriaJornal de PediatriaOxygen therapyhealth care costsrespiratory diseaseschildinfantLong-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care programOxigenoterapia domiciliar prolongada em crianças e adolescentes: uma análise do uso clínico e de custos de um programa assistencialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/332452023-02-15 09:10:19.108metadata only accessoai:repositorio.unifesp.br:11600/33245Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:30:41.019525Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program |
dc.title.alternative.pt.fl_str_mv |
Oxigenoterapia domiciliar prolongada em crianças e adolescentes: uma análise do uso clínico e de custos de um programa assistencial |
title |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program |
spellingShingle |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program Munhoz, Andrea S. [UNIFESP] Oxygen therapy health care costs respiratory diseases child infant |
title_short |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program |
title_full |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program |
title_fullStr |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program |
title_full_unstemmed |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program |
title_sort |
Long-term home oxygen therapy in children and adolescents: analysis of clinical use and costs of a home care program |
author |
Munhoz, Andrea S. [UNIFESP] |
author_facet |
Munhoz, Andrea S. [UNIFESP] Adde, Fabiola V. Nakaie, Cleyde M. A. Doria Filho, Ulysses Silva Filho, Luiz V. R. F. Rodrigues, Joaquim C. |
author_role |
author |
author2 |
Adde, Fabiola V. Nakaie, Cleyde M. A. Doria Filho, Ulysses Silva Filho, Luiz V. R. F. Rodrigues, Joaquim C. |
author2_role |
author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Munhoz, Andrea S. [UNIFESP] Adde, Fabiola V. Nakaie, Cleyde M. A. Doria Filho, Ulysses Silva Filho, Luiz V. R. F. Rodrigues, Joaquim C. |
dc.subject.eng.fl_str_mv |
Oxygen therapy health care costs respiratory diseases child infant |
topic |
Oxygen therapy health care costs respiratory diseases child infant |
description |
Objectives: To describe the clinical and laboratory characteristics of patients on long-term home oxygen therapy followed up by the home care program of Hospital das Clinicas, School of Medicine, Universidade de São Paulo, during a period of 8 years, and to compare groups with and without secondary pulmonary hypertension. To estimate the cost of the program using oxygen concentrators versus oxygen cylinders provided by the hospital.Methods: A descriptive, retrospective cohort study of patients on long-term home oxygen therapy followed up from 2002 to 2009 at the Unit of Pulmonology, Children's Institute, Hospital das Clinicas, School of Medicine, Universidade de São Paulo.Results: We studied 165 patients, of whom 53% were male, with the following medians: age at the beginning of oxygen therapy - 3.6 years; duration of oxygen therapy - 7 years; and survival time after beginning of oxygen therapy - 3.4 years. the main diagnoses were: cystic fibrosis (22%), bronchopulmonary dysplasia (19%), and bronchiolitis obliterans (15%). of the 33 patients who underwent spirometry, 70% had severe obstructive lung disease. Echocardiogram was performed in 134 patients; 51% of them had secondary pulmonary hypertension. There was a statistically significant association between pulmonary hypertension and need of higher oxygen flows (chi-square, p = 0.011), and pulmonary hypertension and longer duration of oxygen therapy (Logrank, p = 0.0001). There was no statistically significant difference between survival time after the beginning of oxygen therapy and pulmonary hypertension. the average monthly costs of the program were: US$ 7,392.93 for concentrators and US$ 16,630.92 for cylinders.Conclusions: Long-term home oxygen therapy was used to treat different chronic diseases, predominantly in infants and preschool children. There was a high frequency of pulmonary hypertension associated with longer periods of oxygen use and greater oxygen flow, without association with survival rate. the use of concentrators instead of cylinders may reduce costs significantly. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-01-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T14:05:55Z |
dc.date.available.fl_str_mv |
2016-01-24T14:05:55Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 87, n. 1, p. 13-18, 2011. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/33245 http://dx.doi.org/10.2223/JPED.2050 |
dc.identifier.issn.none.fl_str_mv |
0021-7557 |
dc.identifier.file.none.fl_str_mv |
S0021-75572011000100003-en.pdf S0021-75572011000100003-pt.pdf |
dc.identifier.scielo.none.fl_str_mv |
S0021-75572011000100003 |
dc.identifier.doi.none.fl_str_mv |
10.2223/JPED.2050 |
dc.identifier.wos.none.fl_str_mv |
WOS:000288225400003 |
identifier_str_mv |
Jornal de Pediatria. Rio de Janeiro, Rj: Soc Brasil Pediatria, v. 87, n. 1, p. 13-18, 2011. 0021-7557 S0021-75572011000100003-en.pdf S0021-75572011000100003-pt.pdf S0021-75572011000100003 10.2223/JPED.2050 WOS:000288225400003 |
url |
http://repositorio.unifesp.br/handle/11600/33245 http://dx.doi.org/10.2223/JPED.2050 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.ispartof.none.fl_str_mv |
Jornal de Pediatria |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
13-18 |
dc.publisher.none.fl_str_mv |
Soc Brasil Pediatria |
publisher.none.fl_str_mv |
Soc Brasil Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
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