LEARN MORE...

136

Content type

User Generated

Uploaded By

funzf1981

Pages

Showing Page:

1/4

uthors:

Farrero, Eva

Escarrabill, Joan

Prats, Enric

Maderal, Marian

Manresa, Federic

Source:

Chest. Feb 01, 2001 119(2):364-369

Publication Year:

2001

STUDY OBJECTIVES:: To analyze the influence of

a hospital-based home-care program (HCP) on the

management of patients with COPD receiving long-term

oxygen therapy. DESIGN AND SETTING:: Randomized,

controlled study in a 1,000-bed university hospital.

INTERVENTION:: The HCP applied to patients in the

intervention group (HCP group) consisted of a monthly

telephone call, home visits every 3 months,

and home or hospital visits on a demand

basis. Patients in the control group were given

conventional medical care. MEASUREMENTS::

Pulmonary function data, gas exchange, use

of hospital resources (emergency department visits,

admissions, and hospital stay) and the cost of medical

assistance were investigated in both groups before and

after 1 year of study. Quality of life was analyzed using

the chronic respiratory questionnaire in the first 40

consecutive patients included in the study. Survival

throughout the study was also assessed. RESULTS::

One hundred twenty-two patients were enrolled in the

study, and 94 patients (46 in the HCP group and 48 in

the control group) completed the 1-year follow-up period:

83 patients (88%) were men, and mean (± SD) age was

68 ± 8 years. During the follow-up period, there was a

highly significant decrease in the mean number of

emergency department visits (0.45 ± 0.83 vs 1.58 ± 1.96;

p = 0.0001) and also a significant decrease

in hospital admissions (0.5 ± 0.86 vs 1.29 ± 1.7; p =

0.001) and days of hospital stay (7.43 ± 15.6 vs 18.2 ±

24.5; p = 0.01) in the HCP group. Patients in the

intervention group required a total of 221 home visits

(mean per patient, 4.8 ± 0.8) and 69 hospital visits

(mean per patient, 1.5 ± 1.07). In spite of the cost of the

program, cost analysis showed a total saving of 8.1

Showing Page:

2/4

million pesetas ($46,823) in the HCP group, mainly due

to a decrease in the use of hospital resources. There

was no difference in pulmonary function, gas exchange,

quality of life, and survival between the two groups.

CONCLUSIONS:: Hospital-based home care is an

effective alternative to hospital admission. It reduces the

use of hospital resources and the cost of health care.

English

*From the UFISS-Respiratòria, Servei de Pneumologia,

Ciutal Sanitària i Universitària de Bellvitge, L'Hospitalet

(Barcelona), Spain.

0012-3692

Showing Page:

3/4

End of Preview - Want to read all 4 pages?

Access Now

Unformatted Attachment Preview

uthors: Farrero, Eva Escarrabill, Joan Prats, Enric Maderal, Marian Manresa, Federic Source: Chest. Feb 01, 2001 119(2):364-369 Publication Year: 2001 D e s c r i p t i o n : STUDY OBJECTIVES:: To analyze the influence of a hospital-based home-care program (HCP) on the management of patients with COPD receiving long-term oxygen therapy. DESIGN AND SETTING:: Randomized, controlled study in a 1,000-bed university hospital. INTERVENTION:: The HCP applied to patients in the intervention group (HCP group) consisted of a monthly telephone call, home visits every 3 months, and home or hospital visits on a demand basis. Patients in the control group were given conventional medical care. MEASUREMENTS:: Pulmonary function data, gas exchange, use of hospital resources (emergency department visits, admissions, and hospital stay) and the cost of medical assistance were investigated in both groups before and after 1 year of study. Quality of life was analyzed using the chronic respiratory questionnaire in the first 40 consecutive patients included in the study. Survival throughout the study was also assessed. RESULTS:: One hundred twenty-two patients were enrolled in the study, and 94 patients ( ...
Purchase document to see full attachment