open access

Vol 75, No 4 (2007)
ORIGINAL PAPERS
Published online: 2007-10-26
Submitted: 2013-02-22
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Long-term domiciliary oxygen therapy (LTOT) in Poland in the years 1986-2005

Wojciech Szafrański, Jan Zieliński i kierownicy ośrodków Domo Polsce
Pneumonol Alergol Pol 2007;75(4):331-342.

open access

Vol 75, No 4 (2007)
ORIGINAL PAPERS
Published online: 2007-10-26
Submitted: 2013-02-22

Abstract

Introduction: Long-term domiciliary oxygen therapy (LTOT) is part to of pulmonary care system. Uniform qualification criteria and methods of follow-up for patients undergoing LTOT have been adopted. There are 63 LTOT centres located in Poland run by specialists in pulmonology. On the occasion of 20 years of LTOT in Poland, an analysis of its development, number of patients treated, diagnoses, survival and equipment was performed.
Material and methods: Data were taken from structurized LTOT centres reports.
Results and conclusions: A history of LTOT may be divided into 3 periods, steady grow in the years 1986-1991, stagnation between 1992-2000 and rapid grow in the last 3 years. On 01.01.2006 there was 2601 patients receiving LTOT therapy. The most common diagnosis was COPD (85%) followed by kyphoscolisis (5%), TB sequels (4.6%), IPF (3.6%) and other rare diseases. Treatment is reimbursed by the National Health System. Oxygen is administered via an oxygen concentrator. Due to insufficient resources from the NHS the needs for LTOT treatment are not fulfilled. There are 8.4 patients treated with LTOT per 100 000 people, with large regional differences ranging from 3.7 to 14.9/100 000. The most frequent cause of death in patients receiving LTOT treatment was exacerbation of respiratory failure (71.3%), followed by sudden death (5.1%), myocardial infarction or pulmonary embolism (4.4%), lung cancer (4%) and other or not known causes (15.2%). Survival in patients receiving LTOT treatment from the years 1986–1995 was rather short: 54.6% survived less than 3 years, 3-4 years survived 13.3%, 4-5 years 11.3% and more than 5 years survived 19.7% of treated patients.

Abstract

Introduction: Long-term domiciliary oxygen therapy (LTOT) is part to of pulmonary care system. Uniform qualification criteria and methods of follow-up for patients undergoing LTOT have been adopted. There are 63 LTOT centres located in Poland run by specialists in pulmonology. On the occasion of 20 years of LTOT in Poland, an analysis of its development, number of patients treated, diagnoses, survival and equipment was performed.
Material and methods: Data were taken from structurized LTOT centres reports.
Results and conclusions: A history of LTOT may be divided into 3 periods, steady grow in the years 1986-1991, stagnation between 1992-2000 and rapid grow in the last 3 years. On 01.01.2006 there was 2601 patients receiving LTOT therapy. The most common diagnosis was COPD (85%) followed by kyphoscolisis (5%), TB sequels (4.6%), IPF (3.6%) and other rare diseases. Treatment is reimbursed by the National Health System. Oxygen is administered via an oxygen concentrator. Due to insufficient resources from the NHS the needs for LTOT treatment are not fulfilled. There are 8.4 patients treated with LTOT per 100 000 people, with large regional differences ranging from 3.7 to 14.9/100 000. The most frequent cause of death in patients receiving LTOT treatment was exacerbation of respiratory failure (71.3%), followed by sudden death (5.1%), myocardial infarction or pulmonary embolism (4.4%), lung cancer (4%) and other or not known causes (15.2%). Survival in patients receiving LTOT treatment from the years 1986–1995 was rather short: 54.6% survived less than 3 years, 3-4 years survived 13.3%, 4-5 years 11.3% and more than 5 years survived 19.7% of treated patients.
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Keywords

long-term oxygen therapy; Poland; 1986–2005

About this article
Title

Long-term domiciliary oxygen therapy (LTOT) in Poland in the years 1986-2005

Journal

Advances in Respiratory Medicine

Issue

Vol 75, No 4 (2007)

Pages

331-342

Published online

2007-10-26

Bibliographic record

Pneumonol Alergol Pol 2007;75(4):331-342.

Keywords

long-term oxygen therapy
Poland
1986–2005

Authors

Wojciech Szafrański
Jan Zieliński i kierownicy ośrodków Domo Polsce

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