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Abstract: Poster Presentations |

LONG-TERM OXYGEN THERAPY (LTOT) AND HOME LONG-TERM VENTILATION (HLTV) IN NORTH ITALY: A PROGRAM FOR MONITORING APPROPRIATENESS OF PRESCRIPTIONS FOR LTOT FREE TO VIEW

Licia Ballerin, MD; Marzia Simoni, BS; Lucia Ritrovato, MD; Alfredo Potena, FCCP MD*
Author and Funding Information

AOU Arcispedale S. Anna Ferrara, Ferrara, Italy


Chest


Chest. 2008;134(4_MeetingAbstracts):p101001. doi:10.1378/chest.134.4_MeetingAbstracts.p101001
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Abstract

PURPOSE:1. To evaluate the variations of LTOT/HLTV in the time, and 2.LTOT prescription appropriateness before and after some educational and organizational actions.

METHODS:Socio-demographic, and clinical information, the appropriateness and prescription data about patients receiving LTOT/HLTV in the Ferrara area (North Italy) were charged in a “ad hoc clinical data base” in the period 2002-march2008. For aim 1 we calculated the incidence rates standardized by age, in male and female (Ferrara census 2001), and the actual prevalence rough rates (Ferrara last census 2005). Stated actions for aim 2 were: a. Disseminating ERS guidelines criteria for LTOT prescription and standard prescription models (January 2007) b. Regular clinical monitoring of all patients receiving LTOT/HLTV.

RESULTS:1053 patients (65% male, mean age 72 yrs male and 88 yrs female) were prescribed (72% LTOT e 36% HLTV). Actual respiratory devices in use are 533 (1.5ë residents, 2.2 male and 0.9 female), 38.3% LTOT only, 52.5% HLTV only, 9.2% both. The incidence rate shows an upward trend more evident in males, (4.93/10.000 residents in the year 2002 and 7.27 in 2006) than in females (1.72 and 2.25) and seems to have reached a steady state. The number of withdrawals due to “non indication” were 6.3% in 2007, and 4.6% in the before years. Among those patients who assumed LTOT >16 hrs/day in 2007, 64% (n=175) received an appropriate prescription, and the appropriateness was significantly better in 2007 (86%) than in before years (60% average). LTOT was suspended in 11% of patients 2007 vs 6.5% of patients average in before years.

CONCLUSION:The study shows the efficacy of a clinical monitoring in LTOT patients and of the implementation with an educational program to reach a better appropriateness of LTOT prescriptions.

CLINICAL IMPLICATIONS:Clinical monitoring is a crucial method to control compliance of LTOT, to avoid non appropriate prescriptions and to save health resources.

DISCLOSURE:Alfredo Potena, FCCP, No Financial Disclosure Information; No Product/Research Disclosure Information

Wednesday, October 29, 2008

1:00 PM - 2:15 PM


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