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Vol. 26. Issue 4.
Pages 162-165 (May 1990)
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Vol. 26. Issue 4.
Pages 162-165 (May 1990)
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Oxigenoterapia domiciliaria: estudio de su utilización en el área sanitaria de Vigo
Home oxygen therapy: a study of its applications in the area of Vigo
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R. Bandrés Gimeno, J. Díaz Pedreira, M. Cueto Baelo, J.M. Prieto de Paula, M. Suárez Rodríguez, N. González Alonso, M. Barreiro Barreiro, J.C. Barros Tizón, L. Piñeiro Amigo
Sección de Neumología. Hospital Xeral de Vigo
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Estudiamos 253 enfermos que suponen el 86% de los incluidos en Oxigenoterapia crónica domicialiaria (OCD) en el Area Sanitaria de Vigo. Se les practicó una gasometría arterial basal y, a 192 de ellos, una espirometría. Se solicitaron informes médicos, y se les preguntó sobre el número de horas de uso del oxígeno, los años de OCD, y el número de veces que precisaron acudir a urgencias el año precedente. En 147 (58%) se juzgo indicada la OCD en el momento del estudio. En 77 (52%) de los 147 enfermos que precisaban OCD, la administración era superior a 12 horas diarias. Existían importantes diferencias funcionales entre los grupos con y sin necesidad de OCD, lo que indica que estaban formados por dos tipos de EPOC bien diferenciados. La administración de oxígeno superior a 12 horas se asoció a un mayor número de años con OCD. Se concluye con la necesidad de ajustar la prescripción a criterios gasométricos y estimular el correcto uso por parte del paciente.

We evaluated 253 patients representing 86% of those inclu-ded in chronic oxygen therapy at home (COH) in the Vigo Health Area. Basal blood gases were measured and 192 patients underwent a spirometric study. Medical records were requested, and the patients were asked about their number of hours on oxygen, the years of COH and the number of times that they required to attend a hospital emergency service in the preceding year. In 147 (58%) COH was considered indi-cated at the time of study. In 77 (52%) of the patients requiring COH, the administration was for longer than 12 hours a day. There were marked functional differences bet-ween the groups needing and not needing COH, thus sugges-ting, that they were constituted by two well differentiated COLD groups. The administration of oxygen for longer than 12 hours was associated with a higher number of years on COH. It was concluded that it is necessary to adjust the prescription of COH to gasometric criteria and to encourage a correct use by the patient.

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Bibliografía
[1.]
Nocturnal Oxygen Therapy Trial Group.
Continuous or nocturnal oxygen therapy in hipoxemic chronic obstructive lung disease: a clinical trial.
Ann Intern Med, 93 (1980), pp. 391-398
[2.]
Medical Research Council Working Party Long term domiciliary oxygen therapy in chronic hypoxic cor pulmonale complicating chronic bronchitis and emphysema.
[3.]
J.A. García Besada, et al.
Oxigenoterapia crónica domiciliaria: mal uso y abuso en nuestro medio.
Med Clin (Barc), 86 (1986), pp. 527-530
[4.]
J. Escarrabill, et al.
Oxigenoterapia domiciliaria Estudio de 344 pacientes.
Arch Bronconeumol, 23 (1987), pp. 164-168
[5.]
L. Marco, et al.
Oxigenoterapia domiciliaria Análisis de la situación en Guipúzcoa.
Arch Bronconeumol, 24 (1988), pp. 10-14
[6.]
Statement ATS.
Snowbird Workshop on Standardization of Spirometry.
Am Rev Respir Dis, 119 (1979), pp. 831-838
[7.]
J. Roca Torrent, et al.
Spirometric reference values for a medi-terranean population.
Bull Eur Physiopathol Respir, 22 (1986), pp. 217
[8.]
J.D. Fulmer, G.L. Snider.
National Conference on Oxygen ACCP-NHLBI. Therapy.
Chest, 86 (1984), pp. 234-247
[9.]
D.C. Flenley.
Long-term oxygen therapy.
Chest, 87 (1985), pp. 99-103
[10.]
V.G. Tirlapur, M.A. Mir.
Nocturnal hypoxemia and associated electrocardiographic changes in patients with chronic obstructive airways disease.
N Engl J Med, 306 (1982), pp. 125-130
[11.]
N.J. Douglas, et al.
Transient hypoxemia during sleep in chronic bronchitis and emphysema.
[12.]
J.A. Fleetham, et al.
Chemical control of ventilation and sleep arterial oxygen desaturation in patients with COPD.
Am Rev Respir Dis, 122 (1980), pp. 583-589
[13.]
Grupo de Trabajo de la SEPA.R..
Recomendaciones SEPAR: Normativa para la indicación y empleo de la Oxigenoterapia crónica domiciliaria.
Ediciones Doyma, (1985),
[14.]
H.P. Liss, B.J.B. Grant.
The effect of nasal flow on breathlessness in patients with chronic obstructive pulmonary disease.
Am Rev Respir Dis, 137 (1988), pp. 1.285-1.288
[15.]
R.M. Schwartzstein, et al.
Cold facial stimulation reduces breathlessness induced in normal subjects.
Am Rev Respir Dis, 136 (1987), pp. 58-61
Copyright © 1990. Sociedad Española de Neumología y Cirugía Torácica
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