Tuberculosis and Respiratory Diseases

  • 제67권2호
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  • Pages.88-94
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  • 2009
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
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가정산소치료의 보험급여 실시 이후 처방 실태: 다기관 조사 -만성기도폐쇄성질환 임상연구센터 제3세부과제 만성기도폐쇄성질환 진료지침 개발/보급 연구-

Long-term Oxygen Therapy for Chronic Respiratory Insufficiency: the Situation in Korea after the Health Insurance Coverage: a Multi-center Korean Survey -Study for the Development and Dissemination of the COPD Guidelines, Clinical Research Center for Chronic Obstructive Airway Disease-

  • 박명재 (경희대학교 의과대학 내과학교실) ;
  • 유지홍 (경희대학교 의과대학 내과학교실) ;
  • 최천웅 (경희대학교 의과대학 내과학교실) ;
  • 김영균 (가톨릭대학교 의과대학 내과학교실) ;
  • 윤형규 (가톨릭대학교 의과대학 내과학교실) ;
  • 강경호 (고려대학교 의과대학 내과학교실) ;
  • 이승룡 (고려대학교 의과대학 내과학교실) ;
  • 최혜숙 (동국대학교 의과대학 내과학교실) ;
  • 이관호 (영남대학교 의과대학 내과학교실) ;
  • 이진화 (이화여자대학교 의과대학 내과학교실) ;
  • 임성철 (전남대학교 의과대학 내과학교실) ;
  • 김유일 (전남대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 김태형 (한양대학교 의과대학 내과학교실) ;
  • 정기석 (한림대학교 의과대학 내과학교실) ;
  • 박용범 (한림대학교 의과대학 내과학교실)
  • Park, Myung Jae (Department of Internal Medicine, Kyung Hee University) ;
  • Yoo, Jee-Hong (Department of Internal Medicine, Kyung Hee University) ;
  • Choi, Cheon Woong (Department of Internal Medicine, Kyung Hee University) ;
  • Kim, Young Kyoon (Department of Internal Medicine, The Catholic University of Korea) ;
  • Yoon, Hyoung-Kyu (Department of Internal Medicine, The Catholic University of Korea) ;
  • Kang, Kyung Ho (Department of Internal Medicine, Korea University) ;
  • Lee, Sung Yong (Department of Internal Medicine, Korea University) ;
  • Choi, Hye Sook (Department of Internal Medicine, Dongguk University) ;
  • Lee, Kwan Ho (Department of Internal Medicine, Yeungnam University) ;
  • Lee, Jin Hwa (Department of Internal Medicine, Ewha Womans University) ;
  • Lim, Sung-Chul (Department of Internal Medicine, Chonnam University) ;
  • Kim, Yu-Il (Department of Internal Medicine, Chonnam University) ;
  • Shin, Dong Ho (Department of Internal Medicine, Hanyang University) ;
  • Kim, Tae Hyun (Department of Internal Medicine, Hanyang University) ;
  • Jung, Ki-Suck (Department of Internal Medicine, Hallym University) ;
  • Park, Yong Bum (Department of Internal Medicine, Hallym University)
  • 투고 : 2009.06.14
  • 심사 : 2009.07.08
  • 발행 : 2009.08.30
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초록

Background: From November 2006, The national health insurance system in the Republic of Korea began to cover prescribed long-term oxygen therapy (LTOT) in patients with chronic respiratory insufficiency. This study examined the current status of LTOT after national health insurance coverage. Methods: Between November 1, 2006 and June 30, 2008, the medical records of patients who were prescribed LTOT by chest physicians were reviewed. The data was collected from 13 university hospitals. Results: 197 patients (131 male and 66 female) were prescribed LTOT. The mean age was 64.3${\pm}$13.0 years. The most common underlying disease was chronic obstructive pulmonary disease (n=103, 52.3%). Chest physicians prescribed LTOT using arterial blood gas analysis or a pulse oxymeter (74.6%), symptoms (14%), or a pulmonary function test (11.2%). The mean oxygen flow rate was 1.56${\pm}$0.68 L/min at rest, 2.08${\pm}$0.91 L/min during exercise or 1.51${\pm}$0.75 L/min during sleep. Most patients (98.3%) used oxygen concentrators. Only 19% of patients used ambulatory oxygen supplies. The oxygen saturation before and after LTOT was 83.18${\pm}$10.48% and 91.64${\pm}$7.1%, respectively. After LTOT, dyspnea improved in 81.2% of patients. The mean duration of LTOT was 16.85${\pm}$6.71 hours/day. The rental cost for the oxygen concentrator and related electricity charges were 48,414${\pm}$15,618 won/month and 40,352${\pm}$36,815 won/month, respectively. Approximately 75% of patients had a regular visit by the company. 5.8% of patients had personal pulse oxymetry. 54.9% of patients had their oxygen saturation checked on each visit hospital. 8% of patients were current smokers. The most common complaint with LTOT was the limitation of daily activity (53%). The most common complaint with oxygen concentrators was noise (41%). Conclusion: The patients showed good compliance with LTOT. However, only a few patients used an ambulatory oxygen device or had their oxygen saturation measured.

키워드

참고문헌

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피인용 문헌

  1. Does Home Oxygen Therapy Slow Down the Progression of Chronic Obstructive Pulmonary Diseases? vol.18, pp.2, 2009, https://doi.org/10.14475/kjhpc.2015.18.2.128