Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 395-401 , March 2009

A Specific Home Care Program Improves the Survival of Patients With Chronic Obstructive Pulmonary Disease Receiving Long Term Oxygen Therapy

  • Maurizio Rizzi, MD

      Affiliations

    • Servizio di Fisiopatologia Respiratoria, Ospedale Luigi Sacco, Via Grassi, Milano
    • ,
  • Mario Grassi, MD

      Affiliations

    • Dipartimento di Scienze Sanitarie Applicate, Sezione di Statistica Medica e Epidemiologia, Università di Pavia, Pavia, Italy
    • ,
  • Marica Pecis, MD

      Affiliations

    • Servizio di Fisiopatologia Respiratoria, Ospedale Luigi Sacco, Via Grassi, Milano
    • ,
  • Arnaldo Andreoli, MD

      Affiliations

    • Servizio di Fisiopatologia Respiratoria, Ospedale Luigi Sacco, Via Grassi, Milano
    • ,
  • Anna Eugenia Taurino, MD

      Affiliations

    • Unità Operativa di Pneumologia Riabilitativa, Fondazione Salvatore Maugeri IRCCS, Istituto Scientifico di Montescano, Montescano, Pavia, Italy
    • ,
  • Margherita Sergi, MD

      Affiliations

    • Servizio di Fisiopatologia Respiratoria, Ospedale Luigi Sacco, Via Grassi, Milano
    • ,
  • Francesco Fanfulla, MD

      Affiliations

    • Unità Operativa di Pneumologia Riabilitativa, Fondazione Salvatore Maugeri IRCCS, Istituto Scientifico di Pavia, Pavia, Italy
    • Corresponding Author InformationCorrespondence to Francesco Fanfulla, MD, Unità Operativa di Pneumologia Riabilitativa, Fondazione Salvatore Maugeri IRCCS, Istituto Scientifico di Pavia, Via S. Maugeri 10, 27100 Pavia, Italy

  • Image Result

    Kaplan-Meier survival curves for patients receiving the HC program and for patients receiving standard care (SC). °difference between HC and SC (P=.0001).

    Kaplan-Meier survival curves for patients receiving the HC program and for patients receiving standard care (SC). °difference between HC and SC (P=.0001).

  • Image Result

    Kaplan-Meier survival curves according to comorbid conditions, expressed by the categorized Charlson index in group 0 (Charlson index 0), group 1 (Charlson index 1 and 2), group 2 (Charlson index 3).

    Kaplan-Meier survival curves according to comorbid conditions, expressed by the categorized Charlson index in group 0 (Charlson index 0), group 1 (Charlson index 1 and 2), group 2 (Charlson index 3). ° difference between group 0 and 1 (P= .001); * difference between group 0 and 2 (P=.0002); ^ difference between group 1 and 2 (P=.02).

  • Image Result
    Kaplan-Meier survival curves according to requirement for mechanical ventilation at home. °difference between no-NIV and NIV (P=.005).

    Kaplan-Meier survival curves according to requirement for mechanical ventilation at home. °difference between no-NIV and NIV (P=.005).

  • Image Result
    Observed and expected means trajectories based on 2-level random regression model of the numbers of exacerbations during 10-year follow-up. Baseline HC–SC difference, −0.761 (P=.008); 10y HC–SC differ

    Observed and expected means trajectories based on 2-level random regression model of the numbers of exacerbations during 10-year follow-up. Baseline HC–SC difference, −0.761 (P=.008); 10y HC–SC difference, −2.752 (P<.001).

  • Image Result
    Observed and expected means trajectories based on 2-level random regression model of the numbers of emergency visits during 10-year follow-up. Baseline HC–SC difference, −1.877 (P<.001); 10y HC–SC dif

    Observed and expected means trajectories based on 2-level random regression model of the numbers of emergency visits during 10-year follow-up. Baseline HC–SC difference, −1.877 (P<.001); 10y HC–SC difference, −1.529 (P=.009).

  • Image Result
    Observed and expected means trajectories based on 2-level random regression model of the numbers of ordinary admissions during 10-year follow-up. Baseline HC–SC difference, −0.196 (P=.125); 10y HC–SC

    Observed and expected means trajectories based on 2-level random regression model of the numbers of ordinary admissions during 10-year follow-up. Baseline HC–SC difference, −0.196 (P=.125); 10y HC–SC difference, −0.616 (P<.001).

  • Image Result
    Observed and expected means trajectories based on 2-level random regression model of the numbers of ICU admissions during 10-year follow-up. Baseline HC–SC difference, −0.560 (P<.001); 10y HC–SC diffe

    Observed and expected means trajectories based on 2-level random regression model of the numbers of ICU admissions during 10-year follow-up. Baseline HC–SC difference, −0.560 (P<.001); 10y HC–SC difference, −0.049 (P=.425).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(08)01703-6

doi: 10.1016/j.apmr.2008.08.223

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 395-401 , March 2009

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