Abstract
Forty-five patients in Southampton who received domiciliary oxygen were visited at home to find out how they used and coped with their oxygen. Generally, the organisation and administration of supplies presented no problems, nearly all the apparatus complied with the drug tariff, and most patients coped well with the equipment. Only two patients were taking oxygen for prescribed periods; the others were taking it when necessary for symptomatic relief. No patient received oxygen for over five hours daily. Most patients thought that they were helped by oxygen, but only four said that it allowed them to increase their level of activity, and the overall benefit seemed slight. This was partly because oxygen was usually limited to one room, so patients used oxygen after rather than during exercise. The amount of oxygen consumed differed widely, ranging from three and a half cylinders a week in three patients to less than one cylinder in six months in 17 patients. The average yearly cost of oxygen per patient ranged from 500 pounds in patients consuming one cylinder or more per week, to 15 pounds in those consuming less than one cylinder in six months. The main cost of domiciliary oxygen is determined by the number of cylinder refills, so patients who use it infrequently are a relatively small drain on resources.
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Selected References
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- Abraham A. S., Cole R. B., Bishop J. M. Reversal of pulmonary hypertension by prolonged oxygen administration to patients with chronic bronchitis. Circ Res. 1968 Jul;23(1):147–157. doi: 10.1161/01.res.23.1.147. [DOI] [PubMed] [Google Scholar]
- CHAMBERLAIN D. A., MILLARD F. J. THE TREATMENT OF PLYCYTHAEMIA A/CHAMBERLAIN DA, MILLARD FJ: THE TREATMENT OF POLYCYTHAEMIA SECONDARY TO HYPOXIC LUNG DISEASE BY CONTINUOUS OXYGEN ADMINISTRATION. Q J Med. 1963 Oct;32:341–350. [PubMed] [Google Scholar]
- COTES J. E., GILSON J. C. Effect of oxygen on exercise ability in chronic respiratory insufficiency; use of portable apparatus. Lancet. 1956 Jun 9;270(6928):872–876. doi: 10.1016/s0140-6736(56)91341-1. [DOI] [PubMed] [Google Scholar]
- FLENLEY D. C., HUTCHISON D. C., DONALD K. W. BEHAVIOUR OF APPARATUS FOR OXYGEN ADMINISTRATION. Br Med J. 1963 Nov 2;2(5365):1081–1088. doi: 10.1136/bmj.2.5365.1081. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leggett R. J., Cooke N. J., Clancy L., Leitch A. G., Kirby B. J., Flenley D. C. Long-term domiciliary oxygen therapy in cor pulmonale complicating chronic bronchitis and emphysema. Thorax. 1976 Aug;31(4):414–418. doi: 10.1136/thx.31.4.414. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leggett R. J., Flenley D. C. Portable oxygen and exercise tolerance in patients with chronic hypoxic cor pulmonale. Br Med J. 1977 Jul 9;2(6079):84–86. doi: 10.1136/bmj.2.6079.84. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levine B. E., Bigelow D. B., Hamstra R. D., Beckwitt H. J., Mitchell R. S., Nett L. M., Stephen T. A., Petty T. L. The role of long-term continuous oxygen administration in patients with chronic airway obstruction with hypoxemia. Ann Intern Med. 1967 Apr;66(4):639–650. doi: 10.7326/0003-4819-66-4-639. [DOI] [PubMed] [Google Scholar]
- McNeill R. S., Watson J. M. Oxygen therapy in the home. Br Med J. 1966 Feb 5;1(5483):331–333. doi: 10.1136/bmj.1.5483.331. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Petty T. L. Outpatient oxygen for chronic airway obstruction. JAMA. 1974 Jun 17;228(12):1541–1543. [PubMed] [Google Scholar]
- Stark R. D., Bishop J. M. New method for oxygen therapy in the home using an oxygen concentrator. Br Med J. 1973 Apr 14;2(5858):105–106. doi: 10.1136/bmj.2.5858.105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stark R. D., Finnegan P., Bishop J. M. Daily requirement of oxygen to reverse pulmonary hypertension in patients with chronic bronchitis. Br Med J. 1972 Sep 23;3(5829):724–728. doi: 10.1136/bmj.3.5829.724. [DOI] [PMC free article] [PubMed] [Google Scholar]