Long-term oxygen therapy in COPD patients: population-based cohort study on mortality.

Pavlov, Nikolay; Haynes, Alan Gary; Stucki, Armin; Jüni, Peter; Ott, Sebastian Robert (2018). Long-term oxygen therapy in COPD patients: population-based cohort study on mortality. International Journal of Chronic Obstructive Pulmonary Disease, 13, pp. 979-988. Dove Medical Press 10.2147/COPD.S154749

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Purpose Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death worldwide and is associated with a growing and substantial socioeconomic burden. Long-term oxygen therapy (LTOT), recommended by current treatment guidelines for COPD patients with severe chronic hypoxemia, has shown to reduce mortality in this population. The aim of our study was to assess the standardized mortality ratios of incident and prevalent LTOT users and to identify predictors of mortality. Patients and methods We conducted a 2-year follow-up population-based cohort study comprising all COPD patients receiving LTOT in the canton of Bern, Switzerland. Comparing age- and sex-adjusted standardized mortality ratios, we examined associations between all-cause mortality and patient characteristics at baseline. To avoid immortal time bias, data for incident (receiving LTOT <6 months) and prevalent users were analyzed separately. Results At baseline, 475 patients (20% incident users, n=93) were receiving LTOT because of COPD (48/100,000 inhabitants). Mortality of incident and prevalent LTOT users was 41% versus 27%, respectively,<0.007, and standardized mortality ratios were 8.02 (95% CI: 5.64-11.41) versus 5.90 (95% CI: 4.79-7.25), respectively. Type 2 respiratory failure was associated with higher standardized mortality ratios among incident LTOT users (60.57, 95% CI: 11.82-310.45,=0.038). Conclusion Two-year mortality rate of COPD patients on incident LTOT was somewhat lower in our study than in older cohorts but remained high compared to the general population, especially in younger patients receiving LTOT <6 months. Type 2 respiratory failure was associated with mortality.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > CTU Bern

UniBE Contributor:

Pavlov, Nikolay Assenov; Haynes, Alan and Ott, Sebastian Robert

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1176-9106

Publisher:

Dove Medical Press

Language:

English

Submitter:

Tanya Karrer

Date Deposited:

05 Apr 2018 15:42

Last Modified:

09 Apr 2018 08:35

Publisher DOI:

10.2147/COPD.S154749

PubMed ID:

29606865

Uncontrolled Keywords:

COPD long-term oxygen therapy mortality type 2 respiratory failure

BORIS DOI:

10.7892/boris.114451

URI:

https://boris.unibe.ch/id/eprint/114451

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