Long-term oxygen therapy (LTOT) at home is an established treatment, which is potentially subjected to inappropriate prescription. This retrospective study aims to identify the determinants of inappropriate prescription through the analysis of existing prescribing information for LTOT and routes of supply within the Northern area of the Emilia-Romagna Region. We selected all first time prescriptions for LTOT released in 2009 in the provinces of Modena, Parma, Piacenza and Reggio Emilia. A specific questionnaire with data collection through an electronic database allowed to analyze both organizational / administrative and clinical variables related to LTOT prescription. We analyzed a total of 364 prescriptions: 62 from Modena, 96 from Parma, 73 from Reggio Emilia, and 133 from Piacenza. The data collected highlighted several differences in the prescribing process between the four provinces. Among the most frequently omitted information in the prescription we identified: a) values of PaO2 and PaCO2 (absent in more than 90% of prescriptions dispensed at the AUSL Modena, while present in about 70% of prescriptions in Parma and in almost all of those of Piacenza and Reggio Emilia); b) differential information on oxygen flow at night or during exercise (absent in the prescriptions from Parma, Modena and Piacenza and present in more than 60% of prescriptions from Reggio Emilia); c) indications concerning the follow-up (not covered in the prescriptions from Modena and Parma). Finally, definition of the diagnosis that justifies the need for prescription of LTOT is often missing or incomplete. Therefore the results of the study have allowed the identification of some factors of inappropriateness both on the clinical side and on the management side. This analysis indicates the need for interventions aimed at improving and standardizing the process of LTOT prescription.

Inappropriatezza prescrittiva dell'ossigenoterapia domiciliare a lungo termine / Sdanganelli, Antonia; Lusuardi, Mirco; Soncini, Francesco; Maini, Maurizio; Bottrighi, Pietro; Dallari, Rossano; Giovannini, Michele; Casolari, Loretta; Campagna, Anselmo; Richeldi, Luca; Cerri, Stefania. - In: RASSEGNA DI PATOLOGIA DELL’APPARATO RESPIRATORIO. - ISSN 0033-9563. - STAMPA. - 29:2(2014), pp. 100-106.

Inappropriatezza prescrittiva dell'ossigenoterapia domiciliare a lungo termine

Sdanganelli, Antonia;LUSUARDI, MIRCO;Soncini, Francesco;BOTTRIGHI, PIETRO;Casolari, Loretta;RICHELDI, Luca;CERRI, Stefania
2014

Abstract

Long-term oxygen therapy (LTOT) at home is an established treatment, which is potentially subjected to inappropriate prescription. This retrospective study aims to identify the determinants of inappropriate prescription through the analysis of existing prescribing information for LTOT and routes of supply within the Northern area of the Emilia-Romagna Region. We selected all first time prescriptions for LTOT released in 2009 in the provinces of Modena, Parma, Piacenza and Reggio Emilia. A specific questionnaire with data collection through an electronic database allowed to analyze both organizational / administrative and clinical variables related to LTOT prescription. We analyzed a total of 364 prescriptions: 62 from Modena, 96 from Parma, 73 from Reggio Emilia, and 133 from Piacenza. The data collected highlighted several differences in the prescribing process between the four provinces. Among the most frequently omitted information in the prescription we identified: a) values of PaO2 and PaCO2 (absent in more than 90% of prescriptions dispensed at the AUSL Modena, while present in about 70% of prescriptions in Parma and in almost all of those of Piacenza and Reggio Emilia); b) differential information on oxygen flow at night or during exercise (absent in the prescriptions from Parma, Modena and Piacenza and present in more than 60% of prescriptions from Reggio Emilia); c) indications concerning the follow-up (not covered in the prescriptions from Modena and Parma). Finally, definition of the diagnosis that justifies the need for prescription of LTOT is often missing or incomplete. Therefore the results of the study have allowed the identification of some factors of inappropriateness both on the clinical side and on the management side. This analysis indicates the need for interventions aimed at improving and standardizing the process of LTOT prescription.
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Inappropriatezza prescrittiva dell'ossigenoterapia domiciliare a lungo termine / Sdanganelli, Antonia; Lusuardi, Mirco; Soncini, Francesco; Maini, Maurizio; Bottrighi, Pietro; Dallari, Rossano; Giovannini, Michele; Casolari, Loretta; Campagna, Anselmo; Richeldi, Luca; Cerri, Stefania. - In: RASSEGNA DI PATOLOGIA DELL’APPARATO RESPIRATORIO. - ISSN 0033-9563. - STAMPA. - 29:2(2014), pp. 100-106.
Sdanganelli, Antonia; Lusuardi, Mirco; Soncini, Francesco; Maini, Maurizio; Bottrighi, Pietro; Dallari, Rossano; Giovannini, Michele; Casolari, Loretta; Campagna, Anselmo; Richeldi, Luca; Cerri, Stefania
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/1116200
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