THE ORGANIZATION OF MEDICAL CARE OF PATIENTS WITH BRONCHOPULMONARY PATHOLOGY COMPLICATED WITH CHRONIC HYPOXEMIC RESPIRATORY INSUFFICIENCY IN ST. PETERSBURG


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Abstract

The article considers issues of organization of medical care of patients with chronic hypoxemic respiratory insufficiency and such the most grounded method of its treatment as long-term oxygen therapy in home conditions. The methodological aspects of functioning of the municipal pulmonological center organized in St. Petersburg are expounded, including scheme of routing and observation of patients with chronic hypoxemic respiratory insufficiency. The efficiency of two-yers functioning of the center is analyzed.

About the authors

O. N Titova

The I.P. Pavlov first St. Peterburgsky state medical university of Minzdrav of Russia

197022, St. Peterburg, Russian Federation

N. A Kuzubova

The I.P. Pavlov first St. Peterburgsky state medical university of Minzdrav of Russia

197022, St. Peterburg, Russian Federation

V. A Volchkov

The I.P. Pavlov first St. Peterburgsky state medical university of Minzdrav of Russia

197022, St. Peterburg, Russian Federation

Andrey G. Kozyrev

The I.P. Pavlov first St. Peterburgsky state medical university of Minzdrav of Russia

Email: kozyrev@bk.ru
candidate of medical sciences, the head of laboratory of ecological and occupational pulmonology the I.P. Pavlov first St. Peterburgsky state medical university of Minzdrav of Russia, 197022, St. Peterburg 197022, St. Peterburg, Russian Federation

E. Yu Haritonenko

The I.P. Pavlov first St. Peterburgsky state medical university of Minzdrav of Russia

197022, St. Peterburg, Russian Federation

References

  1. Horton R. The neglected epidemic of chronic disease. Lancet. 2005; 366(9496): 1514.
  2. Halbert R.J., Natoli J.L., Gano A., Badamgarav E., Buist A.S., Mannino D.M. Global burden of COPD: systematic review and meta-analysis. Eur. Respir. J. 2006; 28(3): 523-32.
  3. Kent B.D., Mitchell P.D., McNicholas W.T. Hypoxemia in patients with COPD: cause, effects, and disease progression. Int. J. Chron. Obstruct. Pulmon. Dis. 2011; (6): 199-208.
  4. Heffner J.E. The story of oxygen. Respir. Care. 2013; 58(1): 18-31.
  5. Чучалин А.Г., Третьяков А.В., Сахарова Г.М., Мухарлямов Ф.Ю., Гвоздева Э.А., Бражник В.А. и др. Длительная кислородотерапия в домашних условиях. Методические рекомендации для врачей. М.; 1996.
  6. Авдеев С.Н. Влияние длительной кислородотерапии на лёгочную динамику у больных хронической обструктивной болезнью лёгких. Русский медицинский журнал. 1998; (20): 9. Available at: http://rmj.ru/articles_2321.htm
  7. Баскакова А.Е. Длительная кислородотерапия на дому при тяжёлой дыхательной недостаточности: Автореф. дисс. … д-ра мед. наук. М.; 2006.
  8. COPD Working Group. Long-term oxygen therapy for patients with chronic obstructive pulmonary disease (COPD): an evidence-based analysis. Ont. Health Technol. Assess. Ser. 2012; 12(7): 1-64.
  9. Ringbaek T.J., Viskum K., Lange P. Does long-term oxygen therapy reduce hospitalisation in hypoxaemic chronic obstructive pulmonary disease? Eur. Respir. J. 2002; 20(1): 38-42.
  10. Garcia-Aymerich J., Farrero E., Fйlez M.A., Izquierdo J., Marrades R.M., Antу J.M. Estudi del Factors de Risc d'Aguditzaciу de la MPOC investigators. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study. Thorax. 2003; 58(2): 100-5.
  11. Nocturnal Oxygen Therapy Trial Group. Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive lung disease: a clinical trial. Ann. Intern. Med. 1980; 93(3): 391-8.
  12. Medical Research Council Working Party. Long term domiciliary oxygen therapy in chronic hypoxic cor pulmonale complicating chronic bronchitis and emphysema. Report of the Medical Research Council Working Party. Lancet. 1981; 1(8222): 681-6.
  13. Sharp C., Adamali H., Millar A.B. Ambulatory and short-burst oxygen for interstitial lung disease. Cochrane Database Syst. Rev. 2016; 7: CD011716.
  14. Díaz Lobato S., García González J.L., Mayoralas A.S. The debate on continuous home oxygen therapy. Arch. Bronconeumol. 2015; 51(1): 31-7.
  15. Lacasse Y., Bernard S., Maltais F. Eligibility for home oxygen programs and funding across Canada. Can. Respir. J. 2015; 22(6): 324-30.
  16. Donner C.F., Virchow J.C., Lusuardi M. Pharmacoeconomics in COPD and inappropriateness of diagnostics, management and treatment. Respir. Med. 2011; 105(6): 828-37.
  17. Turner A.M., Sen S., Steeley C., Khan Y., Sweeney P., Richards Y. et al. Evaluation of oxygen prescription in relation to hospital admission rate in patients with chronic obstructive pulmonary disease. BMC Pulm. Med. 2014; (14): 127.
  18. Chiang C.H. Cost analysis of chronic obstructive pulmonary disease in a tertiary care setting in Taiwan. Respirology. 2008; 13(5): 689-94.
  19. Чучалин А.Г., Айсанов З.Р., Авдеев С.Н. Белевский А.С., Лещенко И.В., Мещерякова Н.Н. и др. Федеральные клинические рекомендации по диагностике и лечению хронической обструктивной болезни легких. М.; 2014. Available at: http://www.pulmonology.ru/download/COPD2014may2.doc
  20. Hurst J.R., Vestbo J., Anzueto A., Locantore N., Mьllerova H., Tal-Singer R. et al. Susceptibility to exacerbation in chronic obstructive pulmonary disease. N. Engl. J. Med. 2010; 363(12): 1128-38.
  21. Suissa S., Dell'Aniello S., Ernst P. Long-term natural history of chronic obstructive pulmonary disease: severe exacerbations and mortality. Thorax. 2012; 67(11): 957-63.
  22. Титова О.Н., Колабутин В.М., Кузубова Н.А., Волчков В.А., Козырев А.Г. Организация лечения больных пульмонологического профиля с хронической гипоксемической дыхательной недостаточностью в Санкт-Петербурге: первый опыт. Здравоохранение Российской Федерации. 2015; 59(6): 30-3.
  23. Волчков В.А., Титова О.Н., Кузубова Н.А., Козырев А.Г. Организация проведения длительной кислородотерапии у больных хронической обструктивной болезнью лёгких в Санкт-Петербурге. Учёные Записки СПбГМУ им. акад. И.П. Павлова. 2013; 20(1): 5-9.

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