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

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Presentation transcript:

A Specific Home Care Program Improves the Survival of Patients With Chronic Obstructive Pulmonary Disease Receiving Long Term Oxygen Therapy  Maurizio Rizzi, MD, Mario Grassi, MD, Marica Pecis, MD, Arnaldo Andreoli, MD, Anna Eugenia Taurino, MD, Margherita Sergi, MD, Francesco Fanfulla, MD  Archives of Physical Medicine and Rehabilitation  Volume 90, Issue 3, Pages 395-401 (March 2009) DOI: 10.1016/j.apmr.2008.08.223 Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Kaplan-Meier survival curves for patients receiving the HC program and for patients receiving standard care (SC). °difference between HC and SC (P=.0001). Archives of Physical Medicine and Rehabilitation 2009 90, 395-401DOI: (10.1016/j.apmr.2008.08.223) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 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). Archives of Physical Medicine and Rehabilitation 2009 90, 395-401DOI: (10.1016/j.apmr.2008.08.223) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Kaplan-Meier survival curves according to requirement for mechanical ventilation at home. °difference between no-NIV and NIV (P=.005). Archives of Physical Medicine and Rehabilitation 2009 90, 395-401DOI: (10.1016/j.apmr.2008.08.223) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 4 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). Archives of Physical Medicine and Rehabilitation 2009 90, 395-401DOI: (10.1016/j.apmr.2008.08.223) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 5 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). Archives of Physical Medicine and Rehabilitation 2009 90, 395-401DOI: (10.1016/j.apmr.2008.08.223) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 6 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). Archives of Physical Medicine and Rehabilitation 2009 90, 395-401DOI: (10.1016/j.apmr.2008.08.223) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 7 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). Archives of Physical Medicine and Rehabilitation 2009 90, 395-401DOI: (10.1016/j.apmr.2008.08.223) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions