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[Patient with respiratory compromise controlled by a pediatric home hospitalization unit.]
Ana Belén Ariza Jiménez1, Aurora Madrid Rodríguez2, María José Peláez Cantero2
1Unidad de Gestión Clínica de Pediatría. Hospital Regional Universitario de Málaga (Materno-Infantil). Málaga. España.
Insights
Home oxygen therapy for pediatric chronic hypoxemia improves patient quality of life and survival. This home care approach significantly reduces hospital readmissions and healthcare costs compared to traditional hospitalization.
Area of Science:
- Pediatric Pulmonology
- Healthcare Management
- Medical Economics
Background:
- Home oxygen therapy is increasingly used for pediatric chronic hypoxemia, driven by its benefits for patients and families.
- The growing demand necessitates structured home treatment plans for effective management.
- Paediatric home care services are expanding to meet these needs.
Purpose of the Study:
- To characterize patients receiving home oxygen therapy in a pediatric tertiary care setting.
- To determine the average cost of home oxygen therapy over a 13-year period.
- To evaluate the quality of the home care service provided.
Main Methods:
- A retrospective descriptive study analyzed records of 124 pediatric patients admitted to a home care unit over 13 years (2000-2013).
- Data collected included patient demographics, diagnoses, and treatment costs.
- Statistical analysis, including t-Student tests, was performed.
Main Results:
- The study included 124 pediatric patients with chronic hypoxemia, with a mean age of 2.2 years.
- Lung diseases, particularly early childhood pneumonia (ECPN), were the most common cause.
- Home oxygen therapy represented 14.2% of hospitalizations, achieving clinical stability in 60% of cases, with a mean cost of €1,991.1 per patient.
Conclusions:
- Home oxygen therapy in pediatric home care significantly enhances patient quality of life and survival rates.
- This approach leads to a reduction in hospital readmissions.
- Home oxygen therapy offers substantial cost savings, approximately 93% less than conventional hospitalization.
Objective:
The use of paediatric home oxygen therapy is initiated in neonatal chronic lung disease; later it spreads to other patients with chronic hypoxemia. The frequency and need for oxygen therapy is growing; this, together with the family benefits, justify the implementation of a home treatment plan. Our objective with this work was to know and describe the characteristics of the patients admitted to the Pediatric HaD Unit of a tertiary hospital, the average cost per patient of oxygen therapy during 13 years of review, and evaluate the quality of the service.
Methods:
Retrospective descriptive study by reviewing records of patients admitted to home care hospital at home of a paediatric tertiary care hospital (n=124) for 13 years (2000-2013), to learn and to describe the characteristics of the unit and these patients, and costs. After that, it was done statistical analysis through t-Student.
Results:
124 patients with chronic hypoxemia patients with mean age of 2.2 years. The most frequent cause was lung diseases, including ECPN as the most important. They accounted 14.2% of hospitalizations in home care hospital at home department, and 60% were achieved clinical stability. The mean cost was 1,991.1€ per patient, which supposes 93% of economical saving in comparison with conventional hospitalization (3,988.91€).
Conclusions:
The use of oxygen in HaD improves the quality of life and survival of our patients, reducing the number of readmissions and hospital costs.
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