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KMID : 0882420070730040353
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Korean Journal of Medicine
2007 Volume.73 No. 4 p.353 ~ p.360
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Home oxygen therapy in patients with chronic obstructive pulmonary disease
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Lee Kwan-Ho
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Abstract
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Hypoxemia is a common occurrence in patients with chronic obstructive pulmonary disease (COPD). The presence
and severity of hypoxemia correlated with the severity of pulmonary impairment.
In this review, I describe the mechanisms and effects of hypoxemia, the benefits of home oxygen therapy and
indications for its therapy and oxygen delivery systems. Home oxygen therapy may improve the survival, decrease
pulmonary arterial pressure and pulmonary vascular resistance. In addition to, home oxygen therapy improves exercise
endurance, decreases resting oxygen cost of breathing, and improves neuropsychiatric performance and sleep quality.
Because home oxygen therapy is costly therapy that confers various benefits, insurance reimbursements for its
prescription is regulated in Korea. I address practical issues including documenting and reimbursement for home oxygen
therapy and the processing home oxygen therapy that is necessary for the patients with COPD to receive oxygen
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KEYWORD
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Home oxygen therapy, Chronic obstructive pulmonary disease
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