Preschool healthcare utilisation related to home oxygen status
Objective: To determine, in prematurely born children who had bronchopulmonary dysplasia (BPD), if respiratory morbidity, healthcare utilisation, and cost of care during the preschool years were influenced by use of supplementary oxygen at home after discharge from the neonatal intensive care unit....
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| Veröffentlicht in: | Archives of disease in childhood. Fetal and neonatal edition 2006-09, Vol.91 (5), p.F337-F341 |
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| container_title | Archives of disease in childhood. Fetal and neonatal edition |
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| creator | Greenough, A Alexander, J Burgess, S Bytham, J Chetcuti, P A J Hagan, J Lenney, W Melville, S Shaw, N J Boorman, J Coles, S Pang, F Turner, J |
| description | Objective: To determine, in prematurely born children who had bronchopulmonary dysplasia (BPD), if respiratory morbidity, healthcare utilisation, and cost of care during the preschool years were influenced by use of supplementary oxygen at home after discharge from the neonatal intensive care unit. Design: Observational study. Setting: Four tertiary neonatal intensive care units. Patients: 190 children, median gestational age 27 weeks (range 22–31), 70 of whom received supplementary oxygen when discharged home. Interventions: Review of hospital and general practitioner records together with a parent completed respiratory questionnaire. Main outcome measures: Healthcare utilisation, cost of care, cough, wheeze, and use of an inhaler. Results: Seventy children had supplementary oxygen at home (home oxygen group), but only one had a continuous requirement for home oxygen beyond 2 years of age. There were no significant differences in the gestational age or birth weight of the home oxygen group compared with the rest of the cohort. However, between 2 and 4 years of age inclusive, the home oxygen group had more outpatient attendances (p = 0.0021) and specialist attendances (p = 0.0023), and, for respiratory problems, required more prescriptions (p |
| doi_str_mv | 10.1136/adc.2005.088823 |
| format | Article |
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Design: Observational study. Setting: Four tertiary neonatal intensive care units. Patients: 190 children, median gestational age 27 weeks (range 22–31), 70 of whom received supplementary oxygen when discharged home. Interventions: Review of hospital and general practitioner records together with a parent completed respiratory questionnaire. Main outcome measures: Healthcare utilisation, cost of care, cough, wheeze, and use of an inhaler. Results: Seventy children had supplementary oxygen at home (home oxygen group), but only one had a continuous requirement for home oxygen beyond 2 years of age. There were no significant differences in the gestational age or birth weight of the home oxygen group compared with the rest of the cohort. However, between 2 and 4 years of age inclusive, the home oxygen group had more outpatient attendances (p = 0.0021) and specialist attendances (p = 0.0023), and, for respiratory problems, required more prescriptions (p<0.0001). Their total cost of care was higher (p<0.0001). In addition, more of the home oxygen group wheezed more than once a week (p = 0.0486) and were more likely to use an inhaler (p<0.0001). Conclusions: Children with BPD who have supplementary oxygen at home after discharge have increased respiratory morbidity and healthcare utilisation in the preschool years.</description><identifier>ISSN: 1359-2998</identifier><identifier>EISSN: 1468-2052</identifier><identifier>DOI: 10.1136/adc.2005.088823</identifier><identifier>PMID: 16705008</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Asthma ; Birth Weight ; BPD ; bronchopulmonary dysplasia ; Bronchopulmonary Dysplasia - therapy ; Capital costs ; Children & youth ; Community support ; Families & family life ; general practitioner ; Gestational Age ; Hay fever ; Health care ; Health Care Costs - statistics & numerical data ; Health Services - utilization ; Home Care Services, Hospital-Based - utilization ; Home health care ; home oxygen therapy ; Hospitals ; Humans ; Hypotheses ; Infant, Newborn ; Infant, Premature ; Intensive care ; Intensive Care Units, Neonatal ; Morbidity ; Nurses ; Observational studies ; Original ; Oxygen ; Oxygen Inhalation Therapy - utilization ; Oxygen therapy ; Parents & parenting ; Patient admissions ; prematurity ; preschool children ; Primary care ; Prognosis ; Respiration Disorders - epidemiology ; Respiration Disorders - etiology ; Respiratory function ; Risk Factors ; United Kingdom - epidemiology</subject><ispartof>Archives of disease in childhood. Fetal and neonatal edition, 2006-09, Vol.91 (5), p.F337-F341</ispartof><rights>Copyright 2006 Archives of Disease in Childhood</rights><rights>Copyright: 2006 Copyright 2006 Archives of Disease in Childhood</rights><rights>Copyright ©2006 BMJ Publishing Group & Royal College of Paediatrics and Child Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b492t-1249fb95255edaf16253ebdcfd45e9979991927306ae0d8b5d97c3ed431fa3ec3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://fn.bmj.com/content/91/5/F337.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://fn.bmj.com/content/91/5/F337.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,727,780,784,885,3196,23571,27924,27925,53791,53793,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16705008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Greenough, A</creatorcontrib><creatorcontrib>Alexander, J</creatorcontrib><creatorcontrib>Burgess, S</creatorcontrib><creatorcontrib>Bytham, J</creatorcontrib><creatorcontrib>Chetcuti, P A J</creatorcontrib><creatorcontrib>Hagan, J</creatorcontrib><creatorcontrib>Lenney, W</creatorcontrib><creatorcontrib>Melville, S</creatorcontrib><creatorcontrib>Shaw, N J</creatorcontrib><creatorcontrib>Boorman, J</creatorcontrib><creatorcontrib>Coles, S</creatorcontrib><creatorcontrib>Pang, F</creatorcontrib><creatorcontrib>Turner, J</creatorcontrib><title>Preschool healthcare utilisation related to home oxygen status</title><title>Archives of disease in childhood. Fetal and neonatal edition</title><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><description>Objective: To determine, in prematurely born children who had bronchopulmonary dysplasia (BPD), if respiratory morbidity, healthcare utilisation, and cost of care during the preschool years were influenced by use of supplementary oxygen at home after discharge from the neonatal intensive care unit. Design: Observational study. Setting: Four tertiary neonatal intensive care units. Patients: 190 children, median gestational age 27 weeks (range 22–31), 70 of whom received supplementary oxygen when discharged home. Interventions: Review of hospital and general practitioner records together with a parent completed respiratory questionnaire. Main outcome measures: Healthcare utilisation, cost of care, cough, wheeze, and use of an inhaler. Results: Seventy children had supplementary oxygen at home (home oxygen group), but only one had a continuous requirement for home oxygen beyond 2 years of age. There were no significant differences in the gestational age or birth weight of the home oxygen group compared with the rest of the cohort. However, between 2 and 4 years of age inclusive, the home oxygen group had more outpatient attendances (p = 0.0021) and specialist attendances (p = 0.0023), and, for respiratory problems, required more prescriptions (p<0.0001). Their total cost of care was higher (p<0.0001). In addition, more of the home oxygen group wheezed more than once a week (p = 0.0486) and were more likely to use an inhaler (p<0.0001). Conclusions: Children with BPD who have supplementary oxygen at home after discharge have increased respiratory morbidity and healthcare utilisation in the preschool years.</description><subject>Asthma</subject><subject>Birth Weight</subject><subject>BPD</subject><subject>bronchopulmonary dysplasia</subject><subject>Bronchopulmonary Dysplasia - therapy</subject><subject>Capital costs</subject><subject>Children & youth</subject><subject>Community support</subject><subject>Families & family life</subject><subject>general practitioner</subject><subject>Gestational Age</subject><subject>Hay fever</subject><subject>Health care</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Health Services - utilization</subject><subject>Home Care Services, Hospital-Based - utilization</subject><subject>Home health care</subject><subject>home oxygen therapy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intensive care</subject><subject>Intensive Care Units, Neonatal</subject><subject>Morbidity</subject><subject>Nurses</subject><subject>Observational studies</subject><subject>Original</subject><subject>Oxygen</subject><subject>Oxygen Inhalation Therapy - utilization</subject><subject>Oxygen therapy</subject><subject>Parents & parenting</subject><subject>Patient admissions</subject><subject>prematurity</subject><subject>preschool children</subject><subject>Primary care</subject><subject>Prognosis</subject><subject>Respiration Disorders - epidemiology</subject><subject>Respiration Disorders - etiology</subject><subject>Respiratory function</subject><subject>Risk Factors</subject><subject>United Kingdom - epidemiology</subject><issn>1359-2998</issn><issn>1468-2052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkUtv1TAQRi0EoqWwZociIbFAyq0f8WtTqboCCpTCArq1HHvS5JLExXZQ--9xlavy2LAaS3P8zYwOQs8J3hDCxLH1bkMx5huslKLsATokjVA1xZw-LG_GdU21VgfoSUo7jDGRUj5GB0RIzDFWh-jkS4Tk-hDGqgc75t7ZCNWSh3FINg9hriKMNoOvcqj6MEEVbm6vYK5StnlJT9Gjzo4Jnu3rEfr29s3X7Vl9_vnd--3ped02muaa0EZ3reaUc_C2I4JyBq13nW84aC211kRTybCwgL1qudfSMfANI51l4NgROllzr5d2Au9gztGO5joOk423JtjB_N2Zh95chZ-GCkkVa0rAq31ADD8WSNlMQ3IwjnaGsCQjlJREEFHAl_-Au7DEuRxniFS4KbtTVqjjlXIxpBShu1-FYHNnxhQz5s6MWc2UHy_-vOA3v1dRgHoFhpTh5r5v43cjJJPcXFxuzcftp7OGXn4wF4V_vfLttPvv9F8LCaaf</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>Greenough, A</creator><creator>Alexander, J</creator><creator>Burgess, S</creator><creator>Bytham, J</creator><creator>Chetcuti, P A J</creator><creator>Hagan, J</creator><creator>Lenney, W</creator><creator>Melville, S</creator><creator>Shaw, N J</creator><creator>Boorman, J</creator><creator>Coles, S</creator><creator>Pang, F</creator><creator>Turner, J</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20060901</creationdate><title>Preschool healthcare utilisation related to home oxygen status</title><author>Greenough, A ; Alexander, J ; Burgess, S ; Bytham, J ; Chetcuti, P A J ; Hagan, J ; Lenney, W ; Melville, S ; Shaw, N J ; Boorman, J ; Coles, S ; Pang, F ; Turner, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b492t-1249fb95255edaf16253ebdcfd45e9979991927306ae0d8b5d97c3ed431fa3ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Asthma</topic><topic>Birth Weight</topic><topic>BPD</topic><topic>bronchopulmonary dysplasia</topic><topic>Bronchopulmonary Dysplasia - therapy</topic><topic>Capital costs</topic><topic>Children & youth</topic><topic>Community support</topic><topic>Families & family life</topic><topic>general practitioner</topic><topic>Gestational Age</topic><topic>Hay fever</topic><topic>Health care</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Health Services - utilization</topic><topic>Home Care Services, Hospital-Based - utilization</topic><topic>Home health care</topic><topic>home oxygen therapy</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Intensive care</topic><topic>Intensive Care Units, Neonatal</topic><topic>Morbidity</topic><topic>Nurses</topic><topic>Observational studies</topic><topic>Original</topic><topic>Oxygen</topic><topic>Oxygen Inhalation Therapy - utilization</topic><topic>Oxygen therapy</topic><topic>Parents & parenting</topic><topic>Patient admissions</topic><topic>prematurity</topic><topic>preschool children</topic><topic>Primary care</topic><topic>Prognosis</topic><topic>Respiration Disorders - epidemiology</topic><topic>Respiration Disorders - etiology</topic><topic>Respiratory function</topic><topic>Risk Factors</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greenough, A</creatorcontrib><creatorcontrib>Alexander, J</creatorcontrib><creatorcontrib>Burgess, S</creatorcontrib><creatorcontrib>Bytham, J</creatorcontrib><creatorcontrib>Chetcuti, P A J</creatorcontrib><creatorcontrib>Hagan, J</creatorcontrib><creatorcontrib>Lenney, W</creatorcontrib><creatorcontrib>Melville, S</creatorcontrib><creatorcontrib>Shaw, N J</creatorcontrib><creatorcontrib>Boorman, J</creatorcontrib><creatorcontrib>Coles, S</creatorcontrib><creatorcontrib>Pang, F</creatorcontrib><creatorcontrib>Turner, J</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greenough, A</au><au>Alexander, J</au><au>Burgess, S</au><au>Bytham, J</au><au>Chetcuti, P A J</au><au>Hagan, J</au><au>Lenney, W</au><au>Melville, S</au><au>Shaw, N J</au><au>Boorman, J</au><au>Coles, S</au><au>Pang, F</au><au>Turner, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preschool healthcare utilisation related to home oxygen status</atitle><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>91</volume><issue>5</issue><spage>F337</spage><epage>F341</epage><pages>F337-F341</pages><issn>1359-2998</issn><eissn>1468-2052</eissn><abstract>Objective: To determine, in prematurely born children who had bronchopulmonary dysplasia (BPD), if respiratory morbidity, healthcare utilisation, and cost of care during the preschool years were influenced by use of supplementary oxygen at home after discharge from the neonatal intensive care unit. Design: Observational study. Setting: Four tertiary neonatal intensive care units. Patients: 190 children, median gestational age 27 weeks (range 22–31), 70 of whom received supplementary oxygen when discharged home. Interventions: Review of hospital and general practitioner records together with a parent completed respiratory questionnaire. Main outcome measures: Healthcare utilisation, cost of care, cough, wheeze, and use of an inhaler. Results: Seventy children had supplementary oxygen at home (home oxygen group), but only one had a continuous requirement for home oxygen beyond 2 years of age. There were no significant differences in the gestational age or birth weight of the home oxygen group compared with the rest of the cohort. However, between 2 and 4 years of age inclusive, the home oxygen group had more outpatient attendances (p = 0.0021) and specialist attendances (p = 0.0023), and, for respiratory problems, required more prescriptions (p<0.0001). Their total cost of care was higher (p<0.0001). In addition, more of the home oxygen group wheezed more than once a week (p = 0.0486) and were more likely to use an inhaler (p<0.0001). Conclusions: Children with BPD who have supplementary oxygen at home after discharge have increased respiratory morbidity and healthcare utilisation in the preschool years.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>16705008</pmid><doi>10.1136/adc.2005.088823</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of disease in childhood. Fetal and neonatal edition, 2006-09, Vol.91 (5), p.F337-F341 |
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| source | MEDLINE; BMJ Journals Online Archive; PubMed Central |
| subjects | Asthma Birth Weight BPD bronchopulmonary dysplasia Bronchopulmonary Dysplasia - therapy Capital costs Children & youth Community support Families & family life general practitioner Gestational Age Hay fever Health care Health Care Costs - statistics & numerical data Health Services - utilization Home Care Services, Hospital-Based - utilization Home health care home oxygen therapy Hospitals Humans Hypotheses Infant, Newborn Infant, Premature Intensive care Intensive Care Units, Neonatal Morbidity Nurses Observational studies Original Oxygen Oxygen Inhalation Therapy - utilization Oxygen therapy Parents & parenting Patient admissions prematurity preschool children Primary care Prognosis Respiration Disorders - epidemiology Respiration Disorders - etiology Respiratory function Risk Factors United Kingdom - epidemiology |
| title | Preschool healthcare utilisation related to home oxygen status |
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