[Quality of initial prescription of home XXXX therapy in a healthcare area of the Murcia Region (Spain)].

@entity1 @entity565 @entity26 @entity1030
OBJECTIVE: To analyse the quality of the prescription of home @entity26 therapy (OT) in a health area of Murcia. METHODS: A prospective study of 125 @entity1 in a respiratory therapy clinic, evaluated with a questionnaire and blood-gas analysis while breathing ambient air. Related respiratory therapy was also assessedin @entity1030 and @entity565 @entity1 . RESULTS: We studied 125 cases in the 3 months following the prescription of home @entity26 therapy in 72 @entity1 (58%) and 53 @entity1 (42%) with a mean age of 77.2    11.6. The most common type of home OT prescribed was for palliative cases in 45 @entity1 (36%), followed by @entity1030 in 42 (33.6%). In 88 (92%) of the 96 medical reports that we evaluated, insufficient data as to how to administer @entity26 were available. Twenty-five percent of home OT prescriptions were given without blood-gas analyses, and in the 65 cases with a blood-gas analysis only 11 (17%) met @entity26 value criteria for home OT as per regulations. @entity26 desaturation was not present in 31% of the palliative care home OT cases. The analysis of blood-gases during the clinic visit in non-palliative care cases demonstrated that 61% did not meet the blood-gas criteria to continue on home OT. Eighty percent of @entity1030 and @entity565 @entity1 on home OT did not receive the correct respiratory therapy. CONCLUSIONS: Quality problems in the prescription of home OT exist in our area. Palliative care is the principal reason for home OT prescriptions. In @entity1030 and @entity565 @entity1 who receive home OT, related respiratory therapy is not ideal.
