Burn injury during long-term oxygen therapy in Denmark and Sweden: the potential role of smoking

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Tanash, Hanan A.Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital (author)

Burn injury during long-term oxygen therapy in Denmark and Sweden : the potential role of smoking

Article/chapterEnglish2017

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2017
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LIBRIS-ID:oai:DiVA.org:uu-315062
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-315062URI
https://doi.org/10.2147/COPD.S119949DOI
https://lup.lub.lu.se/record/c74de357-9067-4fa2-af9f-0d552128e377URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Background: Long-term oxygen therapy (LTOT) increases life expectancy in patients with COPD and severe hypoxemia. Smoking is the main cause of burn injury during LTOT. Policy regarding smoking while on LTOT varies between countries. In this study, we compare the incidence of burn injury that required contact with a health care specialist, between Sweden (a country with a strict policy regarding smoking while on LTOT) and Denmark (a country with less strict smoking policy). Methods: This was a population-based, cohort study of patients initiating LTOT due to any cause in Sweden and Denmark. Data on diagnoses, external causes, and procedures were obtained from the Swedish and Danish National Patient Registers for inpatient and outpatient care. Patients were followed from January 1, 2000, until the first of the following: LTOT withdrawal, death, or study end (December 31, 2009). The primary end point was burn injury during LTOT. Results: A total of 23,741 patients received LTOT in Denmark and 7,754 patients in Sweden. Most patients started LTOT due to COPD, both in Sweden (74%) and in Denmark (62%). The rate of burn injury while on LTOT was higher in Denmark than in Sweden; 170 (95% confidence interval [CI], 126-225) vs 85 (95% CI, 44-148) per 100,000 person-years; rate ratio 2.0 (95% CI, 1.0-4.1). The risk remained higher after adjustment for gender, age, and diagnosis in multivariate Cox regression, hazard ratio 1.8 (95% CI, 1.0-3.5). Thirty-day mortality after burn injury was 8% in both countries. Conclusion: Compared to Sweden, the rate of burn injury was twice as high in Denmark where smoking is not a contraindication for prescribing LTOT.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
burn injury
COPD
long-term oxygen therapy
smoking
Burn injury
COPD
Long-term oxygen therapy
Smoking

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Ringbaek, ThomasHvidovre Univ Hosp, Resp Dept, Copenhagen, Denmark.,Copenhagen University Hospital (author)
Huss, FredrikUppsala universitet,Plastikkirurgi,Univ Uppsala Hosp, Burn Ctr, Dept Plast & Maxillofacial Surg, Uppsala, Sweden,Uppsala University Hospital(Swepub:uu)frehu375 (author)
Ekström, MagnusLund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Andfåddhet och kronisk andningssvikt,Forskargrupper vid Lunds universitet,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Breathlessness and chronic respiratory failure,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-mue (author)
Lungmedicin, allergologi och palliativ medicinSektion II (creator_code:org_t)

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In:The International Journal of Chronic Obstructive Pulmonary Disease12, s. 193-1971176-91061178-2005

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By the author/editor: Tanash, Hanan A.; Ringbaek, Thomas; Huss, Fredrik; Ekström, Magnus

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

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