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Home Oxygen Therapy for Patients With COPD: Time for a Reboot
Jennifer A Sculley1, Susan J Corbridge1, Valentin Prieto-Centurion1
1University of Illinois at Chicago.
Respiratory Care
|November 27, 2019
Summary
Supplemental oxygen therapy, established over a century ago, improves survival in COPD patients with hypoxemia. This review details evidence, equipment, and care transitions for home oxygen therapy.
Area of Science:
- Pulmonary Medicine
- Respiratory Care
Background:
- Supplemental oxygen therapy's potential was recognized over 100 years ago.
- Clinical trials in the 1980s confirmed long-term oxygen therapy benefits for COPD patients with severe hypoxemia.
Purpose of the Study:
- To review evidence supporting long-term and short-term oxygen therapy.
- To describe home oxygen equipment and patient care transitions.
- To present findings from the SHERLOCK Consortium on home oxygen initiation.
Main Methods:
- Literature review of evidence for oxygen therapy.
- Description of home oxygen delivery systems.
- Analysis of the SHERLOCK Consortium's multi-stakeholder approach and interim results.
Main Results:
- Evidence supports both long-term and short-term oxygen therapy for hypoxemia.
- The SHERLOCK Consortium identified a 9-step care chain for successful home oxygen initiation.
- Interim results highlight the importance of coordinated care during hospital discharge.
Conclusions:
- Oxygen therapy remains crucial for managing hypoxemia in COPD.
- Optimizing the transition from hospital to home is vital for effective home oxygen therapy.
- Evidence-based policies are recommended to support this high-risk patient population.
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