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Updated: Aug 22, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
2022 Brazilian Thoracic Association recommendations for long-term home oxygen therapy
Maria Vera Cruz de Oliveira Castellano1, Luiz Fernando Ferreira Pereira2, Paulo Henrique Ramos Feitosa3
1. Hospital do Servidor Público Estadual de São Paulo - IAMSPE - São Paulo (SP) Brasil.
Long-term home oxygen therapy (LTOT) improves survival and quality of life for patients with hypoxemia from chronic respiratory diseases. This updated consensus provides clinical guidance on LTOT indications, use, and safety.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Critical Care
Background:
- Chronic respiratory diseases causing hypoxemia often necessitate long-term home oxygen therapy (LTOT).
- Established evidence from the 1980s supports LTOT for improving survival in COPD patients.
- LTOT offers benefits including enhanced cognitive function, exercise capacity, and reduced hospitalizations.
Conclusions:
- This updated consensus provides comprehensive guidance for the clinical application of LTOT.
- Recommendations cover indications, safe usage, and optimizing LTOT effectiveness.
- The document aims to support healthcare professionals in managing patients requiring LTOT.
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