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Updated: Jul 4, 2025
00:07
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce
Zainab Ahmadi1, Joar Björk2,3, Hans Gilljam4
1Department of Clinical Sciences Lund, Respiratory Medicine, Allergology and Palliative Medicine, Lund University, Lund, Sweden zai.ahmd@gmail.com.
Summary
Home oxygen therapy (HOT) can improve survival for respiratory patients. A Swedish taskforce reviewed the risks and benefits of smoking with HOT, suggesting a systematic approach for healthcare professionals.
Area of Science:
- Respiratory Medicine
- Medical Ethics
- Public Health Policy
Background:
- Home oxygen therapy (HOT) enhances survival in hypoxemic chronic respiratory disease patients.
- Smokers comprise a significant portion of HOT candidates, posing fire risks due to oxygen's combustibility.
- International policies on smoking as a contraindication for HOT vary, necessitating a review.
Purpose of the Study:
- To comprehensively review the medical, practical, legal, and ethical considerations of smoking in patients undergoing HOT.
- To address the variability in current practices and policies regarding smoking and HOT eligibility.
- To develop evidence-based recommendations for managing smoking patients considered for HOT.
Main Methods:
- A multidisciplinary Swedish taskforce, including respiratory medicine, nursing, law, and ethics experts, conducted the review.
- The taskforce analyzed HOT effectiveness, smoking-related risks, and practical/legal/ethical aspects using general and PICO questions.
- Recommendations were graded using the GRADE methodology to assess their strength.
Main Results:
- The review generated recommendations for assessing, managing, and following up on smoking patients eligible for HOT.
- Guidance is provided on offering HOT to eligible patients who continue to smoke and on required smoking cessation periods.
- Key areas for future research concerning smoking and HOT were identified.
Conclusions:
- The benefit/risk evaluation of HOT in active smokers requires consideration of multiple factors.
- A systematic approach is recommended to guide healthcare professionals in managing HOT for smoking patients.
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