International approaches to the prescription of long-term oxygen therapy

P. J. Wijkstra, G. H. Guyatt, N. Ambrosino, B. R. Celli, R. Güell, J. F. Muir, C. Préfaut, Eliana Mendes, I. Ferreira, P. Austin, B. Weaver, R. S. Goldstein

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

While there is broad agreement about who should receive long-term oxygen therapy (LTOT), there is little information available on how clinicians should decide on the oxygen prescription itself, at rest, during sleep and during exercise. The authors describe the results of an international survey that was undertaken to compare how respirologists prescribed oxygen. A questionnaire was sent to 100 respirologists in each of seven countries. The questionnaire identified whether resting flow rates were derived in a standard manner or by individualized patient testing. Test targets were ascertained for rest, exercise and sleep, as was the percentage of time that each test target had to reach for the test to be accepted. The majority of respondents individualized the oxygen prescription at rest (81%). Resting arterial oxygen saturation (Sa,O2) was most commonly targeted at 90-91%. The approach to night prescription varied (p<0.001). Respirologists in Canada and the USA increased the resting Sa,O2 by 1-2 L·min-1 during sleep, while those in Spain used the resting (awake) flow for the night prescription (62%). Respirologists in the Netherlands, France, and Italy individualized the night prescription more frequently. Although oxygen during exercise was individualized in most countries (74%), significant differences remained among countries (p<0.001). The majority of respirologists (62%) aimed to achieve an Sa,O2 of 90-91% during exercise, while 70% of all respirologists tried to achieve the desired Sa,O2 for 90% of the test. There were substantial differences among countries as to how the oxygen prescription was written. This survey highlights the need for multicentre studies that improve the effectiveness of long-term oxygen therapy utilization.

Original languageEnglish
Pages (from-to)909-913
Number of pages5
JournalEuropean Respiratory Journal
Volume18
Issue number6
DOIs
StatePublished - Dec 1 2001
Externally publishedYes

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Prescriptions
Oxygen
Exercise
Sleep
Therapeutics
Netherlands
Spain
Italy
Multicenter Studies
France
Canada
Surveys and Questionnaires

Keywords

  • Chronic obstructive
  • Long-term oxygen therapy
  • Prescription
  • Pulmonary disease
  • Survey

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Wijkstra, P. J., Guyatt, G. H., Ambrosino, N., Celli, B. R., Güell, R., Muir, J. F., ... Goldstein, R. S. (2001). International approaches to the prescription of long-term oxygen therapy. European Respiratory Journal, 18(6), 909-913. https://doi.org/10.1183/09031936.01.00202301

International approaches to the prescription of long-term oxygen therapy. / Wijkstra, P. J.; Guyatt, G. H.; Ambrosino, N.; Celli, B. R.; Güell, R.; Muir, J. F.; Préfaut, C.; Mendes, Eliana; Ferreira, I.; Austin, P.; Weaver, B.; Goldstein, R. S.

In: European Respiratory Journal, Vol. 18, No. 6, 01.12.2001, p. 909-913.

Research output: Contribution to journalArticle

Wijkstra, PJ, Guyatt, GH, Ambrosino, N, Celli, BR, Güell, R, Muir, JF, Préfaut, C, Mendes, E, Ferreira, I, Austin, P, Weaver, B & Goldstein, RS 2001, 'International approaches to the prescription of long-term oxygen therapy', European Respiratory Journal, vol. 18, no. 6, pp. 909-913. https://doi.org/10.1183/09031936.01.00202301
Wijkstra PJ, Guyatt GH, Ambrosino N, Celli BR, Güell R, Muir JF et al. International approaches to the prescription of long-term oxygen therapy. European Respiratory Journal. 2001 Dec 1;18(6):909-913. https://doi.org/10.1183/09031936.01.00202301
Wijkstra, P. J. ; Guyatt, G. H. ; Ambrosino, N. ; Celli, B. R. ; Güell, R. ; Muir, J. F. ; Préfaut, C. ; Mendes, Eliana ; Ferreira, I. ; Austin, P. ; Weaver, B. ; Goldstein, R. S. / International approaches to the prescription of long-term oxygen therapy. In: European Respiratory Journal. 2001 ; Vol. 18, No. 6. pp. 909-913.
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