Tubing Length for Long-Term Oxygen Therapy

Aguiar, Carolina; Davidson, Josy; Carvalho, Andrea K.; Iamonti, Vinicius C.; Cortopassi, Felipe; Nascimento, Oliver Augusto; Jardim, José Roberto

doi:10.4187/respcare.03454

Cited by 8 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The cause of discontinuation was discomfort with OT, such as a dry mouth or nose. The number and types of local adverse effects were similar to those reported in previous studies, despite large differences in populations concerning underlying respiratory diseases, medical insurance coverage, and equipment types [ 18 - 20 ]. These adverse effects are often neglected or left untreated by physicians [ 8 ].…”

Section: Discussionsupporting

confidence: 82%

Perception of Long-Term Oxygen Therapy for Chronic Lung Diseases May Affect Poor Adherence in Korea

Kim,

Lee,

Yang

et al. 2024

Tuberc Respir Dis

View full text Add to dashboard Cite

Background: Long-term oxygen therapy (LTOT) improves the survival of patients with hypoxemia due to chronic respiratory diseases. The clinical outcomes of LTOT are strongly associated with patient adherence. To improve the adherence of patients, physicians have focused on the efficacy of LTOT. However, poor adherence may stem from patients’ perceptions of LTOT. Herein we evaluated patients’ perceptions of LTOT affecting adherence.Methods: We conducted a cross-sectional survey study using descriptive, open, and closed-ended questionnaire. Patients using oxygen therapy (OT) or requiring it but avoiding OT responded to the questionnaires at three university hospitals.Results: Seventy-nine patients responded to the questionnaires. The number of patients using home and portable OT was 69 (93%) and 37 (46.3%), respectively. Patients with good adherence were 22 (30.1%). Among patients with good adherence, 90.9% used oxygen according to physicians’ prescriptions whereas only 37.3% of those with poor adherence followed physicians’ prescriptions (p<0.01). The reasons for avoiding using home OT were fear of permanent use (50%), unwanted attention (40%), and lack of symptoms (40%). They avoided portable OT because of unwanted attention (39%), heaviness (31.7%), and lack of symptoms (21.6%).Conclusion: Patients on LTOT had the perception of the misunderstanding the effects of OT and of psychosocial barriers to initiate or use LTOT. Considering these findings, health professionals need to provide effective education on the purpose of LTOT to improve patient adherence to OT and provide sufficient support for the management of psychosocial barriers in patients using LTOT.

show abstract

Section: Discussionsupporting

confidence: 82%

Perception of Long-Term Oxygen Therapy for Chronic Lung Diseases May Affect Poor Adherence in Korea

Kim,

Lee,

Yang

et al. 2024

Tuberc Respir Dis

View full text Add to dashboard Cite

show abstract

“…36 In addition to this hypothesis, it is reported that inadequate guidance to these patients on oxygen tubing length may negatively influence their PADL and quality of life. 37 Many companies eventually restrict tubing length at short distances because they mistakenly believe that this can affect the flow of oxygen which contributes to the reduction of the mobility of these patients. Aguiar et al 37 verified that a length of 30 m does not alter the flow and fractions of inspired oxygen supplied, and it may provide greater freedom for patients to move around at home.…”

Section: Discussionmentioning

confidence: 99%

“…37 Many companies eventually restrict tubing length at short distances because they mistakenly believe that this can affect the flow of oxygen which contributes to the reduction of the mobility of these patients. Aguiar et al 37 verified that a length of 30 m does not alter the flow and fractions of inspired oxygen supplied, and it may provide greater freedom for patients to move around at home. In this study, we observed that the mean tubing length was 9.5 m, which may had a direct influence on the low level of PADL in subjects in the home oxygen therapy group.…”

Section: Discussionmentioning

confidence: 99%

Impact of Home Oxygen Therapy on the Level of Physical Activities in Daily Life in Subjects With COPD

et al. 2019

View full text Add to dashboard Cite

BACKGROUND: Chronic hypoxemia in patients with COPD is a limiting factor that is associated with disease progression and significantly contributes to decreased physical activity. Although correction of hypoxemia results in physiological improvements, oxygen therapy may be related to social isolation and inactivity. However, few studies have objectively investigated the level of physical activity in daily life (PADL) in these patients. The objective of this study was to compare the level of PADL in subjects with COPD on home oxygen therapy and in subjects with no oxygen therapy, and to investigate whether home oxygen therapy is associated with the level of PADL. METHODS: In this study, 29 subjects with COPD composed the home oxygen therapy group, and 30 subjects with COPD composed the control group. All of them underwent assessment of anthropometric measurements, spirometry, peripheral muscle strength, limitations in activities of dalily living, perception of dyspnea, health status, as well as PADL monitoring. RESULTS: Home oxygen therapy subjects showed less time walking (P ‫؍‬ .001), in active physical activities (P ‫؍‬ .003), in physical activities > 3 METs (P ‫؍‬ .001), and in physical activities < 1.5 METs (P ‫؍‬ .042), as well as fewer steps (P ‫؍‬ .001). Physical inactivity was present in 24 home oxygen subjects (82.8%) and 18 control subjects (60%). Oxygen therapy was associated with severe physical inactivity (Cramer's V ‫؍‬ 0.29, P ‫؍‬ .040). The time using oxygen therapy (h/d) was the strongest predictor of the level of PADL (r 2 ‫؍‬ 0.38-0.43, P < .001). CONCLUSION: Subjects with COPD using oxygen at home showed reduced level of PADL. The results indicate that oxygen therapy is associated with severe physical inactivity and may be a predictor of the level of PADL.

show abstract

“…(Aguiar et al). (162) J Bras Pneumol. 2022;48(5):e20220179 7/22 na capacidade de exercício e na qualidade de vida.…”

Section: Hpunclassified

2022 Brazilian Thoracic Association recommendations for long-term home oxygen therapy

et al. 2022

View full text Add to dashboard Cite

Some chronic respiratory diseases can cause hypoxemia and, in such cases, long-term home oxygen therapy (LTOT) is indicated as a treatment option primarily to improve patient quality of life and life expectancy. Home oxygen has been used for more than 70 years, and support for LTOT is based on two studies from the 1980s that demonstrated that oxygen use improves survival in patients with COPD. There is evidence that LTOT has other beneficial effects such as improved cognitive function, improved exercise capacity, and reduced hospitalizations. LTOT is indicated in other respiratory diseases that cause hypoxemia, on the basis of the same criteria as those used for COPD. There has been an increase in the use of LTOT, probably because of increased life expectancy and a higher prevalence of chronic respiratory diseases, as well as greater availability of LTOT in the health care system. The first Brazilian Thoracic Association consensus statement on LTOT was published in 2000. Twenty-two years la-ter, we present this updated version. This document is a nonsystematic review of the literature, conducted by pulmonologists who evaluated scientific evidence and international guidelines on LTOT in the various diseases that cause hypoxemia and in specific situations (i.e., exercise, sleep, and air travel). These recommendations, produced with a view to clinical practice, contain several charts with information on indications for LTOT, oxygen sources, accessories, strategies for improved efficiency and effectiveness, and recommendations for the safe use of LTOT, as well as a LTOT prescribing model.

show abstract

Tubing Length for Long-Term Oxygen Therapy

Cited by 8 publications

References 7 publications

Perception of Long-Term Oxygen Therapy for Chronic Lung Diseases May Affect Poor Adherence in Korea

Perception of Long-Term Oxygen Therapy for Chronic Lung Diseases May Affect Poor Adherence in Korea

Impact of Home Oxygen Therapy on the Level of Physical Activities in Daily Life in Subjects With COPD

2022 Brazilian Thoracic Association recommendations for long-term home oxygen therapy

Contact Info

Product

Resources

About