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

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

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 s...

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Published in:Jornal brasileiro de pneumologia Vol. 48; no. 5; p. e20220179
Main Authors: Castellano, Maria Vera Cruz de Oliveira, Pereira, Luiz Fernando Ferreira, Feitosa, Paulo Henrique Ramos, Knorst, Marli Maria, Salim, Carolina, Rodrigues, Mauri Monteiro, Ferreira, Eloara Vieira Machado, Duarte, Ricardo Luiz de Menezes, Togeiro, Sonia Maria, Stanzani, Lícia Zanol Lorencini, Medeiros Júnior, Pedro, Schelini, Karime Nadaf de Melo, Coelho, Liana Sousa, Sousa, Thiago Lins Fagundes de, Almeida, Marina Buarque de, Alvarez, Alfonso Eduardo
Format: Journal Article
Language:English
Published: Brazil Sociedade Brasileira de Pneumologia e Tisiologia 01-01-2022
Subjects:
Brazil
Humans
Hypoxia - therapy
Oxygen
Oxygen Inhalation Therapy - adverse effects
Pulmonary Disease, Chronic Obstructive
Quality of Life
RESPIRATORY SYSTEM
Brazil
Oxygen inhalation therapy
Oxygen
Hipóxia
Oxigenoterapia
Atenção à saúde
Hypoxia
Delivery of health care
Oxigênio
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Abstract 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 later, 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.
AbstractList 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 later, 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.
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 later, 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.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 later, 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.
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.
ABSTRACT 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 later, 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.
Author Salim, Carolina
Stanzani, Lícia Zanol Lorencini
Pereira, Luiz Fernando Ferreira
Schelini, Karime Nadaf de Melo
Medeiros Júnior, Pedro
Sousa, Thiago Lins Fagundes de
Feitosa, Paulo Henrique Ramos
Coelho, Liana Sousa
Duarte, Ricardo Luiz de Menezes
Castellano, Maria Vera Cruz de Oliveira
Rodrigues, Mauri Monteiro
Ferreira, Eloara Vieira Machado
Alvarez, Alfonso Eduardo
Almeida, Marina Buarque de
Togeiro, Sonia Maria
Knorst, Marli Maria
AuthorAffiliation Universidade Federal do Rio de Janeiro
Universidade Federal do Rio Grande do Sul
Hospital de Clínicas de Porto Alegre
Universidade Federal de Mato Grosso
Universidade Estadual Paulista
Universidade Federal de Minas Gerais
Hospital Regional da Asa Norte
IAMSPE
A.C. Camargo Cancer Center
Universidade Federal de Campina Grande
Hospital da Polícia Militar de São Paulo
Universidade de São Paulo
Universidade Federal de São Paulo
Sociedade de Pediatria de São Paulo
AuthorAffiliation_xml – name: Universidade de São Paulo
– name: Hospital Regional da Asa Norte
– name: Hospital da Polícia Militar de São Paulo
– name: Sociedade de Pediatria de São Paulo
– name: Universidade Federal do Rio de Janeiro
– name: Universidade Federal do Rio Grande do Sul
– name: Universidade Federal de Minas Gerais
– name: Universidade Federal de Mato Grosso
– name: Hospital de Clínicas de Porto Alegre
– name: Universidade Estadual Paulista
– name: A.C. Camargo Cancer Center
– name: Universidade Federal de São Paulo
– name: IAMSPE
– name: Universidade Federal de Campina Grande
Author_xml – sequence: 1
  givenname: Maria Vera Cruz de Oliveira
  orcidid: 0000-0002-1982-4590
  surname: Castellano
  fullname: Castellano, Maria Vera Cruz de Oliveira
  organization: . Hospital do Servidor Público Estadual de São Paulo - IAMSPE - São Paulo (SP) Brasil
– sequence: 2
  givenname: Luiz Fernando Ferreira
  orcidid: 0000-0002-1377-2072
  surname: Pereira
  fullname: Pereira, Luiz Fernando Ferreira
  organization: . Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil
– sequence: 3
  givenname: Paulo Henrique Ramos
  orcidid: 0000-0002-9029-7033
  surname: Feitosa
  fullname: Feitosa, Paulo Henrique Ramos
  organization: . Hospital Regional da Asa Norte, Brasília (DF), Brasil
– sequence: 4
  givenname: Marli Maria
  orcidid: 0000-0001-8191-7926
  surname: Knorst
  fullname: Knorst, Marli Maria
  organization: . Hospital de Clínicas de Porto Alegre - HCPA - Porto Alegre (RS) Brasil
– sequence: 5
  givenname: Carolina
  orcidid: 0000-0002-9580-1454
  surname: Salim
  fullname: Salim, Carolina
  organization: . Hospital da Polícia Militar de São Paulo, São Paulo (SP) Brasil
– sequence: 6
  givenname: Mauri Monteiro
  orcidid: 0000-0001-9073-9076
  surname: Rodrigues
  fullname: Rodrigues, Mauri Monteiro
  organization: . Hospital do Servidor Público Estadual de São Paulo - IAMSPE - São Paulo (SP) Brasil
– sequence: 7
  givenname: Eloara Vieira Machado
  orcidid: 0000-0002-3291-6473
  surname: Ferreira
  fullname: Ferreira, Eloara Vieira Machado
  organization: . Escola Paulista de Medicina, Universidade Federal de São Paulo - Unifesp - São Paulo (SP) Brasil
– sequence: 8
  givenname: Ricardo Luiz de Menezes
  orcidid: 0000-0002-2611-4001
  surname: Duarte
  fullname: Duarte, Ricardo Luiz de Menezes
  organization: . Instituto de Doenças do Tórax, Universidade Federal do Rio de Janeiro - UFRJ - Rio de Janeiro (RJ) Brasil
– sequence: 9
  givenname: Sonia Maria
  orcidid: 0000-0001-7103-9007
  surname: Togeiro
  fullname: Togeiro, Sonia Maria
  organization: . Disciplina de Clínica Médica e Medicina Laboratorial, Universidade Federal de São Paulo - Unifesp - São Paulo (SP), Brasil
– sequence: 10
  givenname: Lícia Zanol Lorencini
  orcidid: 0000-0002-6512-1474
  surname: Stanzani
  fullname: Stanzani, Lícia Zanol Lorencini
  organization: . Hospital Regional da Asa Norte, Brasília (DF), Brasil
– sequence: 11
  givenname: Pedro
  orcidid: 0000-0002-1461-2062
  surname: Medeiros Júnior
  fullname: Medeiros Júnior, Pedro
  organization: . AC Camargo Cancer Center, São Paulo (SP) Brasil
– sequence: 12
  givenname: Karime Nadaf de Melo
  orcidid: 0000-0003-2106-8234
  surname: Schelini
  fullname: Schelini, Karime Nadaf de Melo
  organization: . Hospital Universitário Júlio Müller, Universidade Federal de Mato Grosso - UFMT - Cuiabá (MT) Brasil
– sequence: 13
  givenname: Liana Sousa
  orcidid: 0000-0003-2935-5211
  surname: Coelho
  fullname: Coelho, Liana Sousa
  organization: . Universidade Estadual Julio de Mesquita Filho - UNESP - Botucatu (SP) Brasil
– sequence: 14
  givenname: Thiago Lins Fagundes de
  orcidid: 0000-0002-1782-620X
  surname: Sousa
  fullname: Sousa, Thiago Lins Fagundes de
  organization: . Hospital Universitário Alcides Carneiro, Universidade Federal de Campina Grande - HUAC/UFCG - Campina Grande (PB) Brasil
– sequence: 15
  givenname: Marina Buarque de
  orcidid: 0000-0003-4623-5940
  surname: Almeida
  fullname: Almeida, Marina Buarque de
  organization: . Instituto da Criança, Universidade de São Paulo - USP - São Paulo (SP) Brasil
– sequence: 16
  givenname: Alfonso Eduardo
  orcidid: 0000-0003-1341-0896
  surname: Alvarez
  fullname: Alvarez, Alfonso Eduardo
  organization: . Departamento de Pneumologia, Sociedade de Pediatria de São Paulo - SPSP - Campinas (SP) Brasil
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36350954$$D View this record in MEDLINE/PubMed
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Issue 5
Keywords Oxygen inhalation therapy
Oxygen
Hipóxia
Oxigenoterapia
Atenção à saúde
Hypoxia
Delivery of health care
Oxigênio
Language English
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OpenAccessLink http://dx.doi.org/10.36416/1806-3756/e20220179
PMID 36350954
PQID 2734613339
PQPubID 23479
ParticipantIDs scielo_journals_S1806_37132022000500400
proquest_miscellaneous_2734613339
crossref_primary_10_36416_1806_3756_e20220179
pubmed_primary_36350954
PublicationCentury 2000
PublicationDate 2022-01-01
PublicationDateYYYYMMDD 2022-01-01
PublicationDate_xml – month: 01
  year: 2022
  text: 2022-01-01
  day: 01
PublicationDecade 2020
PublicationPlace Brazil
PublicationPlace_xml – name: Brazil
PublicationTitle Jornal brasileiro de pneumologia
PublicationTitleAlternate J Bras Pneumol
PublicationYear 2022
Publisher Sociedade Brasileira de Pneumologia e Tisiologia
Publisher_xml – name: Sociedade Brasileira de Pneumologia e Tisiologia
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Snippet 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...
ABSTRACT Some chronic respiratory diseases can cause hypoxemia and, in such cases, long-term home oxygen therapy (LTOT) is indicated as a treatment option...
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SubjectTerms Brazil
Humans
Hypoxia - therapy
Oxygen
Oxygen Inhalation Therapy - adverse effects
Pulmonary Disease, Chronic Obstructive
Quality of Life
RESPIRATORY SYSTEM
Title 2022 Brazilian Thoracic Association recommendations for long-term home oxygen therapy
URI https://www.ncbi.nlm.nih.gov/pubmed/36350954
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