Regina W M Leung1, Jennifer A Alison2, Sue C Jenkins3, Anne E Holland4, Kylie Hill5, Norman R Morris6, Lissa M Spencer7, Catherine J Hill8, Annemarie L Lee9, Helen E Seale10, Nola M Cecins11, Christine F McDonald12, Zoe J McKeough7. 1. Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia; Department of Thoracic Medicine, Concord Repatriation General Hospital, Concord, NSW, Australia. Electronic address: regina.leung@health.nsw.gov.au. 2. Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia; Sydney Local Health District, Sydney, NSW, Australia. 3. School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Australia; Institute for Respiratory Health, Sir Charles Gairdner Hospital, Perth, Australia; Department of Physiotherapy, Sir Charles Gairdner Hospital, Perth, Australia. 4. Discipline of Physiotherapy, School of Allied Health, LaTrobe University, Melbourne, Australia; Department of Physiotherapy, Alfred Health, Melbourne, Australia; Institute for Breathing and Sleep, Melbourne, Australia. 5. School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Australia; Institute for Respiratory Health, Sir Charles Gairdner Hospital, Perth, Australia. 6. School of Allied Health Sciences and Menzies Health Institute, Griffith University, Gold Coast, Australia; Metro North Hospital and Health Service, The Prince Charles Hospital, Allied Health Research Collaborative, Brisbane, Australia. 7. Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia. 8. Department of Physiotherapy, Royal Prince Alfred Hospital, Sydney, Australia; Department of Physiotherapy, Austin Health, Melbourne, Australia. 9. Department of Physiotherapy, Monash University, Melbourne, Australia. 10. Department of Physiotherapy, The Prince Charles Hospital, Brisbane, Australia. 11. Institute for Respiratory Health, Sir Charles Gairdner Hospital, Perth, Australia. 12. Institute for Breathing and Sleep, Melbourne, Australia; Department of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Abstract
OBJECTIVES: The aims of this study were to determine, in Australian pulmonary rehabilitation programs for people with COPD: (1) whether oxygen saturation (SpO2) was monitored during exercise testing; (2) whether supplemental oxygen was available during exercise testing and/or training; (3) whether oxygen was prescribed during exercise training; and the reason for providing oxygen; (4) whether a protocol was available for supplemental oxygen prescription during exercise training. METHODS: This was a cross-sectional multi-center study using a purposed-designed survey. De-identified survey data were analyzed and the absolute number and percentage of responses were recorded for each question. RESULTS: The survey was sent to 261 pulmonary rehabilitation programs and 142 surveys (54%) were available for analysis. Oxygen saturation was monitored during exercise testing in 92% of programs. Supplemental oxygen was available in the majority of programs during exercise testing (82%) and training (84%). The rationale cited by 87 programs (73%) for prescribing oxygen during exercise training was maintaining SpO2 above a threshold ranging from SpO2 80-88%. Forty-five (32%) programs had a protocol for oxygen prescription during exercise training. CONCLUSION: While monitoring of SpO2 during exercise testing and using supplemental oxygen during testing and training is common in Australian pulmonary rehabilitation programs, few programs had a protocol in place for the prescription of supplemental oxygen for people with COPD who were not on long-term oxygen therapy. This may be due to lack of strong evidence to support the use of supplemental oxygen during exercise training.
OBJECTIVES: The aims of this study were to determine, in Australian pulmonary rehabilitation programs for people with COPD: (1) whether oxygen saturation (SpO2) was monitored during exercise testing; (2) whether supplemental oxygen was available during exercise testing and/or training; (3) whether oxygen was prescribed during exercise training; and the reason for providing oxygen; (4) whether a protocol was available for supplemental oxygen prescription during exercise training. METHODS: This was a cross-sectional multi-center study using a purposed-designed survey. De-identified survey data were analyzed and the absolute number and percentage of responses were recorded for each question. RESULTS: The survey was sent to 261 pulmonary rehabilitation programs and 142 surveys (54%) were available for analysis. Oxygen saturation was monitored during exercise testing in 92% of programs. Supplemental oxygen was available in the majority of programs during exercise testing (82%) and training (84%). The rationale cited by 87 programs (73%) for prescribing oxygen during exercise training was maintaining SpO2 above a threshold ranging from SpO2 80-88%. Forty-five (32%) programs had a protocol for oxygen prescription during exercise training. CONCLUSION: While monitoring of SpO2 during exercise testing and using supplemental oxygen during testing and training is common in Australian pulmonary rehabilitation programs, few programs had a protocol in place for the prescription of supplemental oxygen for people with COPD who were not on long-term oxygen therapy. This may be due to lack of strong evidence to support the use of supplemental oxygen during exercise training.
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Authors: Jennifer A Alison; Zoe J McKeough; Regina W M Leung; Anne E Holland; Kylie Hill; Norman R Morris; Sue Jenkins; Lissa M Spencer; Catherine J Hill; Annemarie L Lee; Helen Seale; Nola Cecins; Christine F McDonald Journal: Eur Respir J Date: 2019-05-30 Impact factor: 16.671
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