Source: Annual Congress 2004 - Emphysema and oxygen therapy

Abstract

Objectives. To evaluate the current use of long term oxygen therapy (LTOT) and the attitude adopted by lung physicians in controversial clinical scenarios. Methods. Prospective cross-sectional multicenter study in which a survey was elaborated and sent to 29 public hospitals in Andalusia (population 6,796,964, surface 87,597 Km2). The survey included 25 questions recording different aspects of oxygen therapy, such as the indication of the first prescription, the attitude adopted in different controversial clinical scenarios, the follow-up of patients, the suspension of the therapy, and the indication in other situations such as sleep and exercise. Answers of each hospital and the concordance among centres were analysed. Results. 17 (58.6%) hospitals had a specific unit for the control of LTOT. Most of the centres’ first prescription was done by any Department in the hospital, but it was afterwards confirmed by a pulmonary physician. Severe dyspnoea and multiple admissions were factors considered for initiating LTOT when PaO2 was between 55 and 60 mmHg. Tobacco smoking and low compliance were not factors considered for suspending the therapy. There was a low agreement concerning LTOT during sleep or excercise. Conclusions. The prescription and control of LTOT in Andalusia is quite homogeneous throughout the territory, although some effort should be made in some cases to adjust the medical praxis to actual recommendations.

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A. León, J. L. López-Campos, F. Casas, B. Jurado, S. Cano, A. Arnedillo, L. Muñoz, S. López (Cádiz, Granada, Córdoba, Seville, Spain). Long term oxygen therapy: a regional survey of physician attitudes towards controversial aspects. Eur Respir J 2004; 24: Suppl. 48, 1514

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