Development and testing of formal protocols for oxygen prescribing.

Abstract:

:The absence of standardized assessment protocols with well- defined measurement properties limits comparison of outcomes among those receiving long-term oxygen therapy (LTOT). We describe simple protocols for a hospital test, a simulated home test, and an actual home test, their reliability and relationship to each other. Stable patients with exercise hypoxemia participated. In 74 patients who completed four exercise tests, correlations between tests ranged from 0.85 to 0.78. Of these 27.0% had the same prescription from all four tests. In 46% prescriptions were within 1 L/ min and in 27% within 2 L/min. During exercise the hospital tests suggested slightly higher oxygen prescriptions than did the simulated home tests (2.5 L/min versus 2.0 L/min, p < 0.001). In 23 patients who participated in actual home assessments, the correlations between the home test, the hospital, and the simulated home tests were 0.22 (95% CI -0.24 to 0.67) and 0.27 (95% CI -0.18 to 0.72). In conclusion, standardizing tests for the assessment of LTOT is important. We describe simple hospital and simulated home tests that are reproducible, easy to carry out, and correlate well with each other.

authors

Guyatt GH,McKim DA,Weaver B,Austin PA,Bryan RE,Walter SD,Nonoyama ML,Ferreira IM,Goldstein RS

doi

10.1164/ajrccm.163.4.2002135

keywords:

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

942-6

issue

4

eissn

1073-449X

issn

1535-4970

journal_volume

163

pub_type

临床试验,杂志文章
  • Mechanisms of immune sensitization of human bronchus.

    abstract::Bronchial hyperresponsiveness (BHR), the increased sensitivity to a wide variety of stimuli that narrow the airways, is a central abnormality in patients with asthma, and is frequently observed in patients with chronic obstructive pulmonary disease. In the study of the underlying mechanisms of BHR, various animal mode...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1164/ajrccm.158.supplement_2.13tac130

    authors: Rabe KF

    更新日期:1998-11-01 00:00:00

  • Familial correlation in the decline of forced expiratory volume in one second.

    abstract::Studies have shown evidence of significant parent-offspring and sibling correlation in FEV1, but familial aggregation of decline of FEV1 over time has not been reported. Our study population comprised 392 families enrolled in the Tucson Epidemiological Study of Airway Obstructive Diseases. Subjects were older than 18 ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.164.7.2010051

    authors: Kurzius-Spencer M,Sherrill DL,Holberg CJ,Martinez FD,Lebowitz MD

    更新日期:2001-10-01 00:00:00

  • Abnormal alveolar attachments with decreased elastic fiber content in distal lung in fatal asthma.

    abstract::Small airway disease is thought to contribute significantly to functional impairment caused by asthma. Functional evidence of airway-parenchyma uncoupling in asthma, such as loss of deep breath bronchodilator effect in bronchoconstrictive episodes and enhanced airway closure, has been previously demonstrated. Elastic ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200403-305OC

    authors: Mauad T,Silva LF,Santos MA,Grinberg L,Bernardi FD,Martins MA,Saldiva PH,Dolhnikoff M

    更新日期:2004-10-15 00:00:00

  • Reduced perception of dyspnea and pain after right insular cortex lesions.

    abstract:RATIONALE:The perception of dyspnea and pain show many similarities. Initial imaging studies suggested an important role of the insular cortex for the perception of both sensations. However, little is known about the cortical processing of dyspnea. OBJECTIVES:This study investigated the influence of lesions of the ins...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200805-731OC

    authors: Schön D,Rosenkranz M,Regelsberger J,Dahme B,Büchel C,von Leupoldt A

    更新日期:2008-12-01 00:00:00

  • Antiinflammatory effects of genistein, a tyrosine kinase inhibitor, on a guinea pig model of asthma.

    abstract::Protein tyrosine kinase signaling cascade plays a pivotal role in the activation of inflammatory cells. The purpose of this study was to investigate the effects of genistein, a broad-spectrum protein tyrosine kinase inhibitor, on airway inflammation in an in vivo guinea pig model of asthma. Guinea pigs were actively s...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200205-420OC

    authors: Duan W,Kuo IC,Selvarajan S,Chua KY,Bay BH,Wong WS

    更新日期:2003-01-15 00:00:00

  • Pulmonary veno-occlusive disease caused by an inherited mutation in bone morphogenetic protein receptor II.

    abstract::Pulmonary veno-occlusive disease (PVOD) is a rare form of pulmonary hypertension in which the vascular changes originate in the small pulmonary veins and venules. The pathogenesis is unknown and any link with primary pulmonary hypertension (PPH) has been speculative. Mutations in the bone morphogenetic protein recepto...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200208-861OC

    authors: Runo JR,Vnencak-Jones CL,Prince M,Loyd JE,Wheeler L,Robbins IM,Lane KB,Newman JH,Johnson J,Nichols WC,Phillips JA 3rd

    更新日期:2003-03-15 00:00:00

  • Expression of the cysteinyl leukotriene 1 receptor in normal human lung and peripheral blood leukocytes.

    abstract::The cysteinyl leukotrienes (CysLTs) are important mediators of human asthma. Pharmacologic and clinical studies show that the CysLTs exert most of their bronchoconstrictive and proinflammatory effects through activation of a putative, 7-transmembrane domain, G-protein-coupled receptor, the CysLT1 receptor. The initial...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.163.1.2003101

    authors: Figueroa DJ,Breyer RM,Defoe SK,Kargman S,Daugherty BL,Waldburger K,Liu Q,Clements M,Zeng Z,O'Neill GP,Jones TR,Lynch KR,Austin CP,Evans JF

    更新日期:2001-01-01 00:00:00

  • Testing for human immunodeficiency virus infection among tuberculosis patients in Los Angeles.

    abstract::To investigate patterns of testing for human immunodeficiency virus (HIV) infection in tuberculosis patients, we obtained data from the tuberculosis registry and from medical records of 500 tuberculosis patients in Los Angeles County. Sixty-three percent of tuberculosis patients were tested for HIV infection, and mult...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.155.1.9001340

    authors: Asch SM,London AS,Barnes PF,Gelberg L

    更新日期:1997-01-01 00:00:00

  • Tissue factor expression and fibrin deposition in the lungs of patients with idiopathic pulmonary fibrosis and systemic sclerosis.

    abstract::Although abnormalities of alveolar fibrin turnover have been reported to play a role in the development of idiopathic pulmonary fibrosis (IPF), the pathophysiological relevance remains unclear. We therefore investigated the localization of tissue factor (TF) and fibrin deposition in patients with IPF using immunohisto...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.156.2.9608094

    authors: Imokawa S,Sato A,Hayakawa H,Kotani M,Urano T,Takada A

    更新日期:1997-08-01 00:00:00

  • Inhibition of PAF-induced gas exchange defects by beta-adrenergic agonists in mild asthma is not due to bronchodilation.

    abstract::Salbutamol inhibits neutropenia, increased airway resistance, and gas exchange abnormalities provoked by platelet-activating factor (PAF) challenge in normal persons. To further explore the intriguing dissociation between spirometric abnormalities and gas exchange defects shown in patients with asthma, we investigated...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/ajrccm.156.1.9610100

    authors: Díaz O,Barberà JA,Marrades R,Chung KF,Roca J,Rodriguez-Roisin R

    更新日期:1997-07-01 00:00:00

  • Cell infiltration, ICAM-1 expression, and eosinophil chemotactic activity in asthmatic sputum.

    abstract::We have applied the technique of sputum induction by hypertonic saline in asthmatics and nonatopic control subjects to study an array of indices of airway inflammation believed to be relevant to asthma pathogenesis. Compatible with a central role for eosinophils and mast cells in asthma, sputum of asthmatic subjects c...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1164/ajrccm.155.2.9032180

    authors: Louis R,Shute J,Biagi S,Stanciu L,Marrelli F,Tenor H,Hidi R,Djukanović R

    更新日期:1997-02-01 00:00:00

  • Tracheal microvascular responses to beta-adrenergic stimulation in anesthetized rats.

    abstract::Previous study of adrenergic control of the tracheal vasculature in rats (1) demonstrated that beta-adrenergic blockade heightened arteriolar and large venular contractile responses to norepinephrine, a nonselective alpha-adrenergic agonist. The present study was undertaken to confirm the presence of functional beta-a...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.153.3.8630550

    authors: Corboz MR,Ballard ST,Inglis SK,Taylor AE

    更新日期:1996-03-01 00:00:00

  • Tumor necrosis factor-alpha -308 promoter gene polymorphism and increased tumor necrosis factor serum bioactivity in farmer's lung patients.

    abstract::Hypersensitivity pneumonitis (HP) represents an immunologic reaction of the pulmonary parenchyma to an inhaled agent. Since tumor necrosis factor (TNF)-alpha is thought to be involved in the pathogenesis of HP, and polymorphisms in the TNF genes have been associated with variations in the production of TNF-alpha, we i...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.163.2.2002062

    authors: Schaaf BM,Seitzer U,Pravica V,Aries SP,Zabel P

    更新日期:2001-02-01 00:00:00

  • Lung opening and closing during ventilation of acute respiratory distress syndrome.

    abstract:RATIONALE:The effects of high positive end-expiratory pressure (PEEP) strictly depend on lung recruitability, which varies widely during acute respiratory distress syndrome (ARDS). Unfortunately, increasing PEEP may lead to opposing effects on two main factors potentially worsening the lung injury, that is, alveolar st...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1164/rccm.200905-0787OC

    authors: Caironi P,Cressoni M,Chiumello D,Ranieri M,Quintel M,Russo SG,Cornejo R,Bugedo G,Carlesso E,Russo R,Caspani L,Gattinoni L

    更新日期:2010-03-15 00:00:00

  • National Asthma Education and Prevention Program working group report on the cost effectiveness of asthma care.

    abstract::The cost effectiveness of asthma care is the first topic of the National Asthma Education and Prevention Program Task Force Report on the Cost Effectiveness, Quality of Care, and Financing of Asthma Care. This working group characterized the role of health economics in understanding optimal asthma management strategie...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm/154.3_Pt_2.S84

    authors: Sullivan S,Elixhauser A,Buist AS,Luce BR,Eisenberg J,Weiss KB

    更新日期:1996-09-01 00:00:00

  • Fog-induced cough with impaired respiratory sensation in congenital central hypoventilation syndrome.

    abstract:RATIONALE:Congenital central hypoventilation syndrome (CCHS) is a genetic disorder mainly characterized by failure of automatic control of breathing, causing alveolar hypoventilation. Little is known regarding cough in CCHS. Parental reports indicate that patients cough normally during airway infections; however, previ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200612-1870OC

    authors: Lavorini F,Fontana GA,Pantaleo T,Geri P,Piumelli R,Pistolesi M,Widdicombe J

    更新日期:2007-10-15 00:00:00

  • Vitamin D as supplementary treatment for tuberculosis: a double-blind, randomized, placebo-controlled trial.

    abstract:RATIONALE:Vitamin D has been shown to be involved in the host immune response toward Mycobacterium tuberculosis. OBJECTIVES:To test whether vitamin D supplementation of patients with tuberculosis (TB) improved clinical outcome and reduced mortality. METHODS:We conducted a randomized, double-blind, placebo-controlled ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1164/rccm.200804-567OC

    authors: Wejse C,Gomes VF,Rabna P,Gustafson P,Aaby P,Lisse IM,Andersen PL,Glerup H,Sodemann M

    更新日期:2009-05-01 00:00:00

  • Transpulmonary systemic fat embolism. Studies in mongrel dogs after cemented arthroplasty.

    abstract::We investigated the source of intravascular fat in systemic organs (brain, heart, and kidney) after massive pulmonary fat embolism during cemented arthroplasty. We used a bilateral cemented arthroplasty (BCA) in anesthetized mongrel dogs that simulates a cemented total-hip replacement procedure. We hypothesized that d...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.150.5.7952570

    authors: Byrick RJ,Mullen JB,Mazer CD,Guest CB

    更新日期:1994-11-01 00:00:00

  • Central Sleep-disordered Breathing Predicts Incident Atrial Fibrillation in Older Men.

    abstract:RATIONALE:Although research supports a sleep-disordered breathing and atrial fibrillation association, prospective data examining sleep-disordered breathing predicting incident atrial fibrillation are lacking. OBJECTIVES:To investigate sleep-disordered breathing indices as predictors of incident atrial fibrillation. ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1164/rccm.201508-1523OC

    authors: May AM,Blackwell T,Stone PH,Stone KL,Cawthon PM,Sauer WH,Varosy PD,Redline S,Mehra R,MrOS Sleep (Outcomes of Sleep Disorders in Older Men) Study Group.

    更新日期:2016-04-01 00:00:00

  • The effect of size and age of subject on airway responsiveness in children.

    abstract::Methodologies used to assess airway responsiveness (AR) in children administer the same dosage schedule to all children despite the great range in the size of subjects. The aim of this study was to examine the hypothesis that the level of AR is size dependent within same-age cohorts and between different ages. Among a...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.152.2.7633710

    authors: Le Souëf PN,Sears MR,Sherrill D

    更新日期:1995-08-01 00:00:00

  • Fibroblastic foci in usual interstitial pneumonia: idiopathic versus collagen vascular disease.

    abstract::A histologic feature of usual interstitial pneumonia is the presence of fibroblastic foci. As some patients with usual interstitial pneumonia and an underlying collagen vascular disease have a better prognosis, we hypothesized that they would have fewer fibroblastic foci. Pathologists reviewed surgical lung biopsies f...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200204-373OC

    authors: Flaherty KR,Colby TV,Travis WD,Toews GB,Mumford J,Murray S,Thannickal VJ,Kazerooni EA,Gross BH,Lynch JP 3rd,Martinez FJ

    更新日期:2003-05-15 00:00:00

  • A new method for bronchial-provocation testing in asthmatic subjects using a dry powder of mannitol.

    abstract::We developed a bronchial provocation test (BPT) with a dry powder preparation of mannitol. The mannitol was inhaled from gelatin capsules containing 5, 10, 20, or 40 mg to a cumulative dose of 635 mg, and was delivered via an inhalator, Halermatic, or Dinkihaler device. We studied the airway sensitivity to inhaled man...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1164/ajrccm.156.3.9701113

    authors: Anderson SD,Brannan J,Spring J,Spalding N,Rodwell LT,Chan K,Gonda I,Walsh A,Clark AR

    更新日期:1997-09-01 00:00:00

  • Diaphragm injury in individuals with airflow obstruction.

    abstract::The purpose of this study was to describe the nature of diaphragm injury, to quantify the injury and number of macrophages at the light microscopic level, and to determine their association with airflow obstruction in humans. Partial-thickness diaphragm biopsies were obtained from 21 subjects going for thoracotomy sur...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.163.7.2001042

    authors: Macgowan NA,Evans KG,Road JD,Reid WD

    更新日期:2001-06-01 00:00:00

  • Does snoring predict sleepiness independently of apnea and hypopnea frequency?

    abstract::Obstructive apneas and hypopneas during sleep are a well recognized cause of excessive daytime sleepiness. Snoring is also associated with excess sleepiness, although it is not known whether this reflects an independent effect of snoring or whether snoring is simply a marker for obstructive sleep apnea. To further exp...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1164/ajrccm.162.4.9911073

    authors: Gottlieb DJ,Yao Q,Redline S,Ali T,Mahowald MW

    更新日期:2000-10-01 00:00:00

  • Real-Life Safety and Effectiveness of Lumacaftor-Ivacaftor in Patients with Cystic Fibrosis.

    abstract::Rationale: Lumacaftor-ivacaftor is a CFTR (cystic fibrosis transmembrane conductance regulator) modulator combination recently approved for patients with cystic fibrosis (CF) homozygous for the Phe508del mutation.Objectives: To evaluate the safety and effectiveness of lumacaftor-ivacaftor in adolescents (≥12 yr) and a...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201906-1227OC

    authors: Burgel PR,Munck A,Durieu I,Chiron R,Mely L,Prevotat A,Murris-Espin M,Porzio M,Abely M,Reix P,Marguet C,Macey J,Sermet-Gaudelus I,Corvol H,Bui S,Lemonnier L,Dehillotte C,Da Silva J,Paillasseur JL,Hubert D,French Cy

    更新日期:2020-01-15 00:00:00

  • The effect of helium and oxygen on exercise performance in chronic obstructive pulmonary disease: a randomized crossover trial.

    abstract:RATIONALE:Breathing supplemental oxygen reduces breathlessness during exercise in patients with chronic obstructive pulmonary disease (COPD). Replacing nitrogen with helium reduces expiratory flow resistance and may improve lung emptying. Combining these treatments should be independently effective. OBJECTIVES:Study t...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1164/rccm.200506-925OC

    authors: Laude EA,Duffy NC,Baveystock C,Dougill B,Campbell MJ,Lawson R,Jones PW,Calverley PM

    更新日期:2006-04-15 00:00:00

  • Effects of montelukast and budesonide on airway responses and airway inflammation in asthma.

    abstract::Inhaled corticosteroids are effective antiinflammatory therapy for asthma; however, they do not completely abolish allergen-induced airway inflammation. Leukotriene modifiers attenuate both early and late allergen responses and have antiinflammatory properties. We reasoned that treatment with budesonide and montelukas...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/rccm.200206-509OC

    authors: Leigh R,Vethanayagam D,Yoshida M,Watson RM,Rerecich T,Inman MD,O'Byrne PM

    更新日期:2002-11-01 00:00:00

  • Prevalence and clinical course of pleural effusions at 30 days after coronary artery and cardiac surgery.

    abstract::The present prospective study was designed to determine the prevalence of pleural effusion at approximately 28 days after cardiac surgery and their subsequent course. This consecutive case study included 389 patients; 312 had only coronary artery bypass graft surgery (CABG) surgery, 37 had both valve and CABG surgery,...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200203-184OC

    authors: Light RW,Rogers JT,Moyers JP,Lee YC,Rodriguez RM,Alford WC Jr,Ball SK,Burrus GR,Coltharp WH,Glassford DM Jr,Hoff SJ,Lea JW 4th,Nesbitt JC,Petracek MR,Starkey TD,Stoney WS,Tedder M

    更新日期:2002-12-15 00:00:00

  • Central airway obstruction.

    abstract::Central airway obstruction is a problem facing all medical and surgical subspecialists caring for patients with chest diseases. The incidence of this disorder appears to be rising because of the epidemic of lung cancer; however, benign causes of central airway obstruction are being seen more frequently as well. The mo...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1164/rccm.200210-1181SO

    authors: Ernst A,Feller-Kopman D,Becker HD,Mehta AC

    更新日期:2004-06-15 00:00:00

  • Lung function and long term exposure to air pollutants in Switzerland. Study on Air Pollution and Lung Diseases in Adults (SAPALDIA) Team.

    abstract::The effect of long-term exposure to air pollutants was studied in a cross-sectional population-based sample of adults (aged 18 to 60 yr; n = 9,651) residing in eight different areas in Switzerland. Standardized medical examination included questionnaire data, lung function tests, skin-prick testing, and end-expiratory...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.155.1.9001300

    authors: Ackermann-Liebrich U,Leuenberger P,Schwartz J,Schindler C,Monn C,Bolognini G,Bongard JP,Brändli O,Domenighetti G,Elsasser S,Grize L,Karrer W,Keller R,Keller-Wossidlo H,Künzli N,Martin BW,Medici TC,Perruchoud AP,Schöni

    更新日期:1997-01-01 00:00:00