Adverse Effects, Smoking, Alcohol Consumption, and Quality of Life during Long-Term Oxygen Therapy: A Nationwide Study

Björklund, Filip; Ekström, Magnus

doi:10.1513/annalsats.202110-1174oc

Cited by 9 publications

(8 citation statements)

References 29 publications

(57 reference statements)

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“…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: 81%

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

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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.

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Section: Discussionsupporting

confidence: 81%

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

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“…Patients who reported higher numbers of total and systemic adverse effects experienced worse health-related quality of life. Surprisingly, the majority of adverse effects (54.8%) were previously untreated and unreported to health professionals [24 ▪ ].…”

Section: Adverse Effects Of Supplemental Oxygen Therapymentioning

confidence: 98%

“…Misconceptions were common amongst interviewees, including tank explosions, becoming housebound, full dependency on oxygen, and an imminent death [23]. In another recent survey of patients on LTOT, the most common adverse effects were reduced mobility or physical activity (70.9% of patients), dry mouth (69.5%), congestion or nasal drip (61.6%), increased tiredness (57.0%), and dry nose (53.0%) [24 ▪ ]. Patients who reported higher numbers of total and systemic adverse effects experienced worse health-related quality of life.…”

Section: Adverse Effects Of Supplemental Oxygen Therapymentioning

confidence: 99%

Supplemental oxygen therapy in chronic obstructive pulmonary disease: is less is more? How much is too much?

Daher,

Dreher

2023

Current Opinion in Pulmonary Medicine

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Purpose of review Currently available evidence supporting the use of supplemental oxygen therapy (SOT) in chronic obstructive pulmonary disease (COPD) is complex, and data on the mortality reduction associated with SOT usage in patients with severe daytime resting hypoxemia have not been updated since the development of other treatments. Recent findings No reduction in mortality was found when SOT was used in patients with moderate resting daytime, isolated nocturnal, or exercise-induced hypoxemia. However, some of these patients obtain other significant benefits during SOT, including increased exercise endurance, and a mortality reduction is possible in these ‘responders’. The adverse effects of long-term oxygen therapy also need to be considered, such as reduced mobility and social stigma. Furthermore, conservative SOT could improve outcomes in the setting of COPD exacerbations compared with higher concentration oxygen regimens. Compared with usual fixed-dose SOT, automated oxygen administration devices might reduce dyspnea during exercise and COPD exacerbations. Summary Current recommendations for SOT need to be revised to focus on patients who respond best and benefit most from this therapy. A conservative approach to SOT can reduce side effects compared with higher concentration oxygen regimens, and automated oxygen administration devices may help to optimize SOT.

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“…Beneficial effects of HOT include improved survival time in people with COPD with severe resting hypoxaemia [ 3 , 4 ], but not with moderate hypoxaemia [ 7 ]. Adverse events related to HOT are common, including upper airway dryness, nosebleeds, trips and falls over equipment, as well as burn injuries and fire hazards that may be related to smoking [ 8 , 9 ]. HOT can increase the risk of burns and fire incidents in relation to smoking and contact with sparks or open flames.…”

Section: Introductionmentioning

confidence: 99%

Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce

Ahmadi,

Björk,

Gilljam

et al. 2024

Eur Respir Rev

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Background:Home oxygen therapy (HOT) improves survival in patients with hypoxaemic chronic respiratory disease. Most patients evaluated for HOT are former or active smokers. Oxygen accelerates combustion and smoking may increase the risk of burn injuries and fire hazards; therefore, it is considered a contraindication for HOT in many countries. However, there is variability in the practices and policies regarding this matter. This multidisciplinary Swedish taskforce aimed to review the potential benefits and risks of smoking in relation to HOT, including medical, practical, legal and ethical considerations.Methods:The taskforce of the Swedish Respiratory Society comprises 15 members across respiratory medicine, nursing, medical law and ethics. HOT effectiveness and adverse risks related to smoking, as well as practical, legal and ethical considerations, were reviewed, resulting in five general questions and four PICO (population–intervention–comparator–outcome) questions. The strength of each recommendation was rated according to the GRADE (grading of recommendation assessment, development and evaluation) methodology.Results:General questions about the practical, legal and ethical aspects of HOT were discussed and summarised in the document. The PICO questions resulted in recommendations about assessment, management and follow-up of smoking when considering HOT, if HOT should be offered to people that meet the eligibility criteria but who continue to smoke, if a specific length of time of smoking cessation should be considered before assessing eligibility for HOT, and identification of areas for further research.Conclusions:Multiple factors need to be considered in the benefit/risk evaluation of HOT in active smokers. A systematic approach is suggested to guide healthcare professionals in evaluating HOT in relation to smoking.

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Adverse Effects, Smoking, Alcohol Consumption, and Quality of Life during Long-Term Oxygen Therapy: A Nationwide Study

Cited by 9 publications

References 29 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

Supplemental oxygen therapy in chronic obstructive pulmonary disease: is less is more? How much is too much?

Smoking and home oxygen therapy: a review and consensus statement from a multidisciplinary Swedish taskforce

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