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Measurement of oxygen saturation and provision of supplemental oxygen during exercise assessment in people with COPD during pulmonary rehabilitation programs: A survey

Regina Leung, Zoe McKeough, Sue Jenkins, Anne Holland, Kylie Hill, Norman Morris, Lissa Spencer, Catherine Hill, Annemarie Lee, Helen Seale, Nola Cecins, Christine McDonald, Jennifer Alison
European Respiratory Journal 2016 48: PA4451; DOI: 10.1183/13993003.congress-2016.PA4451
Regina Leung
1Discipline of Physiotherapy, The University of Sydney, Sydney, Australia
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Zoe McKeough
1Discipline of Physiotherapy, The University of Sydney, Sydney, Australia
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Sue Jenkins
2Department of Thoracic Medicine, Institute for Respiratory Health, Perth, Australia
3Department of Physiotherapy, Sir Charles Gairdner Hospital, Perth, Australia
4School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
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Anne Holland
5Discipline of Physiotherapy, La Trobe University, Melbourne, Australia
6Department of Physiotherapy, Alfred Health, Melbourne, Australia
7Institute for Breathing and Sleep, Institute for Breathing and Sleep, Melbourne, Australia
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Kylie Hill
2Department of Thoracic Medicine, Institute for Respiratory Health, Perth, Australia
4School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
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Norman Morris
8Menzies Health Institute and School of Allied Health Sciences, Griffith University, Brisbane, Australia
9The Queensland Lung Transplant Service, The Prince Charles Hospital, Brisbane, Australia
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Lissa Spencer
10Department of Physiotherapy, Royal Prince Alfred Hospital, Sydney, Australia
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Catherine Hill
7Institute for Breathing and Sleep, Institute for Breathing and Sleep, Melbourne, Australia
11Department of Physiotherapy, Austin Health, Melbourne, Australia
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Annemarie Lee
6Department of Physiotherapy, Alfred Health, Melbourne, Australia
7Institute for Breathing and Sleep, Institute for Breathing and Sleep, Melbourne, Australia
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Helen Seale
9The Queensland Lung Transplant Service, The Prince Charles Hospital, Brisbane, Australia
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Nola Cecins
3Department of Physiotherapy, Sir Charles Gairdner Hospital, Perth, Australia
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Christine McDonald
7Institute for Breathing and Sleep, Institute for Breathing and Sleep, Melbourne, Australia
12Department of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia
13Department of Medicine, The University of Melbourne, Melbourne, Australia
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Jennifer Alison
1Discipline of Physiotherapy, The University of Sydney, Sydney, Australia
10Department of Physiotherapy, Royal Prince Alfred Hospital, Sydney, Australia
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Abstract

Measuring oxygen saturation (SpO2) during tests of exercise capacity in people with COPD attending pulmonary rehabilitation programs (PRPs) is recommended. However little is known about the implementation in clinical practice. Aim: To investigate the measurement of SpO2 during exercise testing in PRPs in Australia and whether supplemental oxygen is provided for people who desaturate. Methods: Coordinators of all PRP (n=276) listed by the Lung Foundation Australia were invited to complete an ethics approved, purpose-designed, anonymous online survey. Consent was implicit if surveys were returned. Results: The response rate was 37% (103/276), with 7 surveys partially completed. Majority of respondents (80/103, 78%) had > 3 years experience. Most PRPs were hospital (59/103, 57%) or community based (48/103, 47%) and 54% (56/103) had 50 or more patients referred per year. The six-minute walk test (6MWT) was commonly used for exercise testing (102/103, 99%). Most PRPs measured SpO2 each minute during the 6MWT (86/99, 87%). 68% of respondents (67/99) indicated that a rest would be imposed during the 6MWT if SpO2 ≤ 85% (45/67, 67%). Supplemental oxygen was available if required, during exercise testing in most PRPs (79/97, 81%) but only 34% (33/97) had a protocol for administering supplemental oxygen during testing. Conclusion: SpO2 was measuredduring exercise testing in most PRPs. A standardised protocol for the use of supplemental oxygen during exercise testing in PRP was lacking.

  • COPD - management
  • Oxygen therapy
  • Physiotherapy care
  • Copyright ©the authors 2016
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Measurement of oxygen saturation and provision of supplemental oxygen during exercise assessment in people with COPD during pulmonary rehabilitation programs: A survey
Regina Leung, Zoe McKeough, Sue Jenkins, Anne Holland, Kylie Hill, Norman Morris, Lissa Spencer, Catherine Hill, Annemarie Lee, Helen Seale, Nola Cecins, Christine McDonald, Jennifer Alison
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4451; DOI: 10.1183/13993003.congress-2016.PA4451

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Measurement of oxygen saturation and provision of supplemental oxygen during exercise assessment in people with COPD during pulmonary rehabilitation programs: A survey
Regina Leung, Zoe McKeough, Sue Jenkins, Anne Holland, Kylie Hill, Norman Morris, Lissa Spencer, Catherine Hill, Annemarie Lee, Helen Seale, Nola Cecins, Christine McDonald, Jennifer Alison
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4451; DOI: 10.1183/13993003.congress-2016.PA4451
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