RT Journal Article
SR Electronic
T1 Measurement of oxygen saturation and provision of supplemental oxygen during exercise assessment in people with COPD during pulmonary rehabilitation programs: A survey
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA4451
DO 10.1183/13993003.congress-2016.PA4451
VO 48
IS suppl 60
A1 Regina Leung
A1 Zoe McKeough
A1 Sue Jenkins
A1 Anne Holland
A1 Kylie Hill
A1 Norman Morris
A1 Lissa Spencer
A1 Catherine Hill
A1 Annemarie Lee
A1 Helen Seale
A1 Nola Cecins
A1 Christine McDonald
A1 Jennifer Alison
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA4451.abstract
AB 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.