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- W2225679367 abstract "Background: A large proportion of patients with chronic obstructive pulmonary disease (COPD) require hospitalized care, often at a very high frequency. Aims: We hypothesize that home monitoring with pulse oximetry (SpO2) would enable patients to detect exacerbations and start action plans earlier so as to reduce hospitalizations, and also to improve symptom control and quality of life (QOL) by encouraging safer home exercise. Methods: We enrolled COPD patients from a university hospital. They were provided with SpO2 for 6 months and were educated on their use to augment action plans for exacerbations. Home exercise was measured with pedometers. The primary outcomes were hospitalization days, emergency department (ED) attendances and intensive care unit (ICU) days. We also measured QOL and 6 minute walk. Results: We enrolled 26 patients with mean (SD) age 73 (9) years and mean FEV1 (SD) 47 (17)% pred. There were 84 (6) hospital days vs 50 (2) hospital days (p=0.16) at 6 months. There were 7 (1) ICU days at baseline vs none (p=0.12) at 6 months. The mean SGRQ score was 32 (16) vs 27 (14) at 6 months (p=0.003). The 6 minute walk test (207 (56) vs 212 (67) at 6 months) and pedometer steps (4007 (2706) steps vs 4421 (2969) steps) were also not significantly better. There was 1 death. Conclusions: In a comprehensive care setting, self-monitoring of SpO2 in patients with severe COPD may have little effect on hospitalizations and quality of life." @default.
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- W2225679367 date "2011-09-01" @default.
- W2225679367 modified "2023-09-27" @default.
- W2225679367 title "Effects of home oximetry on chronic obstructive pulmonary disease exacerbations" @default.
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