{
  "abstract": "Background Minimising hypoxaemia during submaximal walking tests has a positive effect on exercise capacity and dyspnoea in patients with chronic obstructive pulmonary disease (COPD) on long-term oxygen therapy (LTOT). However, the impact of optimising oxygenation during everyday tasks remains unexplored. Therefore, we investigated the effects of maintaining a target saturation on activities of daily living (ADL) using automated oxygen titration compared with conventional fixed oxygen flow.Methods In a double-blinded, randomised crossover trial, patients with COPD on LTOT performed two GlittreADL tests to assess the functional capacity of everyday activities using (1) their fixed oxygen dose and (2) an adjusted flow from 0 to 8 L/min targeting a peripheral oxygen saturation (SpO 2) of 90–94%. A closed-loop device automatically titrated the oxygen based on information from a Bluetooth wrist pulse oximeter.Results 31 patients (mean±SD age: 72.8±5.9 years, forced expiratory volume in 1 s of % predicted: 36.7±12.7) were included. The patients reduced the time to perform the ADL test by median (IQR) 38 (12–73) s, p<0.001, using automated titration compared with the fixed oxygen flow. The oxygen flow in the automated arm more than tripled to 5.4 (4.1–6.8) versus 1.6 (1.1–2.1) L/min (fixed) during the test, p<0.001, while the time spent within SpO 2-target was increased from 19% to 49%, p=0.002. Correspondingly, the patients experienced less dyspnoea (BorgCR10); 5 (3–7) versus 6 (4–8), p<0.001, in favour of the automated oxygen titration.Conclusions Improving oxygenation and extending the time spent within target saturation reduced dyspnoea and improved functional capacity in ADL in patients with COPD on LTOT.Trial registration number NCT05553847.",
  "authors": [
    {
      "affiliations": [
        "PMR-C, Department of Physio- and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark",
        "School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden"
      ],
      "name": "Linette Marie Kofod"
    },
    {
      "affiliations": [
        "Department of Pulmonology, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark"
      ],
      "name": "Ejvind Frausing Hansen"
    },
    {
      "affiliations": [
        "Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark"
      ],
      "name": "Barbara Christina Brocki"
    },
    {
      "affiliations": [
        "Department of Physical and Occupational Therapy, Copenhagen University Hospital, Bispebjerg, Copenhagen, Denmark",
        "Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark"
      ],
      "name": "Morten Tange Kristensen"
    },
    {
      "affiliations": [
        "Department of Pulmonology and Infection, Copenhagen University Hospital, Bispebjerg, Copenhagen, Denmark"
      ],
      "name": "Nassim Bazeghi Roberts"
    },
    {
      "affiliations": [
        "University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden"
      ],
      "name": "Elisabeth Westerdahl"
    }
  ],
  "title": "Optimised oxygenation improves functional capacity during daily activities in patients with COPD on long-term oxygen therapy: a randomised crossover trial",
  "uid": "60ac41ca-0be2-57c1-b231-37458f9a2760"
}