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Research ArticleOriginal Research

Home Oxygen Evaluation by Respiratory Therapists in Patients Hospitalized for COPD Exacerbations: The RIsOTTO Study

Ai-Yui M Tan, David L Vines, Jerry A Krishnan, Valentin Prieto-Centurion and Thomas J Kallstrom
Respiratory Care February 2021, 66 (2) 183-190; DOI: https://doi.org/10.4187/respcare.07628
Ai-Yui M Tan
Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois at Chicago, Chicago, Illinois.
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  • For correspondence: [email protected]
David L Vines
Department of Cardiopulmonary Sciences, Division of Respiratory Care, Rush University Medical Center, Chicago, Illinois.
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Jerry A Krishnan
Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois at Chicago, Chicago, Illinois.
Population Health Sciences Program, University of Illinois Hospital & Health Sciences System, Chicago, Illinois.
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Valentin Prieto-Centurion
Division of Pulmonary, Critical Care, Sleep and Allergy, University of Illinois at Chicago, Chicago, Illinois.
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Thomas J Kallstrom
American Association for Respiratory Care, Irving, Texas.
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    Fig. 1.

    Respiratory therapist responses as to how consistently they evaluate the need for home oxygen therapy before patient discharge. Also shown are the number of respondents who answered in each patient evaluation scenario (at rest, during activity, and during sleep; N = 490).

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    Fig. 2.

    Forest plot. Multivariable analyses adjusted for years of practice, region of practice, and familiarity with CMS home oxygen criteria. Results of these analyses indicate that practice in the Midwest (vs. practice in the Northeast) and being Very familiar with CMS criteria for home oxygen (vs. Not at all familiar) were independently associated with higher odds of consistently evaluating for home oxygen at rest and with activity. CMS = Centers for Medicare and Medicaid Services.

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    Fig. 3.

    The selection of home oxygen equipment involved RTs in 25% (19% RTs, 3% RTs and physicians, 3% RTs and others). Others included alone or in combination with nurses, discharge planners, case managers, social workers, DME companies, and patients. 12.8% (63/490) of the answers were missing. RT = respiratory therapist; DME = durable medical equipment.

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Respiratory Care: 66 (2)
Respiratory Care
Vol. 66, Issue 2
1 Feb 2021
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Home Oxygen Evaluation by Respiratory Therapists in Patients Hospitalized for COPD Exacerbations: The RIsOTTO Study
Ai-Yui M Tan, David L Vines, Jerry A Krishnan, Valentin Prieto-Centurion, Thomas J Kallstrom
Respiratory Care Feb 2021, 66 (2) 183-190; DOI: 10.4187/respcare.07628

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Home Oxygen Evaluation by Respiratory Therapists in Patients Hospitalized for COPD Exacerbations: The RIsOTTO Study
Ai-Yui M Tan, David L Vines, Jerry A Krishnan, Valentin Prieto-Centurion, Thomas J Kallstrom
Respiratory Care Feb 2021, 66 (2) 183-190; DOI: 10.4187/respcare.07628
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Keywords

  • home oxygen
  • home oxygen evaluation
  • COPD
  • COPD exacerbation
  • respiratory therapist
  • hospital to home transition

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