High-Flow Nasal Oxygen in Early Home Pulmonary Rehabilitation for Exertional Hypoxaemia: A Pilot Randomised Feasibility Trial.
Yingjuan Mok, Jing Wen Foong, Hang Siang Wong et al.
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In 30 seconds
This pilot randomized feasibility trial evaluated the integration of high-flow nasal oxygen (HFO) in an early home-based pulmonary rehabilitation (PR) program for patients with exertional hypoxaemia (EH) post-hospitalization. Among 56 patients, 52 completed follow-up at 4 weeks. The HFO-PR group showed lower adherence to self-directed sessions compared to the PR-only group, with completion rates of 60% and 89%, respectively.
Key findings
- Overall PR program acceptance was 67% and uptake was 62%.
- Completion rates were 60% for HFO-PR and 89% for PR-only.
- In COPD patients, the 1-min sit-to-stand test improved by 4.6 repetitions in the HFO group and 5.3 in the PR-only group.
Why it matters
Understanding the feasibility of home-based PR with HFO for patients with exertional hypoxaemia can inform future rehabilitation strategies, particularly in enhancing adherence and optimizing patient outcomes post-discharge.