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Home Oxygen Therapy for Children. An Official American Thoracic Society Clinical Practice Guideline
- Source :
- American Journal of Respiratory and Critical Care Medicine
- Publication Year :
- 2019
- Publisher :
- American Thoracic Society, 2019.
-
Abstract
- Background: Home oxygen therapy is often required in children with chronic respiratory conditions. This document provides an evidence-based clinical practice guideline on the implementation, monitoring, and discontinuation of home oxygen therapy for the pediatric population. Methods: A multidisciplinary panel identified pertinent questions regarding home oxygen therapy in children, conducted systematic reviews of the relevant literature, and applied the Grading of Recommendations, Assessment, Development, and Evaluation approach to rate the quality of evidence and strength of clinical recommendations. Results: After considering the panel’s confidence in the estimated effects, the balance of desirable (benefits) and undesirable (harms and burdens) consequences of treatment, patient values and preferences, cost, and feasibility, recommendations were developed for or against home oxygen therapy specific to pediatric lung and pulmonary vascular diseases. Conclusions: Although home oxygen therapy is commonly required in the care of children, there is a striking lack of empirical evidence regarding implementation, monitoring, and discontinuation of supplemental oxygen therapy. The panel formulated and provided the rationale for clinical recommendations for home oxygen therapy based on scant empirical evidence, expert opinion, and clinical experience to aid clinicians in the management of these complex pediatric patients and identified important areas for future research.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Home oxygen therapy
Critical Care and Intensive Care Medicine
Hypoxemia
03 medical and health sciences
0302 clinical medicine
children
medicine
Humans
030212 general & internal medicine
Child
Intensive care medicine
American Thoracic Society Documents
hypoxemia
business.industry
Oxygen Inhalation Therapy
Infant
home
Guideline
Respiration Disorders
Home Care Services
United States
Clinical Practice
030228 respiratory system
Child, Preschool
medicine.symptom
Societies
business
oxygen
Subjects
Details
- ISSN :
- 15354970 and 1073449X
- Volume :
- 199
- Database :
- OpenAIRE
- Journal :
- American Journal of Respiratory and Critical Care Medicine
- Accession number :
- edsair.doi.dedup.....e68c430de13194cfc8b353e4a13eee28
- Full Text :
- https://doi.org/10.1164/rccm.201812-2276st