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Home Oxygen Therapy for Children. An Official American Thoracic Society Clinical Practice Guideline

Authors :
Gregory R. Porta
Deborah Kaley
Dmitry Tumin
Mark Splaingard
Ann Gettys
Timothy M. Hoffman
Joyce Baker
Kevin C. Wilson
Steven H. Abman
Mary E. Cataletto
David Gozal
Robin R. Deterding
Don Hayes
Eyal Oren
Christopher L. Carroll
Ian M. Balfour-Lynn
Geoffrey Kurland
Stephen M. M. Hawkins
Richard J. Martin
Howard B. Panitch
Katelyn Krivchenia
Lawrence M. Rhein
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.

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