The Long-Term Oxygen Trial, Asthma-Chronic Obstructive Pulmonary Disease Overlap Syndrome, and Collaborative Management of Sleep Disorders

N Engl J Med (1) Reviewed by Saqib H. Baig Current practice and rationale of prescribing supplemental oxygen therapy in patientswith chronic obstructive pulmonary disease (COPD) is based on landmark trials from the 1970s (2, 3). Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive...

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Bibliographic Details
Published in:American journal of respiratory and critical care medicine 2017-05, Vol.195 (10), p.1394-1396
Main Authors: Baig, Saqib H, Len, Edward K, Agarwall, Pallak, Jagpal, Sugeet, Hussain, Sabiha
Format: Article
Language:English
Subjects:
Asthma
Chronic obstructive pulmonary disease
Clinical outcomes
Clinical trials
Collaboration
Critical care
Family medical history
Hypoxemia
Insomnia
Lung diseases
Medical research
Oxygen therapy
Patients
Primary care
Respiratory therapy
Sleep disorders
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Summary:N Engl J Med (1) Reviewed by Saqib H. Baig Current practice and rationale of prescribing supplemental oxygen therapy in patientswith chronic obstructive pulmonary disease (COPD) is based on landmark trials from the 1970s (2, 3). Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive lung disease: a clinical trial. Long term domiciliary oxygen therapy in chronic hypoxic cor pulmonale complicating chronic bronchitis and emphysema: report of the Medical Research Council Working Party. [...]accurately making the diagnosis of ACOS is crucial. ACOS was recently described through a joint project between the Global Initiative for Asthma and the Global Initiative for Chronic Lung Disease (GINA/GOLD), but the application of their guidelines is difficult (5, 7). The authors defined ACOS on the basis of characteristics described by the GINA/GOLD project: with the presence of one major (bronchodilator test.400 ml and 15% improvement in FEV1 or a past medical history of asthma) or two minor criteria (blood eosinophils.5%, IgE.100 IU/ml, or two separate bronchodilator test.200 ml and 12% improvement in FEV1). Prevalence and perceived health associated with insomnia based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition criteria: results from the America Insomnia Survey. Saqib H. Baig, Edward K. Len, Pallak Agarwall, Sugeet Jagpal, and Sabiha Hussain Pulmonary and Critical Care Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey Recommended Reading from Rutgers Robert Wood Johnson Medical School Pulmonary and Critical Care Medicine Fellows; Sabiha...
ISSN:1073-449X
1535-4970
DOI:10.1164/rccm.201611-2256RR