Patient Use Patterns of Portable Oxygen Concentrators
Abstract Introduction Portable oxygen concentrators (POCs) are medical devices that provide supplemental oxygen to patients requiring long-term oxygen therapy. However, little information is available on day-to-day patterns of how or even whether patients actively switch between their POC mobility f...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Adis, Springer Healthcare
2024-02-01
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| Series: | Pulmonary Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1007/s41030-024-00252-4 |
| _version_ | 1797273701139349504 |
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| author | Stanislav Glezer Michael W. Hess Alan K. Kamada |
| author_facet | Stanislav Glezer Michael W. Hess Alan K. Kamada |
| author_sort | Stanislav Glezer |
| collection | DOAJ |
| description | Abstract Introduction Portable oxygen concentrators (POCs) are medical devices that provide supplemental oxygen to patients requiring long-term oxygen therapy. However, little information is available on day-to-day patterns of how or even whether patients actively switch between their POC mobility features and flow setting options. Methods A retrospective analysis was conducted to assess POC usage among patients who used an Inogen One G5 POC in the USA. This study aimed (1) to describe the patterns of use of POCs, (2) to analyze their compatibility with the prescribed oxygen therapy settings, and (3) to demonstrate the contribution of POC usage to get a standardized long-term oxygen therapy (LTOT). Data were directly downloaded from the devices returned for service or at the end of the Medicare Durable Medical Equipment rental period and streamed via a mobile application from 2018 to 2022. Daily usage, disconnections from the device, use of prescribed pulse delivery settings, breaths per minute, power sources, and movement with the POC were assessed. Device alert histories were also examined. Results Data revealed a mean daily usage of 4.29 ± 3.23 h/day, ranging from 0.35 to 15.52 h/day. The prescribed pulse delivery setting was used by 31.34% of patients for at least 80% of their POC use time. When the POC was on battery power, patients were moving/mobile 41.99 ± 33.33% of the time. On the basis of the device-generated alerts, some patients continued to use their POC very close to or even beyond the lifetime of the column/sieve bed. Alerts or alarms potentially requiring repair occurred at a rate of 1.63 events per 100 years of use, indicating that device reliability did not significantly influence the use patterns. Conclusion Patients used their POCs when mobile and at rest. A large proportion of patients adjust their POC settings during the day, which potentially indicates the need for the dynamic individualization of oxygen dose delivery to match activities of daily living or sleep. Patients require follow-up to ensure timely replacement of POC columns. |
| first_indexed | 2024-03-07T14:48:02Z |
| format | Article |
| id | doaj.art-cda00e2f0774462cabc898f44073034b |
| institution | Directory Open Access Journal |
| issn | 2364-1754 2364-1746 |
| language | English |
| last_indexed | 2024-03-07T14:48:02Z |
| publishDate | 2024-02-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Pulmonary Therapy |
| spelling | doaj.art-cda00e2f0774462cabc898f44073034b2024-03-05T19:52:43ZengAdis, Springer HealthcarePulmonary Therapy2364-17542364-17462024-02-0110112313210.1007/s41030-024-00252-4Patient Use Patterns of Portable Oxygen ConcentratorsStanislav Glezer0Michael W. Hess1Alan K. Kamada2Inogen, Inc.COPD FoundationInogen, Inc.Abstract Introduction Portable oxygen concentrators (POCs) are medical devices that provide supplemental oxygen to patients requiring long-term oxygen therapy. However, little information is available on day-to-day patterns of how or even whether patients actively switch between their POC mobility features and flow setting options. Methods A retrospective analysis was conducted to assess POC usage among patients who used an Inogen One G5 POC in the USA. This study aimed (1) to describe the patterns of use of POCs, (2) to analyze their compatibility with the prescribed oxygen therapy settings, and (3) to demonstrate the contribution of POC usage to get a standardized long-term oxygen therapy (LTOT). Data were directly downloaded from the devices returned for service or at the end of the Medicare Durable Medical Equipment rental period and streamed via a mobile application from 2018 to 2022. Daily usage, disconnections from the device, use of prescribed pulse delivery settings, breaths per minute, power sources, and movement with the POC were assessed. Device alert histories were also examined. Results Data revealed a mean daily usage of 4.29 ± 3.23 h/day, ranging from 0.35 to 15.52 h/day. The prescribed pulse delivery setting was used by 31.34% of patients for at least 80% of their POC use time. When the POC was on battery power, patients were moving/mobile 41.99 ± 33.33% of the time. On the basis of the device-generated alerts, some patients continued to use their POC very close to or even beyond the lifetime of the column/sieve bed. Alerts or alarms potentially requiring repair occurred at a rate of 1.63 events per 100 years of use, indicating that device reliability did not significantly influence the use patterns. Conclusion Patients used their POCs when mobile and at rest. A large proportion of patients adjust their POC settings during the day, which potentially indicates the need for the dynamic individualization of oxygen dose delivery to match activities of daily living or sleep. Patients require follow-up to ensure timely replacement of POC columns.https://doi.org/10.1007/s41030-024-00252-4COPDHypoxemiaLung diseaseOxygenMedical deviceOxygen therapy |
| spellingShingle | Stanislav Glezer Michael W. Hess Alan K. Kamada Patient Use Patterns of Portable Oxygen Concentrators Pulmonary Therapy COPD Hypoxemia Lung disease Oxygen Medical device Oxygen therapy |
| title | Patient Use Patterns of Portable Oxygen Concentrators |
| title_full | Patient Use Patterns of Portable Oxygen Concentrators |
| title_fullStr | Patient Use Patterns of Portable Oxygen Concentrators |
| title_full_unstemmed | Patient Use Patterns of Portable Oxygen Concentrators |
| title_short | Patient Use Patterns of Portable Oxygen Concentrators |
| title_sort | patient use patterns of portable oxygen concentrators |
| topic | COPD Hypoxemia Lung disease Oxygen Medical device Oxygen therapy |
| url | https://doi.org/10.1007/s41030-024-00252-4 |
| work_keys_str_mv | AT stanislavglezer patientusepatternsofportableoxygenconcentrators AT michaelwhess patientusepatternsofportableoxygenconcentrators AT alankkamada patientusepatternsofportableoxygenconcentrators |