{"id":"https://openalex.org/W4416634523","doi":"https://doi.org/10.1183/13993003.congress-2025.oa6539","title":"Early home pulmonary rehabilitation with high-flow nasal oxygen for exertional hypoxemia","display_name":"Early home pulmonary rehabilitation with high-flow nasal oxygen for exertional hypoxemia","publication_year":2025,"publication_date":"2025-09-27","ids":{"openalex":"https://openalex.org/W4416634523","doi":"https://doi.org/10.1183/13993003.congress-2025.oa6539"},"language":null,"primary_location":{"id":"doi:10.1183/13993003.congress-2025.oa6539","doi":"https://doi.org/10.1183/13993003.congress-2025.oa6539","is_oa":false,"landing_page_url":"https://doi.org/10.1183/13993003.congress-2025.oa6539","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rehabilitation and chronic care","raw_type":"proceedings-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006246067","display_name":"Yingjuan Mok","orcid":"https://orcid.org/0000-0002-5421-8107","observed_orcids":["https://orcid.org/0000-0002-5421-8107"]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Yingjuan Mok","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111047022","display_name":"Jing Wen Foong","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Jing Wen Foong","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112098144","display_name":"Hang Siang Wong","orcid":"https://orcid.org/0000-0003-1914-754X","observed_orcids":["https://orcid.org/0000-0003-1914-754X"]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Hang Siang Wong","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013252863","display_name":"Edwin Shih-Yen Chan","orcid":"https://orcid.org/0000-0001-8694-3103","observed_orcids":["https://orcid.org/0000-0001-8694-3103"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Edwin Shih-Yen Chan","raw_affiliation_strings":["2Consortium for Clinical Research & Innovation Singapore, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2Consortium for Clinical Research & Innovation Singapore, Singapore, Singapore","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073551148","display_name":"Li Ching Soh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Li Ching Soh","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070815789","display_name":"Amanda Soh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Amanda Soh","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044025929","display_name":"Shi Hua Tan","orcid":"https://orcid.org/0000-0002-6412-8535","observed_orcids":["https://orcid.org/0000-0002-6412-8535"]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Shi Hua Tan","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074693532","display_name":"Norasyikin Binte Hassan","orcid":"https://orcid.org/0000-0003-2136-0526","observed_orcids":["https://orcid.org/0000-0003-2136-0526"]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Norasyikin Binte Hassan","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114215503","display_name":"Xuan Han Koh","orcid":"https://orcid.org/0009-0000-4910-6058","observed_orcids":["https://orcid.org/0009-0000-4910-6058"]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Xuan Han Koh","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061380800","display_name":"Poh Choo Tan","orcid":"https://orcid.org/0000-0001-8625-4463","observed_orcids":["https://orcid.org/0000-0001-8625-4463"]},"institutions":[{"id":"https://openalex.org/I2802225915","display_name":"Changi General Hospital","ror":"https://ror.org/02q854y08","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2802225915"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Poh Choo Tan","raw_affiliation_strings":["1Changi General Hospital, Singapore, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Changi General Hospital, Singapore, Singapore","institution_ids":["https://openalex.org/I2802225915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5038094539","display_name":"KEITH K. H. WONG","orcid":"https://orcid.org/0000-0001-5191-5233","observed_orcids":["https://orcid.org/0000-0001-5191-5233"]},"institutions":[{"id":"https://openalex.org/I2799732068","display_name":"Royal Prince Alfred Hospital","ror":"https://ror.org/05gpvde20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2799732068"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Keith Keat Huat Wong","raw_affiliation_strings":["3Royal Prince Alfred Hospital, New South Wales, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"3Royal Prince Alfred Hospital, New South Wales, Australia","institution_ids":["https://openalex.org/I2799732068"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"OA6539","last_page":"OA6539"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.7538999915122986,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.7538999915122986,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":0.17489999532699585,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11209","display_name":"Cardiovascular and exercise physiology","score":0.03229999914765358,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/high-flow-nasal-cannula","display_name":"high-flow nasal cannula","score":0.9950000047683716},{"id":"https://openalex.org/keywords/acute-exacerbation-of-copd","display_name":"COPD exacerbations","score":0.796999990940094},{"id":"https://openalex.org/keywords/bronchiectasis","display_name":"bronchiectasis","score":0.9879999756813049},{"id":"https://openalex.org/keywords/interstitial-lung-disease","display_name":"interstitial lung disease","score":0.9990000128746033},{"id":"https://openalex.org/keywords/covid-19-pneumonia","display_name":"COVID-19 pneumonia","score":0.9779999852180481},{"id":"https://openalex.org/keywords/sit-to-stand-test","display_name":"sit-to-stand test","score":0.9049999713897705},{"id":"https://openalex.org/keywords/device-adherence","display_name":"device adherence","score":0.5120000243186951},{"id":"https://openalex.org/keywords/self-directed-exercise","display_name":"self-directed exercise","score":0.593999981880188}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9176999926567078},{"id":"https://openalex.org/C2780779891","wikidata":"https://www.wikidata.org/wiki/Q3455927","display_name":"Pulmonary rehabilitation","level":3,"score":0.8104000091552734},{"id":"https://openalex.org/C2776779939","wikidata":"https://www.wikidata.org/wiki/Q1479485","display_name":"Hypoxemia","level":2,"score":0.7075999975204468},{"id":"https://openalex.org/C2777152909","wikidata":"https://www.wikidata.org/wiki/Q5249582","display_name":"Deconditioning","level":2,"score":0.6327000260353088},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5343999862670898},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4887000024318695},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.4708000123500824},{"id":"https://openalex.org/C3019138748","wikidata":"https://www.wikidata.org/wiki/Q1988216","display_name":"Supplemental oxygen","level":2,"score":0.4659999907016754},{"id":"https://openalex.org/C39300077","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing","level":2,"score":0.4153999984264374},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.3880999982357025},{"id":"https://openalex.org/C2780630273","wikidata":"https://www.wikidata.org/wiki/Q1988216","display_name":"Oxygen therapy","level":2,"score":0.3434000015258789},{"id":"https://openalex.org/C200457457","wikidata":"https://www.wikidata.org/wiki/Q584049","display_name":"Ventilation (architecture)","level":2,"score":0.33660000562667847},{"id":"https://openalex.org/C196310339","wikidata":"https://www.wikidata.org/wiki/Q60354","display_name":"VO2 max","level":4,"score":0.32910001277923584},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.31779998540878296},{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.31679999828338623},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.31360000371932983},{"id":"https://openalex.org/C2909060799","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing exercises","level":2,"score":0.31139999628067017},{"id":"https://openalex.org/C2910066949","wikidata":"https://www.wikidata.org/wiki/Q188008","display_name":"Exertional dyspnea","level":2,"score":0.303600013256073},{"id":"https://openalex.org/C2776178081","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Respiratory disease","level":3,"score":0.2985000014305115},{"id":"https://openalex.org/C3019451088","wikidata":"https://www.wikidata.org/wiki/Q67004728","display_name":"Patient compliance","level":2,"score":0.29010000824928284},{"id":"https://openalex.org/C2983914783","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Lung disease","level":3,"score":0.28999999165534973},{"id":"https://openalex.org/C136936797","wikidata":"https://www.wikidata.org/wiki/Q2990558","display_name":"Pulmonary compliance","level":3,"score":0.2831999957561493},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.27950000762939453},{"id":"https://openalex.org/C27101514","wikidata":"https://www.wikidata.org/wiki/Q206120","display_name":"Lung volumes","level":3,"score":0.27230000495910645},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.27140000462532043},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.26919999718666077},{"id":"https://openalex.org/C2781460075","wikidata":"https://www.wikidata.org/wiki/Q1399332","display_name":"Compliance (psychology)","level":2,"score":0.2554999887943268},{"id":"https://openalex.org/C2776888751","wikidata":"https://www.wikidata.org/wiki/Q767485","display_name":"Respiratory failure","level":2,"score":0.2547999918460846}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1183/13993003.congress-2025.oa6539","doi":"https://doi.org/10.1183/13993003.congress-2025.oa6539","is_oa":false,"landing_page_url":"https://doi.org/10.1183/13993003.congress-2025.oa6539","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rehabilitation and chronic care","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Background:":[0],"Respiratory":[1],"patients":[2,48,90,150],"with":[3,65,91,161],"persistent":[4],"exertional":[5],"hypoxemia":[6],"(EH)":[7],"at":[8,12,145],"hospital":[9],"discharge":[10],"are":[11],"high":[13],"risk":[14],"for":[15,46,80,176,180,190,192,209,216,223,227],"rapid":[16],"deconditioning":[17],"and":[18,33,120,178,225,239,257],"may":[19,240],"greatly":[20],"benefit":[21,241],"from":[22],"early":[23,231],"pulmonary":[24],"rehabilitation":[25],"(PR).":[26],"However,":[27,244],"challenges":[28],"persist,":[29],"including":[30,117],"access":[31],"difficulties":[32],"exercise":[34],"loading":[35],"due":[36],"to":[37,51,56,72,127,205,214,247,254],"EH.":[38],"The":[39,106,134],"optimal":[40],"design":[41],"of":[42,95,115,188],"a":[43],"PR":[44,63,74,109,235],"program":[45,64,110,236],"EH":[47,81,92,242],"has":[49],"yet":[50],"be":[52],"explored.":[53],"We":[54],"aim":[55],"evaluate":[57,258],"if":[58],"an":[59],"early,":[60],"intensive,":[61,233],"home-based":[62,73,108,234],"high-flow":[66],"nasal":[67],"oxygen":[68],"(HFO)":[69],"is":[70,237,252],"superior":[71],"alone":[75],"in":[76,140,154,158,172,196],"improving":[77],"post-hospitalization":[78],"outcomes":[79],"patients.":[82,243],"Methods:":[83],"In":[84],"this":[85],"pilot":[86],"randomized":[87,126],"controlled":[88],"trial,":[89],"following":[93],"exacerbations":[94],"COPD,":[96],"bronchiectasis,":[97],"interstitial":[98],"lung":[99],"disease,":[100],"or":[101,131],"COVID-19":[102],"pneumonia":[103],"were":[104,125,151],"enrolled.":[105],"3-week,":[107],"commenced":[111],"within":[112],"1":[113],"week":[114],"discharge,":[116],"2":[118],"supervised":[119],"5":[121],"self-directed":[122],"sessions.":[123],"Patients":[124],"receive":[128],"either":[129],"HFO":[130,177,248],"usual":[132],"care.":[133],"primary":[135],"outcome":[136],"was":[137,174,200,211,221],"the":[138,164,169],"change":[139,171],"1-minute":[141],"sit-to-stand":[142],"test":[143],"(1mSTST)":[144],"4":[146,167],"weeks.":[147],"Results:":[148],"56":[149],"enrolled":[152],"(27":[153],"HFO-PR":[155,210,224],"arm,":[156],"29":[157],"PR-only":[159],"arm),":[160],"52":[162],"completing":[163],"trial.":[165],"At":[166],"weeks,":[168],"mean":[170],"1mSTST":[173,191,197],"3.4":[175],"5.4":[179],"PR-only,":[181],"meeting":[182],"minimal":[183],"clinically":[184],"significant":[185],"difference":[186,195],"(MCID)":[187],"+3":[189],"COPD.":[193],"Mean":[194],"between":[198],"groups":[199],"-1.97":[201],"(95%":[202],"CI:":[203],"-6.0":[204],"2.0).":[206],"Total":[207],"compliance":[208,220],"60%,":[212],"compared":[213],"88.9%":[215],"PR-only.":[217,228],"Self-directed":[218],"session":[219],"56%":[222],"85.2%":[226],"Conclusion:":[229],"An":[230],"(1-week),":[232],"feasible":[238],"low":[245],"adherence":[246],"suggests":[249],"further":[250],"research":[251],"needed":[253],"address":[255],"barriers":[256],"its":[259],"full":[260],"potential.":[261]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2025-11-25T00:00:00"}
