Question

A 60-year-old woman with known severe COPD (FEV1 35% predicted) is being considered for long-term oxygen therapy (LTOT). What are the NICE criteria for offering LTOT in patients with stable COPD?

Accepted Answer

PaO₂ ≤ 7.3 kPa or PaO₂ 7.3-8.0 kPa with polycythaemia, oedema, or pulmonary hypertension

Answer

SpO₂ < 88% on room air for more than 1 hour

Answer

Breathlessness at rest (MRC grade 5)

Answer

PaO₂ < 8.0 kPa on two occasions three weeks apart

Answer

Inability to walk more than 20 metres on the flat

Practice question

A 60-year-old woman with known severe COPD (FEV1 35% predicted) is being considered for long-term oxygen therapy (LTOT). What are the NICE criteria for offering LTOT in patients with stable COPD?