Cognitive decline in patients with long-term domiciliary oxygen therapy

Takashi Ohrui, Kazunori Tanaka, Kazue Chiba, Toshifumi Matsui, Satoru Ebihara, Mei He, Ichiro Tsuji, Hiroyuki Arai, Hidetada Sasaki

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Cognitive and psycho-physiological condition in patients with long-term domiciliary oxygen therapy (DOT) remains uncertain. A cross sectional analysis was performed to investigate the age-related changes in cognitive and psycho-physiologic functions in patients with chronic respiratory failure receiving long-term DOT. Two expert practitioners visited the patient's home and examined them for analysis of cognitive function, emotional status, physical activity and degree of dyspneic sensation. One hundred and thirty-five patients completed the study. Control data from a cohort of 718 community dwellers were also included in this study. Male patients had significantly higher rates of chronic obstructive pulmonary disease (71% vs 47%, p = 0.001), lower values of forced expiratory volume in one second (FEV1.0) % (49.7 ± 10.3 [standard deviation, S.D.] vs 66.0 ± 7.5% predicted, p = 0.002) and higher Borg score, an indicator of dyspneic sensation, during daily exercise (3.2 ± 0.8 [S.D.] vs 1.4 ± 0.6, p = 0.01) compared with female patients. Linear regression analysis based on mean Mini-Mental State Examination scores, an indicator of cognitive function, showed that age-related cognitive decline was more pronounced in female patients than in female controls (-0.524/year, R2 = 0.426 vs -0.120/year, R2 = 0.027, p < 0.0001), while there was no significant difference between male patients and male controls (-0.156/year, R2 = 0.054, vs -0.077/year, R2 = 0.016, p = 0.231). These results demonstrate that age-related cognitive decline is more exaggerated in female patients receiving long-term DOT which should be taken into consideration in caring for patients with chronic respiratory failure.

Original languageEnglish
Pages (from-to)347-352
Number of pages6
JournalTohoku Journal of Experimental Medicine
Volume206
Issue number4
DOIs
Publication statusPublished - 2005 Aug 1

Keywords

  • Borg scale
  • Chronic respiratory failure
  • Cognitive function
  • Domiciliary oxygen therapy
  • Long-term survivor

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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