The 2024 theme for World COPD Day is “Know Your Lung Function." World COPD Day takes place on November 20th. This year's theme aims to highlight the importance of measuring lung function, also known as spirometry.

Although spirometry is an integral tool for diagnosing COPD, it can also be used to measure lung health throughout life. We now know that there are many other factors besides tobacco smoke that can contribute to COPD.

Our lungs are continuing to grow, from the womb all the way through young adulthood. Throughout this period we are vulnerable to insults such as air pollution and respiratory infections that can impede lung growth and increase our risk for developing chronic lung disease later in life. Unfortunately, much lung function can be lost before we develop symptoms.

Lung function is a not only a predictor of lung health, but also our overall health. Even small decrements in lung function are associated with increased risk of death. Measuring lung function throughout life can provide opportunities for early diagnosis and prompt treatment of multiple lung diseases, including COPD.

The Home Oxygen Policy on Exertional Oxygen Testing states:

Clients will complete a two-part test.

Part 1 - is a maximum exercise symptom limited room air test. After being seated for 10 minutes, the patient should use a treadmill, an exercise bicycle, or walk on the level at a comfortable pace. Stop the test with the onset of symptoms or when the patient meets oxygen desaturation criteria. Record the symptoms, the time of onset, and the distance.

Part 2 - requires the patient to rest for 10 minutes while receiving 2 LPM oxygen after completing part one. The patient should then repeat the test in part 1 while using oxygen. Oxygen should be adjusted as needed to maintain the saturation at 90% – 92% during exercise. Stop the test with the onset of symptoms. Record the symptoms, the time of onset, and the distance.

Oximetry on room air must show a pulse oximetry saturation ≤ 87% continuously for a minimum of 20 seconds

AND

there must be documentation of improvement in exercise capacity of 20% with oxygen use; that is, the onset of symptoms is delayed by at least 20% (can walk 20% further).

TIPS

Time-based testing is allowed with appropriate information. While we do encourage recording of distances, SAIL will also accept proof of improvement based on a 20% improvement in time exerting. However, if you are considering this option, be sure that your equipment has the correct time and date.

Do not submit graph results. The testing you submit must be clear – these often get distorted especially when faxed. A scanned PDF sent by email to ehb@health.gov.sk.ca is more likely to be easily readable. If the times cannot clearly be read, the improvement in time may not be verifiable and the testing may be rejected.

Use appropriate time intervals. If the intervals are large, extended time in exertion may be required. For example, if you record in 40 second intervals, your patient needs to show ≤ 87% oximetry on room air continuously for a minimum of 40 seconds (two time stamps) during Part One of the test. To show a 20% improvement on oxygen, the patient must show improvement while exerting for 80 seconds during Part Two of the test (3 time stamps). Although 40 to 80 seconds is more than a 20% difference, this is required because of the larger time interval you are using.
 

Join us on World COPD Day, Wednesday, November 20, 2024, at 7:30 PM (CST/SK), with Dr. Justin Ling as he reviews what's Hot off the Presses in COPD. Healthcare providers won’t want to miss the latest ATS and ERS updates, including the importance of spirometry, diagnosis, and interpretation.

Learning Objectives:

1. Understand the changes in PFT interpretation between the 2005 and 2021 criteria, with an emphasis on spirometry

2. Review the most significant CTS and GOLD guideline changes in 2023 and 2024

3. Discuss data supporting all-cause mortality benefit with triple inhaler therapy

Celebrate World COPD Day by learning what is new in COPD management. COPD is common, impacting many people's quality of life. However, the right treatment for you, can help you live and breathe easier.

Learn from lung expert, Dr. Jeff Marciniuk, about how pharmacological treatment and steps towards personalizing therapy for people living with COPD can decrease shortness of breath, prevent COPD flare-ups, reduce mortality and improve quality of life.

Live your best lung life.

Is it your time to quit or cut back smoking? Lung Sask is here to help!

Do you want to quit smoking or do you have a client who needs a little push? The Saskatchewan Quit Smoking Challenge is back taking place from November 25th, 2024 to February 14th, 2025!

During the challenge, you will receive free Nicotine Replacement Therapy (NRT) samples courtesy of our sponsor Nicorette, have chances to win weekly and grand prizes, and can tap into a wealth of educational resources. You will also hear inspiring stories and be able to connect with others going through the same journey. With $3,800 in prizes up for grabs, there's never been a better time to quit smoking!

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