PURPOSE: Pulmonary rehabilitation is an accepted part of the treatment algorithm for Chronic Obstructive Pulmonary Disease (COPD). Participation in pulmonary rehabilitation requires a significant mental, physical and time commitment on the part of the participant. We sought to analyze adherence rates at a local pulmonary rehabilitation facility.
METHODS: A retrospective chart analysis of COPD patients that participated in pulmonary rehabilitation during 2006 was performed. Age, gender, number of rehabilitation sessions completed, and total completion of prescribed pulmonary rehabilitation were recorded.
RESULTS: A total of 75 participants were included in the study (65% female with a mean age of 68 years.) They attended a total of 1077 sessions. A total of 46 (61.33%) participants successfully completed their pulmonary rehabilitation based upon on the number of approved rehabilitation sessions. A stepwise logistic regression was performed using completion as the dependent variable. Younger age was found to be significant factor in regards to failure of completion of prescribed pulmonary rehabilitation (P 0.0051). The odds ration was 1.0884 with a 95% confidence interval of 1.0258 to 1.1549.
CONCLUSION: Our facility had a higher then expect rate of failure to complete pulmonary rehabilitation. The inverse correlation to younger age to completion of pulmonary rehabilitation has not been previously reported. Investigations on the age relationship to known factors such as intensity of program, barrier to attending, lack of improvement, social factors and positive attitude of doctors need to be further evaluated.
CLINICAL IMPLICATIONS: Younger age may have a correlation with failure to complete pulmonary rehabilitation.
DISCLOSURE: Vijay Subramaniam, No Financial Disclosure Information; No Product/Research Disclosure Information