Pulmonary Rehabilitation |

An Audit on the Success of Pulmonary Rehabilitation Service Among Our Patient With Chronic Obstructive Pulmonary Disease (COPD) FREE TO VIEW

Andrew YunKai Li; Ching Yee Tan; Chuan Gee Choo; Noel Stanley Wey Tut Tay; Muhammad Rahizan Zainuldin
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Department of Rehabilitation, Alexandra Hospital, Singapore City, Singapore

Chest. 2014;146(4_MeetingAbstracts):812A. doi:10.1378/chest.1990320
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SESSION TITLE: Physiology/PFTs/Rehabilitation Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: The aims of our audit are to determine the participation and adherence rate with our Pulmonary Rehabilitation service, to determine any factor associated with non- participation and non- adherence and to determine any modifiable factor for our service improvement.

METHODS: We conducted a retrospective audit analysis on our COPD patients who have been referred to our Pulmonary Rehabilitation service between October 2012 and October 2013. We determine the participation rate in our program and attempt to identify if any of the stated factors are associated with Pulmonary Rehabilitation participation and adherence at our local healthcare institution. The stated factors are (1) Referral source, (2) COPD stage, (3) Smoking status, (4) Pre- morbid status, (5) Long term oxygen therapy user, (6) > 2 exacerbation preceding 12 months, (7) Social support status and (8) in-/ out- patient service.

RESULTS: A total of 44 patients with COPD were referred to our PR service during the 12 months duration. 6 patients were excluded from our analysis due to incomplete patient’s information. Hence, only 38 patients were included in the subsequent analysis. 71% (27/38) of patients referred and agreed to PR intervention. Of those patients who agreed to PR intervention, the completion rate in our PR service was 62.9%. There was no significant factor found that predisposed a patient to attend at our PR service. We identified 3 factors associated with adherence to PR service at our institution. In- patient service (p=0.00) and COPD patient with good premorbid (p=0.08) factor are associated with better adherence. We identified that significant number of COPD smoker dropped out from the PR service (p=0.075).

CONCLUSIONS: Based on our retrospective data analysis, the participation rate of 71% and adherence rate of 62.9% in our PR service are comparable to previous published literature (participation rate of 68.2% and adherence rate of 70.9%). We have not identified any significant associated factor regarding the tendency to participate in our PR service. Such negative outcome is probably limited by our small study sample size. Our finding on COPD smoker has been shown in previous literature. The reason suggested was smoker tend to be less inclined to adopt health promoting lifestyle medication habit. This reinforce the importance of smoking cessation service to be an integral part of Pulmonary Rehabilitation.

CLINICAL IMPLICATIONS: To intergrate smoking cessation counselling and therapy into our Pulmonary Rehabilitation service.

DISCLOSURE: The following authors have nothing to disclose: Andrew YunKai Li, Ching Yee Tan, Chuan Gee Choo, Noel Stanley Wey Tut Tay, Muhammad Rahizan Zainuldin

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