Pulmonary Rehabilitation: Pulmonary Rehabilitation |

Predictors of Noncompletion of Pulmonary Rehabilitation Program in Patients With COPD FREE TO VIEW

Abebaw Yohannes, PhD; Sheila Dryden, PT; Nicola Hanania, MD
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Manchester Metropolitan University, Manchester, United Kingdom

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):1128A. doi:10.1016/j.chest.2016.08.1237
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SESSION TITLE: Pulmonary Rehabilitation

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Monday, October 24, 2016 at 07:30 AM - 08:30 AM

PURPOSE: Pulmonary rehabilitation improves exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD). Early dropout of pulmonary rehabilitation is costly to the health service.We examined predictors of non-completion of COPD patients’ eight-week pulmonary rehabilitation (PR) program.

METHODS: We have prospectively collected baseline data of patients with COPD who participated in eight-week PR. Pre and post-rehabilitation outcome measures were obtained: exercise capacity was assessed by incremental shuttle walk test (ISWT), quality of life measured using the St-Georges Respiratory Questionnaire (SGRQ), and severity of dyspnoea was assessed using the Medical Research Council scale. Anxiety was measured using the self-administered AIR scale. Completion was defined as attending 75% of the designated PR schedules and completed the eight weeks evaluation.

RESULTS: Two hundred ninety five COPD patients were recruited into community-based PR program. 220(75%) COPD patients completed the eight weeks PR program. Twenty-five percent of COPD patients did not complete PR program. Non-completers had lower exercise capacity, higher dyspnea and higher level of anxiety compared to completers. Logistic regression analysis showed that impaired quality of life (95% CI) 1:07 (1:04 - 1:09), p < 0.001 and high load of anxiety symptoms were less likely to complete the PR program with odds ratio (95% CI) 0.95 (0.90- 0.98), p < 0.003.

CONCLUSIONS: Twenty five percent of COPD patients did not complete the PR program. Patients with COPD with impaired quality of life and high load of anxiety symptoms are less likely to complete the PR program.

CLINICAL IMPLICATIONS: Those patients who are most likely to benefit from PR program dropout early. Thus, strategies that improve adherence to PR program are needed.

DISCLOSURE: The following authors have nothing to disclose: Abebaw Yohannes, Sheila Dryden, Nicola Hanania

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