Quantifying uptake and completion of pulmonary rehabilitation programs in people with chronic obstructive pulmonary disease known to tertiary care.

IF 3.5 3区医学 Q2 RESPIRATORY SYSTEM

Chronic Respiratory Disease Pub Date : 2024-01-01 DOI:10.1177/14799731231224781

Sarah Hug, Vinicius Cavalheri, Daniel F Gucciardi, Kylie Hill

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引用次数: 0

Abstract

Background: People with symptomatic chronic obstructive pulmonary disease (COPD) benefit from pulmonary rehabilitation programs (PRPs), but program attrition is common.

Methods: For people with COPD who presented to tertiary care and appeared appropriate for a PRP, we prospectively mapped their PRP journey, explored factors influencing attendance to pre-program assessment and captured program attrition.

Results: Of the 391 participants, 31% (95% CI 27 to 36) were referred to a PRP (n = 123; age 68 ± 10years, 62 males [50%], FEV₁ 45 ± 19%predicted). Of those referred, 94 (76% [69 to 84]) attended a pre-program assessment. Ex-smokers and those who had a healthcare professional (HCP) explain they would be referred were more likely to attend a pre-program assessment (odds ratio [95%CI]; 2.6 [1.1 to 6.1]; and 4.7 [1.9 to 11.7], respectively). Of the 94 who attended, 63 (67% [58 to 77]) commenced; and of those who commenced, 35 (56% [43 to 68]) completed a PRP. All who completed (n = 35, 100%) were provided at least one strategy to maintain training-related gains.

Conclusion: Attrition occurs throughout the PRP journey. Interactions with HCPs about PRPs positively influenced attendance. Understanding how HCPs can best contextualise PRPs to encourage referral acceptance and uptake is an important area for further work.

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量化三级医疗机构已知的慢性阻塞性肺病患者接受和完成肺康复计划的情况。

背景：有症状的慢性阻塞性肺病（COPD）患者可从肺康复项目（PRPs）中获益，但项目流失很常见：方法：对于到三级医疗机构就诊并认为适合参加肺康复计划的慢性阻塞性肺病患者，我们对他们参加肺康复计划的历程进行了前瞻性调查，探讨了影响参加计划前评估的因素，并掌握了计划流失的情况：在 391 名参与者中，31%（95% CI 27 至 36）被转至 PRP（n = 123；年龄 68 ± 10 岁，62 名男性 [50%]，FEV1 45 ± 19% 预测值）。其中，94 人（76% [69 至 84]）参加了项目前评估。前吸烟者和有医疗保健专业人员（HCP）解释将转介给他们的人更有可能参加计划前评估（几率比[95%CI]；分别为 2.6 [1.1 至 6.1]和 4.7 [1.9 至 11.7]）。在 94 名参加者中，有 63 人（67% [58 至 77]）开始参加；在开始参加的人中，有 35 人（56% [43 至 68]）完成了 PRP。所有完成者（n = 35，100%）都获得了至少一种保持训练相关成果的策略：结论：在整个 PRP 过程中都会出现流失。与保健医生就 PRP 进行的互动对参加人数有积极影响。了解保健医生如何以最佳方式介绍 PRP，以鼓励接受和接受转诊是今后工作的一个重要领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Respiratory Disease RESPIRATORY SYSTEM-

CiteScore

5.90

自引率

7.30%

发文量

审稿时长

11 weeks

期刊介绍： Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.

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