TY - JOUR T1 - COPD treatment defaulters in tertiary care hospital in suburban India: Reasons for treatment interruptions, its prevalence and predictors JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P4155 AU - Abhay Javia AU - Deval Mehta AU - Firoz Ganchi AU - Deesha Patel Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P4155.abstract N2 - Background:We have noticed over several years that many COPD patients(Pt) did not came for regular follow-up. In these Pts treatment interruption may lead to morbidity and mortalityAim:to determine the prevalence, reasons and predictors of broken appointment and treatment interruption among Pt with COPDMethod:Pts were diagnosed and classified into group A,B,C&D as per Revised 2011 GOLD guidelines. Pt’s detailed demographic data recorded. Defaulter is defined as the Pt who did not turn up for follow up 2 weeks after the given appointment. The reason for default was inquired. Association between Pt characteristics and defaulter status was determined by chi-square test.Results:Total 200 recruited COPD Pts. M/F=87/13%.Mean age 59.3 years.Pts belonging to group A,B,C&D were 11%,25.5%,41.5%&22% respectively. Overall 64 Pts (32%) were defaulters. 3 main reasons for default were Non-affordability for treatment expense (39%), resolution of symptoms (26.6) and too ill to come (18.75%). Significant co-relation was found between Pts income, GOLD group A& D and Pt’s education with defaulter rate. Out of 27 defaulters belonging to GOLD group D, 55.6% defaulted due to non-affordability for treatment expanse & 33.3% defaulted because of too ill to come. 14 defaulters (21.9%) belongs to GOLD group A with resolution of symptoms (78.6%) being the commonest reason.Conclusion:Defaulter rate was 32%, defaulter rate was significantly associated with GOLD group A & D, Pts income and Pt’s education level. Main results for default were non affordability for treatment expenses & too ill to come among GOLD group D Pts and resolution of symptoms among GOLD group A Pts. ER -