TY - JOUR T1 - Profile of patients who drop out a pulmonary rehabilitation program JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P2240 AU - Virginia Almadana AU - Concepción Romero AU - Agustín Valido AU - Ana Paulina Gómez-Bastero AU - Jesús Sánchez AU - Teodoro Montemayor Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P2240.abstract N2 - Objectives:To identify the characteristics of patients with poor adherence to a specific COPD RR.Methods:A prospective study of consecutive COPD patients who underwent a RR program in the last year. Inclusion criteria: symptomatic COPD despite optimal treatment. Programme type:36 sessions:10 min warm up + resistance exercise bike and force + respiratory physiotherapy. If needed, access to the hospital is provided by ambulance to transport the patient. Results: n: 83:Exclusion 26,Abandonment 22,Complete program 35;38.5% dropout rate. The reasons for excluding patients were: refusal to attend 13, unstable angina 1, mental illness 2, severe musculoskeletal disease 2, mild symptoms 3, did not attend screening tests 5. The causes of dropping out were: low motivation 8, family problems 1, transportation problems 4, severe concomitant disease 3, death 3, trauma pathology 2, frequent exacerbations 1. Characteristics of patients are in figure 1.Significant differences between the drop-out and those who finished the programm were found in the use of oral steroids(OS) 23.8 vs 2,9%, p 0.014.Conclusions:-The dropout rate was similar to that described in the literature(approximately 1 in 3). -The causes of abandonment of the program are varied, though poor motivation and transportation problems are the most common. -The patient profile leaving the programme seems to be related to those in more impaired functional status(worst result in stress tests) and OS. ER -