TY - JOUR T1 - Multidisciplinary rehabilitation in COPD JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2016.PA3963 VL - 48 IS - suppl 60 SP - PA3963 AU - Josefin Sundh AU - Helena Lindgren AU - Mikael Hasselgren AU - Scott Montgomery AU - Christer Janson AU - Björn Ställberg AU - Karin Lisspers Y1 - 2016/09/01 UR - http://erj.ersjournals.com/content/48/suppl_60/PA3963.abstract N2 - Introduction: Multidisciplinary rehabilitation is well-documented in all stages of COPD.Aims: To investigate the availability and utilisation of rehabilitation and the characteristics of COPD patients receiving rehabilitation, in primary and secondary care in mid-Sweden.Materials and methods: Structural questionnaires to 14 hospitals and 54 primary health care centres (PHCCs) provided information on rehabilitation resources. Data on patient characteristics and meetings with rehabilitation professionals recent year was gathered from questionnaires completed by 1264 COPD patients from the same centres. Cross-tabulation and the chi-squared-test examined utilisation, and multiple logistic regression analysed associations of clinical factors with having received rehabilitation recent year.Results: A multidisciplinary teamwork was more common in secondary (71%) than in primary (39%) care, and asthma COPD clinics were more available in PHCCs (87% vs 71%). The PHCCs offered separate access to asthma/COPD nurse in 82%, physiotherapist in 82%, occupational therapist in 70%, nutritionist in 61% and counsellor in 98%. In total, 36% of the patients met an asthma/COPD nurse recent year. Utilisation was lower in primary than in secondary care centres for physiotherapist (6 vs 16)%, occupational therapist (2 vs 10%), nutritionist (5 vs 12%) and counsellor (1 vs 4%), all p<0.05. In multiple logistic regression; higher CAT score and frequent exacerbations were associated with utilisation of all different rehabilitation professionals, all p<0.05.Conclusion: Pulmonary rehabilitation is underutilised, and receiving rehabilitation is more common in severe COPD. Treatment recommendations need to be better implemented, especially for patients with milder COPD. ER -