A RESPIRATORY TELEREHABILITATION PROGRAM AS MAINTENANCE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Aim: to determine if a maintenance Telerehabilitation program (TeleRR) is feasible and able to achieve a better compliance and sustained clinical improvement after an intensive respiratory rehabilitation program (RR). Study Design: open, randomized, multicenter, parallel group trial designed to demostrate superiority respect to an usual care in the maintenance of benefits after a (RR) of 8 weeks. Material and Methods: COPD patients with a BODE index of 3-7 from 13 Hospitals were included and underwent during 12 months. After (RR) patients were randomized to receive a TeleRRprogram (TeleRR group, GTRR) or usual care (CG). BODE, 6 minutes walking test (6MWT), health related quality of life (HRQOL) SF36 and CRQ were measured at baseline (RR) and after 12 months. Results: 94 patients were included and 85 completed the program. There were no differences in 6MWT or HRQOL between the two groups. In 6MWT we observed a decrease in the Control group (-29 meters) and (-11 metres) in GTRR group from baseline. Adjusted mean ( GTRR 446,4 vs CG 422 meters;IC 95% (23.8, -0.24/47.8 meters) p 58% of patients in GTRR complied u003e 66% of adherence. We observed differences in 6MWT during the study according to the degree of adherence in the GTRR (non compliant: -0.58 meters; compliant: - 12,01 meters; and control group:- 31meters). There were no adverse events attributable to the program. Conclusions: The TeleRehab program is feasible but has not demonstrated superiority with respect to the control group. It was a usable program with not adverse events and good adherence. Supported by FIS 14/00575 Grant