从2006年到2017年，回顾性研究连续转介至为期6个月的基于运动的心脏康复计划（CRP）的患者的性别差异和完成预测因素。步态偏瘫的患者参加中风适应性CRP；否则，进行传统的CRP。通过面谈确定未完成的原因。进行回归分析以确定所有患者以及女性和男性的非完成率。共有1536名患者（30.3％为女性），平均年龄为64.5±12.5岁，其中23％开始进行中风适应性CRP。总的来说，75.1％的人完成了CRP（87.3％的中风适应性CRP完成率与71.5％的传统CRP完成率相比;p＜.001）。女性和男性的完成率没有差异（74.5％与75.4％;p=0.7），预定会话的出席率也没有差异（p=0.6），未完成的原因也没有差异（p＞.05，全部）。完成率唯一的性别差异是年龄（十年为单位）在41岁以下的人中发生（女性59％，男性85％;p=.02）。所有患者的基线非完成率预测因素包括未参加中风适应性CRP，较低的V̇O2peak，吸烟，糖尿病（处方胰岛素）和抑郁症，但不包括性别（p=.5）或年龄（p=.15）。女性与男性的唯一预测因素是年龄较小，较低的V̇O2peak，吸烟，糖尿病（处方胰岛素），抑郁症和癌症诊断。男性独有的是中风次数超过1次和糖尿病（任何抗糖尿病药物）。在所有模型中，最强的非完成率预测因素是未参加中风适应性CRP。虽然在CRP的遵守方面没有性别差异，但是女性和男性的非完成预测因素大多是独特的。年龄较小的女性最容易非完成。从事业者应该提供针对性别的，度身定制的策略，以增强完成率，重点放在年龄较小的女性上，并提供针对中风适应性CRP的服务，密切关注糖尿病患者。版权所有© 2023 Elsevier Inc.。

To retrospectively examine sex-differences and predictors of completion in consecutively-referred patients to a 6-month exercise-based cardiac rehabilitation program (CRP) from 2006 to 2017.People with hemiplegic gait participated in stroke-adapted-CRP; otherwise, traditional-CRP. Reasons for non-completion were ascertained by interview. Regression-analyses were conducted to determine non-completion in all patients and women and men separately.There were 1536 patients (30.3% women), mean age 64.5 ± 12.5 with 23% initiating the stroke-adapted-CRP. Overall, 75.1% completed the CRP (87.3% stroke-adapted-CRP vs 71.5% traditional-CRP; p < .001). There was no difference in completion between women and men (74.5% vs 75.4%; p=0.7), or in attendance to pre-scheduled sessions (p=0.6) or reasons for non-completion (p > .05, all). The only sex difference in completion by age (decade) occurred in those <41 years (59% women vs 85% men; p=.02). Baseline predictors of non-completion among all patients included not being enrolled in the stroke-adapted-CRP, lower V̇O2peak, smoking, diabetes (prescribed insulin) and depression but not sex (p=.5) or age (p=.15). Unique predictors in women vs men were younger age, lower V̇O2peak, smoking, diabetes (prescribed insulin), depression, and cancer diagnoses. Unique to men was having >1 stroke and diabetes (any anti-diabetes medication). The strongest predictor of non-completion among all models was not being enrolled in stroke-adapted-CRP.While there were no sex-differences in adherence to the CRP, women and men have mostly unique predictors of non-completion. Younger women are at greatest risk for non-completion. Practitioners should provide sex-specific, tailored strategies for enhancing completion with a focus on younger women and offering a stroke-adapted-CRP with close attention to those with diabetes.Copyright © 2023 Elsevier Inc. All rights reserved.