A case of uncontrolled severe asthma patient with coexisting carcinoid tumor presenting as pneumomediastinum

Introduction: The present study aims to determine the frequency of severe asthma in asthma patients followed at the National Hospital of Pneumo-Phtisiology (CNHPP) of Cotonou and to identify the risk factors associated with it Methods: The cross-sectional, descriptive and analytical study focused on 213 asthmatic patients in the 2013 active file of the CNHPP. The data were collected through the use of files and individual interviews with patients. They were processed and analyzed using EPIINFO7 and STATA11 software. Pearson's Chi 2 test, unvaried and multivariate logistic regression were used at the significance level of 0.05 Results: A total of 154 asthmatic patients, ie 72.7%, answered the questionnaire. Among them 20.8% (95% CI: (14.67; 28.05)) suffered from severe asthma. Patient ages ranged from 10 to 76 years with a median of 41 years; 51.3% were female, 79.9% had a history of allergy, 61.7% started their asthma after the age of 12, and only 11% had used or consumed tobacco. The factors associated with the onset of severe asthma were: age 46 to 55 years (p = 0.04); the third and fourth quintiles of economic well-being (p = 0.01) and the onset of asthma after the age of 12 (p <0.001) Conclusion: The study showed a high frequency of severe asthma in Benin and will improve its management at the CNHPP. Keywords: Severe asthma, patients, associated factors, Benin

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Transitioning from hospital-based biologic care to home care in a severe asthma patient population; a patients’ perspective

10.1183/13993003.congress-2021.pa888 ◽

2021 ◽

Author(s):

Ryan Robinson ◽

Karl Hunter ◽

Daniella Mclenaghan ◽

Fathimath Shiham ◽

Catherine Lowe ◽

...

Keyword(s):

Home Care ◽

Severe Asthma ◽

Patient Population ◽

Asthma Patient ◽

Patients Perspective

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P71 The Relationship between the Leicester Cough Questionnaire, Eosinophilic Airway inflammation and Asthma Patient Related Outcome Measures in Severe Asthma

Thorax ◽

10.1136/thoraxjnl-2015-207770.208 ◽

2015 ◽

Vol 70 (Suppl 3) ◽

pp. A111.2-A111

Author(s):

S Siddiqui ◽

R Free ◽

P Bradding ◽

L McGarvey

Keyword(s):

Airway Inflammation ◽

Severe Asthma ◽

Outcome Measures ◽

Asthma Patient ◽

Leicester Cough Questionnaire ◽

Patient Related Outcome ◽

The Relationship

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Severe asthma: emergency care patient driven solutions

International Journal of Health Care Quality Assurance ◽

10.1108/ijhcqa-09-2016-0127 ◽

2017 ◽

Vol 30 (7) ◽

pp. 628-637 ◽

Cited By ~ 2

Author(s):

Karen Newell ◽

Chris Corrigan ◽

Geoffrey Punshon ◽

Alison Leary

Keyword(s):

Severe Asthma ◽

Systems Thinking ◽

Design Methodology ◽

Asthma Patient ◽

Soft Systems Methodology ◽

Care Patient ◽

Systems Methodology ◽

Soft Systems ◽

Content Type ◽

Practical Implications

Purpose Patients with severe asthma were choosing not to use the emergency department (ED) in extremis and were self-medicating when experiencing severe asthma, putting their lives at risk. This local issue reflected a nationwide situation. The purpose of this paper is to better understand the reasons behind patients’ reluctance to attend ED and to consider practical solutions in a structured way. Design/methodology/approach Systems thinking (soft systems methodology) was used to examine the issues resulting in this reluctance to attend the ED. Once this tame (well-defined) problem was revealed, a potential solution was developed in co-production with patients. Findings Patients feared attending the ED and felt vulnerable while in the ED for several reasons. This appeared to be a well-defined and solvable problem. The solution proposed was an asthma patient passport (APP), which increased patient’s confidence in their ability to communicate their needs while in severe distress. The APP decreases (from 12 to 5 steps) the work patients had to do to achieve care. The APP project is currently being evaluated. Practical implications The APP should be offered to all people with severe asthma. Originality/value By revisiting systems thinking and identifying problems, a solution was identified. Although methods such as soft systems methodology have limitations when used in wicked (difficult or impossible to resolve) problems, such methods still have merit in tame problems and were applicable in this case to fully understand the issues, and to design practical solutions.

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