scholarly journals FACTORS RESTRICT TREATMENT EFFICIENCY IN ASTHMA PATIENTS

2021 ◽  
Vol 5 (9) ◽  
Author(s):  
Khaled Hassan
Keyword(s):  
Asthma Control ◽  
Dry Powder Inhaler ◽  
Observational Research ◽  
Inhaler Technique ◽  
Cross Sectional ◽  
Know How ◽  
Modifiable Factors ◽  
Asthma Patients ◽  
Keywords Asthma ◽  
First Time

Background: A number of modifiable factors that contribute to poor asthma control have been identified. We wanted to know how many patients had insufficient therapy, adherence, or major inhaler technique errors, and how they affected asthma control. Methodology: We conducted a cross-sectional multicenter observational research with asthma patients who were referred for the first time from primary to specialized treatment. Adequate prescription according to guidelines, treatment adherence, and illness control were among the data collected. 35.9% of the 1682 patients (age 45-17 years, 64.6 percent men) had insufficient prescriptions, 76.8% had low adherence, and 17 percent had critical inhaler technique errors, with Easyhaler users making significantly fewer critical errors than other dry powder inhaler users (10.3 versus 18.4%; p 0.05). Inadequate prescription (OR: 3.65), non-adherence to therapy (OR: 1.8), and inhaler abuse were all linked to poor asthma control (OR: 3.03). A greater number of risk variables were linked to a greater likelihood of having poorly managed asthma. Keywords: Asthma, interdental cleaning, elderly, prevention, periodontal disease, caries.

scholarly journals PRESENCE OF MODIFIABLE FACTORS RESTRICTING THE EFFECTIVENESS OF TREATMENT IN POORLY CONTROLLED PATIENTS WITH ASTHMA

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Khaled Hassan
Keyword(s):  
Risk Factors ◽  
Dry Powder Inhalers ◽  
Inhaler Technique ◽  
Specialist Care ◽  
Poor Control ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Modifiable Factors ◽  
Asthma Patients ◽  
First Time

Several modifiable variables that lead to poor control of asthma have been identified. The goal was to assess the percentage of patients with insufficient care, adherence to it or critical inhaler technique errors, and their effect on the control of asthma. For the first time, we carried out a cross-sectional multicenter retrospective analysis including asthma patients who were referred from primary to specialist care. According to recommendations, medication adherence, and disease prevention, the data collected was properly prescribed. of the 1682 patients (age 45 ± 17 years, 64.6 percent males), 35.9 percent had insufficient prescription, 76.8 percent had poor adherence, and 17 percent had critical inhaler errors, with slightly less critical errors among users of Easy haler than other users of dry powder inhalers (10.3% versus 18.4%; p < 0.05). Inadequate dosage (OR: 3.65), non-adherence to medication (OR: 1.8), and inhaler misuse were factors linked to poor asthma control (OR: 3.03). A larger number of risk factors have been associated with a higher likelihood of poorly managed asthma. Keywords: Modifiable factors, Asthma, Inhaler technique.

scholarly journals Study of inhaler technique in asthma patients: differences between pediatric and adult patients

2015 ◽  
Vol 41 (5) ◽  
pp. 405-409 ◽  
Author(s):  
Pablo Manríquez ◽  
Ana María Acuña ◽  
Luis Muñoz ◽  
Alvaro Reyes
Keyword(s):  
Pediatric Asthma ◽  
Cross Sectional Study ◽  
Adult Patients ◽  
Breath Hold ◽  
Therapeutic Effects ◽  
Inhaler Technique ◽  
Cross Sectional ◽  
Common Error ◽  
Oral Inhalation ◽  
Asthma Patients

Objective: Inhaler technique comprises a set of procedures for drug delivery to the respiratory system. The oral inhalation of medications is the first-line treatment for lung diseases. Using the proper inhaler technique ensures sufficient drug deposition in the distal airways, optimizing therapeutic effects and reducing side effects. The purposes of this study were to assess inhaler technique in pediatric and adult patients with asthma; to determine the most common errors in each group of patients; and to compare the results between the two groups. Methods: This was a descriptive cross-sectional study. Using a ten-step protocol, we assessed inhaler technique in 135 pediatric asthma patients and 128 adult asthma patients. Results: The most common error among the pediatric patients was failing to execute a 10-s breath-hold after inhalation, whereas the most common error among the adult patients was failing to exhale fully before using the inhaler. Conclusions: Pediatric asthma patients appear to perform most of the inhaler technique steps correctly. However, the same does not seem to be true for adult patients.

scholarly journals Assessment of quality of life in asthma patients in 5 to 18 years of children

2020 ◽  
Vol 7 (11) ◽  
pp. 2214
Author(s):  
Nikhil Jain ◽  
Karan Joshi
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Persistent Asthma ◽  
Tertiary Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Asthmatic Patients ◽  
Asthma Patients ◽  
Severity Of The Disease

Background: Asthma is a common cause of morbidity and mortality with prevalence of 300 million in world. The QOL of asthmatic patients cannot be determined only on the basis the severity of the disease, but requires a measurement of personal perception. This study was conducted with the aim to assess and compare the QOL using PedsQl scale in asthma patients between 5 to 18 years of age with different demographic and clinical variables.Methods: This was a cross-sectional observational study conducted at respiratory clinic in tertiary hospital, Rewa from October 2017 to June 2019. A total number of 150 asthmatic patients and their parents participated. Asthmatic patients (N=150) and their parents, presenting to asthma clinic of Gandhi Memorial Hospital, Rewa (after applying inclusion-exclusion criteria) were assessed for QOL using PedsQl scale 3.0. Statistical analysis was performed by SPSS version 20. Test of significance by student T-test and one way ANOVA.Results: The QOL is severely hampered by asthma with mean of 59 in intermittent asthma, 51 in mild, 44.74 in moderate and 40 in severe persistent asthma, significant p value of <0.05. Younger age, level of asthma control and severity were significantly related to QOL with p value of <0.05. Sex, socioeconomic status, were insignificantly related.Conclusions: QOL is impaired as the grading of asthma increases. Impairment of Quality of life are mostly associated with low level of asthma control, poly-therapy and frequent night attacks.

scholarly journals Factors related to the incorrect use of inhalers by asthma patients

2014 ◽  
Vol 40 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Paulo de Tarso Roth Dalcin ◽  
Denis Maltz Grutcki ◽  
Paola Paganella Laporte ◽  
Paula Borges de Lima ◽  
Samuel Millan Menegotto ◽  
...  
Keyword(s):  
Asthma Control ◽  
Family Income ◽  
Pulmonary Function Tests ◽  
Cross Sectional Study ◽  
Inhaler Technique ◽  
Metered Dose Inhalers ◽  
Porto Alegre ◽  
Asthma Control Questionnaire ◽  
Cross Sectional ◽  
Metered Dose

OBJECTIVE: To evaluate inhaler technique in outpatients with asthma and to determine associations between the correctness of that technique and the level of asthma control. METHODS: This was a cross-sectional study involving patients > 14 years of age with physician-diagnosed asthma. The patients were recruited from the Asthma Outpatient Clinic of the Hospital de Clínicas de Porto Alegre, in the city of Porto Alegre, Brazil. The patients completed two questionnaires (a general questionnaire and an asthma control questionnaire based on the 2011 Global Initiative for Asthma guidelines), demonstrated their inhaler technique, and performed pulmonary function tests. Incorrect inhaler technique was defined as the incorrect execution of at least two of the predefined steps. RESULTS: We included 268 patients. Of those, 81 (30.2%) showed incorrect inhaler technique, which was associated with poor asthma control (p = 0.002). Logistic regression analysis identified the following factors associated with incorrect inhaler technique: being widowed (OR = 5.01; 95% CI, 1.74-14.41; p = 0.003); using metered dose inhalers (OR = 1.58; 95% CI, 1.35-1.85; p < 0.001); having a monthly family income < 3 times the minimum wage (OR = 2.67; 95% CI, 1.35-1.85; p = 0.008), and having > 2 comorbidities (OR = 3.80; 95% CI, 1.03-14.02; p = 0.045). CONCLUSIONS: In the sample studied, incorrect inhaler technique was associated with poor asthma control. Widowhood, use of metered dose inhalers, low socioeconomic level, and the presence of > 2 comorbidities were associated with incorrect inhaler technique.

scholarly journals Patient and Physician Perspectives on Asthma and Its Therapy in Romania: Results of a Multicenter Survey

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1089
Author(s):  
Dragos Bumbacea ◽  
Carmen Panaitescu ◽  
Roxana Silvia Bumbacea
Keyword(s):  
Maintenance Therapy ◽  
Asthma Control ◽  
Severe Asthma ◽  
Asthma Management ◽  
Asthma Severity ◽  
Treatment Goals ◽  
Cross Sectional ◽  
Multicenter Survey ◽  
Patient Reported ◽  
Asthma Patients

Background and Objectives: Patient’s behaviours, attitudes and beliefs related to asthma and its treatment were shown to influence the adherence to therapy and the level of asthma control. This survey aimed to assess the level of asthma control and patient-reported behaviours, attitudes and expectations related to their disease in Romanian patients. Materials and Methods: This cross-sectional quantitative survey was performed in February-March 2019 and enrolled 70 specialist physicians experienced in asthma management and 433 asthma patients under their care. Results: Of the 433 patients enrolled, 19.4% had mild asthma, 60.5% moderate asthma and 20.1% severe asthma. For the previous 12 months, asthma symptoms, exacerbations and emergency room visits were common in the sample analysed, with significantly higher figures in severe asthma patients (p < 0.001). The most important treatment goal for asthma patients was participation in all activities of daily living, while for physicians this was preventing asthma exacerbations. The valuation of the treatment goals was different between patients with severe asthma and those with mild and moderate forms. Based on the patients’ responses, 3 attitude clusters were identified: empowered savvy (36.5% of the patients), pessimistic non-compliers (43.2%), and anxious strugglers (20.3%). “Empowered savvy” had the lowest frequency of severe asthma, the highest adherence to maintenance therapy and the highest level of confidence in the effectiveness of asthma medication. The opposite of this attitude cluster is the “anxious strugglers”, containing more patients with severe asthma, a higher score for worries about asthma therapy and better self-reported knowledge of their treatment, contrasting with a proportion of 25% taking maintenance therapy only when having breathing difficulties. Conclusion: Asthma control in Romania remains poor, with frequent exacerbations and hospitalizations. The differences in treatment goals found between patients and physicians and between different asthma severity groups suggest the need for more patient-centred approaches.

scholarly journals HUBUNGAN INDEKS MASSA TUBUH (IMT) DENGAN RASIO VOLUME EKSPIRASI PAKSA SATU DETIK PERTAMA PER KAPASITAS VITAL PAKSA (VEP1/KVP) PADA PASIEN ASMA STABIL DI RSUD KOTA MATARAM 2019

2021 ◽  
Vol 6 (2) ◽  
pp. 152
Author(s):  
Prasetya Angga Firmansyah ◽  
Risky Irawan ◽  
Dian Rahadianti ◽  
Fachrudi Hanafi
Keyword(s):  
Body Mass Index ◽  
Quality Level ◽  
P Value ◽  
Medical Clinic ◽  
Cross Sectional ◽  
Fundamental Limit ◽  
Medical Issues ◽  
Asthma Patients ◽  
Clinical Records ◽  
Keywords Asthma

Saat ini asma masih menjadi salah satu masalah kesehatan utama baik di negara maju maupun di negara berkembang. Diperkirakan terdapat 300 juta penduduk di dunia menderita asma. Prevalensi asma di Indonesia sendiri pada tahun 2018 sebesar 2,4%. Provinsi Nusa Tenggara Barat (NTB) berada di peringkat ke 7 dengan angka kejadian mencapai 2,5%. Asma adalah penyakit heterogen dengan berbagai proses penyebab yang mendasarinya. Salah satu penyebab asma yang telah diidentifkasi adalah asma dengan obesitas. Gold standart  dalam pemeriksaan penyakit asma adalah spirometri. Parameter yang dinilai dalam pemeriksaan spirometri untuk menilai derajat obstruksi pasien asma adalah VEP1/KVP. Perubahan pada IMT baik overweight maupun underweight akan menyebabkan perubahan mekanik dan kimiawi sistem pernapasan yang nantinya berperan sebagai faktor yang berpengaruh dan memperberat nilai VE1/KVP pada pasien asma. Tujuan dalam penelitian ini mengetahui hubungan indek massa tubuh dengan rasio volume ekspirasi paksa satu detik pertama per kapasital vital paksa pada pasien asma stabil di RSUD Kota Mataram 2019. Penelitian ini merupakan analitik observasional, dengan rancangan cross sectional. Sumber data yang digunakan dalam penelitian ini berupa data sekunder dari rekam medik pasien asma yang menjalani rawat jalan di RSUD Kota Mataram 2019 berupa data berat badan dan tinggi badan serta nilai VEP1/KVP. Sampel pada penelitian ini berjumlah 118 orang. Analisis data menggunakan rank spearman dengan bantuan software SPSS versi 25. Hasil analisis didapatkan nilai p-value 0,000 (p-value ≤0,05), yang berarti terdapat hubungan antara IMT dan VEP1/KVP pada pasien asma stabil. Terdapat hubungan antara Indeks Massa Tubuh dengan rasio VEP1/KVP pada pasien asma stabil di RSUD Kota Mataram 2019.Kata Kunci: Asma, indeks massa tubuh, VEP1/KVP.ABSTRACTRight now, asthma is as yet one of the principle medical issues in both created and non-industrial nations. The highest quality level in inspecting asthma is spirometry. The boundary evaluated in the spirometry assessment to survey the level of impediment in asthma patients was FEV1/FVC. Changes in BMI both overweight and underweight will cause mechanical and synthetic changes in the respiratory framework which will later go about as an impacting factor and bother the VE1/KVP esteem in asthma patients. The reason for this examination to decide the connection between weight file and the proportion of constrained expiratory volume of the first second per constrained fundamental limit in stable asthma patients at Mataram City Clinic 2019. This examination was an observational scientific contemplated, with a cross sectional plan. This examination utilizing optional information from clinical records of asthma patients as weight and tallness information just as VEP1/KVP esteems. The patients are going through outpatient at the Mataram City Medical clinic in 2019. The example in this investigation added up to 118 individuals. Information examination utilized position spearman with the assistance of SPSS form 25 programming The aftereffects of the investigation utilizing Rank Spearmen acquired a p-value of 0.000 (p-value ≤0.05), which implies that there is a connection among BMI and FEV1/FVC in stable asthma patients at Mataram City Clinic 2019.Keywords: Asthma, body mass index, FEV1/FVC.

Gambaran Tingkat Kontrol Asma Pada Pasien Asma: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1016-1022
Author(s):  
Kurnia Fitri ◽  
Dian Kartikasari
Keyword(s):  
Literature Review ◽  
Asthma Control ◽  
Critical Appraisal ◽  
Control Test ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
Asthmatic Patients ◽  
Asthma Patients ◽  
Data Collection Technique ◽  
English Articles

AbstractAsthma is an inflammation of the respiratory tract characterized by shortness of breath, coughing, and wheezing. A person with asthma will experience a descreace in physical condition, emotional changes, and changes inactivity. Based on previous research, the number of uncontrolled asthma patients in Persahabatan Hospital is still large. Asthma cannot be cured, but it can be observed using the asthma control test (ACT) to keep asthma under control in the long term. The purpose of this literature review was to describe the level of asthma control in asthmatic patients. The data collection technique used a literature review method of six articels sourced from online databeses with electronic searches on Garuda and Pubmed. The searching process used key words : “ tingkatkontrol” and “ pasienasma”. The English articles that were searched used key word : “ level of control” AND “asthma patients”. The research instrument used was the JBI critical appraisal checklist for cross-sectional.The results of a literature review of six articels showed that the describption of the level of asthma control was mostly uncontrolled. From this literature review, the results obtained were 71 (9,8%) controlled, 234 (32,19%) partially controlled, and 422 (58%) uncontrolled.The results of this literature review show that the level of asthma control in asthmatic patients is not controlled.Keywords : level of control, asthma patients AbstrakAsma merupakan gangguan pada saluran pernafasan yang mengalami inflamasi ditandai dengan sesak nafas, batuk dan mengi. Seseorang dengan asma akan mengalami penurunan kondi sifisik, perubahan emosional, dan perubahan aktivitas. Berdasarkan penelitian sebelumnya jumlah pasienasma yang tidak terkontrol di rumah sakit persahabatan masih banyak. Asma tidak dapat disembuhkan, tetapi dapat di observasi menggunakan Asthma Control Test (ACT) untuk mempertahankan asma dalam keadaan terkontrol dalam jangka panjang. Tujuan dari literature review ini adalah untuk mengetahui gambaran tingkat control asma pada pasienasma.Teknik pengumpulan data menggunakan metode literature reviewe nama artikel yang bersumber dari data base online dengan penelusuran elektronik pada Garuda dan Pubmed. Pencarian artikel dengan menggunakan kata kunci : “tingkat kontrol” dan “pasien asma”, sedangkan artikel berbahasa inggris menggunakan kata kunci : “level of control” AND “patients asthma”. Instrumen telaah yang digunakan yaitu dengan menggunakan JBI critical appraisal checklist for cross-sectional. Hasil literature review dari enam artikel didapatkan bahwa gambaran tingkat control asma Sebagian besar tidak terkontrol. Dari literatuyre review ini diperoleh hasil sebanyak 71(9,8%) terkontrol, 234 (32,19%) terkontrol sebagian dan 422 (58%) tidak terkontrol. Hasil penelitian literature review ini menunjukkan bahwa tingkat control asma pada pasien asma adalah tidak terkontrol. Kata kunci: tingkat kontrol, pasien asma

scholarly journals Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study)

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Wanis H. Ibrahim ◽  
Fatima Rasul ◽  
Mushtaq Ahmad ◽  
Abeer S. Bajwa ◽  
Laith I. Alamlih ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Asthma Control ◽  
Primary Objective ◽  
Inhalation Technique ◽  
Breath Hold ◽  
Inhaler Technique ◽  
Fetal Outcomes ◽  
Cross Sectional ◽  
Metered Dose ◽  
Aerosol Inhaler

Data on inhaler technique and its effects on maternal and fetal outcomes during pregnancy are seldom reported. The primary objective of this study was to evaluate inhaler technique and identify errors in inhaler use among pregnant women with asthma. Secondary objectives were to identify factors associated with poor inhaler technique and study the association between inhaler technique and maternal and fetal outcomes. This was a cross-sectional, face-to-face, prospective study of 80 pregnant women with physician-diagnosed asthma. Seventy-three and 41 asthmatic pregnant women reported using pressurized metered dose inhalers (pMDIs) and dry powder inhalers (DPIs), respectively. Overall, wrong inhaler technique was observed in 47 (64.4%) subjects. Among pMDI users, correct inhaler use was observed in only 26/73 (35.6%) of the patients, with lack of coordination between inhalation and generation of the aerosol and failure to breathe out gently before using the inhaler, being the most common errors. Among DPI users, 21 (51.2%) demonstrated correct inhaler use, with failure to perform a breath-hold for 10 seconds after inhaling the powder and to exhale gently before using the inhaler being the most common errors. Significant associations between inhaler technique and patient’s understanding of asthma medications and the kind of follow-up clinic (respiratory versus nonrespiratory clinic) were found. No significant associations between inhaler technique and various maternal and fetal outcomes or asthma control were found. In conclusion, improper inhalation technique is significantly prevalent in pregnant asthmatic women, particularly among those being followed in nonspecialized respiratory clinics. The lack of significant association between the inhaler technique and asthma control (and hence maternal and fetal outcomes) may simply reflect the high prevalence of uncontrolled asthma and significant contribution of other barriers to poor asthma control in the current patient’s cohort. Multidisciplinary management of asthma during pregnancy with particular emphasis on patient’s education is imperative.

Sign in / Sign up

Export Citation Format

Share Document