Guidelines for severe uncontrolled asthma
| Autor: | Gloria García Hernández, Isabel Urrutia Landa, José Gregorio Soto Campos, Luis Pérez de Llano, Carlos Almonacid Sánchez, Carlos Melero Moreno, Carolina Cisneros Serrano, Eva Martínez Moragón, César Picado Vallés, Miguel Perpiñá Tordera |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Hypersensitivity Immediate medicine.medical_specialty Asma grave Asma no controlada Asthma phenotype Asthma treatment Fenotipado del asma Severe asthma Tratamiento del asma Uncontrolled asthma Drug Resistance Disease Severity of Illness Index Diagnosis Differential Adrenal Cortex Hormones Internal medicine medicine Humans Anti-Asthmatic Agents Intensive care medicine Child Adrenergic beta-2 Receptor Agonists Asthma Health professionals business.industry Drug Substitution General Medicine Evidence-based medicine Environmental Exposure medicine.disease Uncontrolled asthma Bronchodilator Agents Clinical Practice Pulmonology Poor control Vocal Cord Dysfunction Physical therapy Drug Therapy Combination business |
| Zdroj: | ARCHIVOS DE BRONCONEUMOLOGIA r-FISABIO. Repositorio Institucional de Producción Científica instname r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| ISSN: | 0300-2896 |
| Popis: | Since the publication, 9 years ago, of the latest SEPAR (Spanish Society of Pulmonology and Thoracic Surgery) Guidelines on Difficult-to-Control Asthma (DCA), much progress has been made in the understanding of asthmatic disease. These new data need to be reviewed, analyzed and incorporated into the guidelines according to their level of evidence and recommendation. Recently, consensus documents and clinical practice guidelines (CPG) addressing this issue have been published. In these guidelines, specific mention will be made of what the previous DCA guidelines defined as "true difficult-to-control asthma". This is asthma that remains uncontrolled after diagnosis and a systematic evaluation to rule out factors unrelated to the disease itself that lead to poor control ("false difficult-to-control asthma"), and despite an appropriate treatment strategy (Spanish Guidelines for the Management of Asthma [GEMA] steps 5 and 6): severe uncontrolled asthma. In this respect, the guidelines propose a revised definition, an attempt to classify the various manifestations of this type of asthma, a proposal for a stepwise diagnostic procedure, and phenotype-targeted treatment. A specific section has also been included on DCA in childhood, aimed at assisting healthcare professionals to improve the care of these patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect