Asthma exacerbations after the East Japan Disaster

Autor: Yoshihisa Ishiura, Yasutaka Shiba, Youichi Ishida, Hiroki Yamamoto, Masaki Fujimura, Noriyuki Ohkura, Kazuo Kasahara
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: The journal of medical investigation : JMI. 60(1-2):61-65
ISSN: 1343-1420
Popis: On March 11, 2011, a 9.0-magnitude earthquake struck east Japan, following tsunami. Many people are forced to live in evacuation shelters without enough life-saving drugs. Asthma control for management of health crisis is required, because asthma ex- acerbation is a major cause of morbidity, can need acute care and results in death. How- ever, it remains obscure what parameter should be used in primary clinic of evacuation shelters. The objective of this study is to elucidate the practical efficacy of asthma as- sessment tool in primary clinic for victims of this disaster. Asthma control test (ACT), a brief and patient-based tool to evaluate asthma control, was conducted for 17 patients with asthma in evacuation shelters at Tohoku district. Total sum of ACT scores were sig- nificantly decreased after this disaster. Significant decreases were observed for the items ; "Asthma keeps you from getting much done at work", "Shortness of breath", "Asthma symptoms wake you up" and "Patient rating of control". ACT, an easy and practicable tool, clearly demonstrated the asthma exacerbation in evacuation shelters without the use of lung function testing. ACT may contribute to the management of health crisis not only for this East Japan disaster but also for the other forthcoming unavoidable disas- ters. J. Med. Invest. 60 : 61-65, February, 2013
Databáze: OpenAIRE