'Severe-controlled' asthma 4 years later: is it still controlled?
| Autor: | Lilach Israeli, Shabtai Varsano, David Shitrit |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male Pediatrics medicine.medical_specialty Subjective perception Severe asthma macromolecular substances Comorbidity Young Adult immune system diseases Recurrence Asthma control medicine Immunology and Allergy Humans Asthma Aged business.industry musculoskeletal neural and ocular physiology Total ige Heartburn Immunoglobulin E Middle Aged medicine.disease respiratory tract diseases Eosinophils nervous system Pediatrics Perinatology and Child Health Quality of Life Female medicine.symptom business |
| Zdroj: | The Journal of asthma : official journal of the Association for the Care of Asthma. 58(8) |
| ISSN: | 1532-4303 |
| Popis: | Controlled severe asthma is based on needing regular medication and 4 markers of good asthma control. This study reevaluated a community sample defined 4 years earlier as "severe-controlled" based on electronic medical records of medications dispensed over 12 months.Determine the current extent of clinically-controlled asthma and asthma-related quality-of-life among patients previously considered "severe-controlled".69 patients considered "severe-controlled" 4 years earlier answered a questionnaire that included the asthma control test (ACT), demographics, education, comorbidities, medications, asthma-related healthcare utilization, atopy history, environmental exposures, and follow-up. Patients underwent spirometry, eosinophil count, total IgE, and skin-prick testing for airborne allergens.Ninety-seven percent reported using combined inhalers (ICS + LABA) regularly. Only 4% visited the ER and none was hospitalized in the last year. Average predicted FEVAmong severe asthmatics, good drug compliance, low use of relievers and low rates of exacerbations do not necessarily reflect asthma-related quality-of-life and optimal control. We urge physicians and HMOs to address asthma control in terms of quality-of-life based on validated questionnaires, and offer all patients asthma education; perhaps more to those with low formal education. |
| Databáze: | OpenAIRE |
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