Assessment of Factors Affecting Symptom Control in Asthmatic Patients

Authors

  • Waqas Rasheed Department of Medicine & Allied, Liaquat College of Medicine and Dentistry, Darul Sehat Hospital Karachi, Pakistan.
  • Rashid Naseem Khan Department of Medicine & Allied, Liaquat College of Medicine and Dentistry, Darul Sehat Hospital Karachi, Pakistan.

DOI:

https://doi.org/10.36570/jduhs.2020.3.1028

Keywords:

Asthma, Bronchial asthma, Antiasthmatics

Abstract

Objective: To assess the level of symptoms control achieved by Asthmatic Patients in Pakistan and the associated factors making an impact on symptom control.

Methods: A prospective cross-sectional study was carried out at Darul Sehat Hospital from December 2018 till December 2019. All patients of irrespective of age and gender diagnosed as bronchial asthma were consecutively included. Symptom control was assessed according to Global Initiative for Asthma (GINA) assessment tool. Prevalence of asthma symptom control was determined while association of risk factors with uncontrolled asthma was also evaluated.

Results: Of 113 patients the mean age was 36.8 +-16.6 years. There were 76 (67.3%) patients had uncontrolled asthma. A significant association of uncontrolled asthma was observed with incorrect inhaler technique (p value of 0.039) more than 10 years asthma duration (p value <0.001) lack of inhaled corticosteroid (ICS) use (p value 0.004) Gastroesophageal Reflux Disease (GERD) (p value <0.001) more than 1 episode of asthma exacerbation in last 12 months (p value <0.001) and with high use of short acting beta agonists (p value <0.001).

Conclusion: A higher prevalence of uncontrolled asthma was observed in our cohort with significant association of uncontrolled asthma with poor inhaler technique lack of ICS use GERD more than 10 years asthma duration and more than 1 asthma exacerbation episode in last 12 months.

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Author Biographies

Waqas Rasheed, Department of Medicine & Allied, Liaquat College of Medicine and Dentistry, Darul Sehat Hospital Karachi, Pakistan.

Senior Registrar

Liaquat College of Medicine and Dentistry

Darul Sehat Hospital

Email: dr.waqasrasheed@gmail.com

Address: A-303, Yasir Terrace, Phase-1, Block 10, Scheme 36, Gulistan e Jauhar, Karachi

Telephone: +92 346 2188468

Rashid Naseem Khan, Department of Medicine & Allied, Liaquat College of Medicine and Dentistry, Darul Sehat Hospital Karachi, Pakistan.

Senior Registrar

Liaquat College of Medicine and Dentistry

Darul Sehat Hospital

Email: dr.waqasrasheed@gmail.com

Address: A-303, Yasir Terrace, Phase-1, Block 10, Scheme 36, Gulistan e Jauhar, Karachi

Telephone: +92 346 2188468

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Published

2020-12-17

How to Cite

Rasheed, W., & Khan, R. N. (2020). Assessment of Factors Affecting Symptom Control in Asthmatic Patients. Journal of the Dow University of Health Sciences (JDUHS), 14(3), 126–132. https://doi.org/10.36570/jduhs.2020.3.1028

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Original Articles