POSTERS WONCA

Poster 1 Tobacco and perception of asthma control in Catalunya.

Pablo Rubinstein, Pedro Gonzales Flores, Jacobo Sellares, Luis Fernando Casas, Víctor López, Nuria Rodríguez Valdivia on behalf of the ASMADUAL group.

TitleTobacco and perception of asthma control in Catalunya.

Objective To describe the perception of control of asthma symptoms in relation to exposure to tobacco smoke in adult asthmatic patients in Catalunya.

Material and Methodology55 doctors of the 4 provinces of Catalonia participated. The first 20 asthmatic adult patients filled a 100-questions-questionnaire, between February and April 2012 and analyzed centrally with a SAS 9.0 program.

Results578 patients participated. Women 399 (70%), age 47 years (17.5), 95% from urban and 5% rural areas. 79% (446) of patients believe that smoking is harmful to their asthma. According to the Asthma Control Test (ACT), those patients with insufficient control of asthma (ACT<20) have greater perception of prejudice (p 0.0125).69% (379) note differences to no longer be exposed to cigarette smoke, without differences between well and poorly controlled patients (p 0.17).84% (470) believes that the "new anti-smoking Spanish law" has been beneficial for asthma control, with no differences according to the ACT (p 1.00).

Conclusions1. The majority of patients believe that tobacco is harmful to their asthma control, being significantly higher in patients with worse control according to ACT. 2. The stop being exposed to tobacco smoke is beneficial in the perception of symptoms regardless of the degree of asthma control. 3. The new legal regulation of tobacco consumption is positively valued by asthmatic patients in Catalunya.

Poster 2Clinical and epidemiological features of asthmatic patients in Catalunya

AUTHORSP. Gonzales Flores, P. Rubinstein Aguñin, V. Lopez Marina, S. Sanchez Casco, X. Garcia, T. Navarro Sierra, Y. Sanz Gonzalez, S. Riera, C. Galván, ASMADUAL GROUPTITLEClinical and epidemiological features of asthmatic patients in Catalunya

OBJECTIVE: To determine the main clinical features and epidemiological group of asthmatic patients of diverse populations of Cataluna.

METHODOLOGYObservational and descriptive study. Held during the period from January to April 2012 in various health institutions of Catalonia. He proceeded to apply a survey of 100 questions to every patient that cumplia criterion of having of the dianostico of bronchial asthma. The asthma control was calculated on the basis of the ACT (Asthma Control Test). The results were analyzed using the statistical package SAS version 9.

RESULTSWere recruited 578 patients, of which 399 (70.1%) were women. The median age was 47.3 (17.5) 259 (46.3%) patients were diagnosed by their family doctor, while 189 (33.8%) were diagnosed by a pulmonologist. Regarding the use of complementary tests: 423 (73.6%) had allergies made and 591 (91.2%) tests carried out at least in the last year had a spirometry.With regard to the control of asthma: 427 (74.8%) were controlled in the scope of care primary. 392 (68.5%) according to the ACT asthma was well-controlled (ACT >; 20). In filling therapeutic, 159 patients (44.8%) for those who responded the question forgot to take them. 118 (33.2%) left them voluntarily.

CONCLUSIONS1. Analyzed patients group has good control of asthma according to the

ACT (68,5%)

2. 2.El group studied have a degree of non-compliance with high therapeutic (approximately the 78%)

3. 3.El group studied have a high percentage of complementary tests (92% spirometers and 73.6% allergy testing)

POSTER 3

Treatment and degree of control of asthma in primary care. ASMADUAL Study.

Authors: V. Lopez Marina, P. Rubinstein Aguñín, P. Gonzales Flores, A. Pedro Pijoan, J. Seuba, N. Perallons Solans, M. Mourelo Cejeiro, A. Brau Tarrida, M. De la Poza, ASMADUAL GROUP.

Objective

To describe the pharmacological treatment, adverse effects and degree of control of asthmatics.

Methodology:

Descriptive, cross-sectional study, multicentric across Catalonia; 55 physicians (family, Allergists, pulmonologists and internists) from primary care centers that became a self-administered survey their asthmatic in february to April, 2012. Variables: sex; age; smoking; treatments; adverse effects (AE); degree by the Asthma Control Test and control (ACT≤19 insufficient control, and > 19 good control (GC)). Statistics: mean (X), standard deviation (SD), percentages, T-Student independent and test exactly of Fisher.

Results:

Asthmatic 578, 70% women and age (X±DE) 47, 3±17, 5 years. 12.8% smoke. Treatments: 89% takes any treatment; salbutamol 48%, budesonide/formoterol 28%, 18% budesonide, fluticasone/salmeterol 17%, 13% montelukast, etc; p< 0.05 for the GC.

Adverse effects: 14.1% had AE; tachycardia 35.5%, neuromuscular 47%, oropharyngeal 21%, p< 0.05 for the GC. GC: good control perception 68.5%; ACT <19 53.7%; 70.6% correlation between good control perception and ACT >19 (p< 0.0001); Asthma affects usual diary activities 69.5% more frecuently on poor controlled patients (p< 0.0001), 68% work (p< 0.0001), 72% student activity (p < 0.003), 76.5% sexuality (p < 0.0001), 55.6% sport activity (p < 0.0001), 66.1% holiday (p < 0.0001).

Conclusions:

- Asthmatics are middle-aged and it hurts them tobacco.

- 90% takes drugs (inhalers), 14% showing adverse effects.

- 68.5% regard good control perception, but according to the ACT only 53.7% presents sufficient control, with involvement by more than 60% of patients with insufficient control.

POSTER 4-

Control of asthma in patients that use anticholinergics drugs. Asmadual Study

Authors: P: Gonzales Flores, P. Rubinstein Aguñin, N. Perallons Solans, X. Garcia, A. Pedro Pijoan, T. Navarro Sierra, Y. Sanz Gonzalez, S. Riera, C. Galvan, ASMADUAL GROUP.

Objectives

1. Determine the degree of asthma control in population samples of different basic areas of health in the metropolitan area of Barcelona.

2. Quantify the degree of asthma control in patients that are using Anticholinergics drugs.

Methodology

Cross-sectional descriptive study. From February to April 2012 we recruited asthmatic adults patients from Catalunya attneded in the Primary Assistance level. Demographic variables were obtained control of asthma, treatments, exacerbations and use of new technologies for the control of asthma among others.The statistical significance level was 5%. We used the statistical package SAS version 9.0 for the analysis.

Results

578 patients participated, with an average age of 47.3 years (DE 17.5), being the percentage of women of 70%. According to the score of the Asthma Control Test (ACT), the average score was 19.2. Control was: adequate or optimum 292 (53.7%) and insufficient 250 (46.3%), p = 0, 0048. Related to treatments: 507 (89,1%) refers to be taking daily medication for asthma. 39 patients recive anticholinergics every day (20 tiotropium and 19 ipratropium)

As for patients taking anticholinergics, 23 (59%) have their asthma well-controlled, without significant differences between ipatropio and tiotropium (p = 0, 1485).

Conclusions

1. The control degree of asthmatic patients studied was 53.7%.

2. The degree of asthma control in patients who use anticholinergic was 59%.

3. There is no difference on ACT between patients receiving ipratropium and tiotropium.