TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS IN PRIMARY CARE. ASMADUAL STUDY
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METHODS: METHODS: • Methodology: descriptive cross-sectional catalonian multicenter study, with 55 doctors (family practitioners, pneumologists, allergists and internists) of 20 primary care centers that passed a self-administered survey to their asthmatic patients during april/2012. • Variables: sex; age; smoking; treatments; adverse effects; degree of control, self- perceived and by the Asthma Control Test (ACT≤19 insufficient control and >19 sufficient control). • Statistics: mean (X), standard deviation (SD), percentages, T-Student independent and Fisher Exact test. TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS IN PRIMARY TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS IN PRIMARY CARE. ASMADUAL STUDY CARE. ASMADUAL STUDY V. Lopez – Marina a ; P. Rubinstein Aguñin b ; D. Rodriguez Vargas a ; P. Gonzalez Flores c ; A. Pedro Pijuan c ; J. Seuba b ; N. Perallons Solans c ; M. Mourelo Cejeiro c ; A. Brau Tarrida c ; M. De la Poza c . ASMADUAL GROUP. Primary Care Center of Piera a ; Martorell Medical Center b ; Catalonian Health Service c . Spain. OBJECTIVES: OBJECTIVES: To describe drug therapy, side effects and degree of control of the asthmatic patients. RESULTS: RESULTS: 29,9% 70,1% M en W om en 18,7% 12,8% 12,4% 16,8% 27,6% 10,4% 18,3% 47,9% 0 10 20 30 40 50 60 Salbutamol Budesonide Anticholinergics Budesonide/ Form oterol Fluticasone/ Salm eterol Beclom etasone/ Form oterol M ontelukast O thers 53,7% 68,5% 0 10 20 30 40 50 60 70 80 Self-perceived good control ACT> 19 Age (years old)= X ± SD: 47,3 ± 17,5 CONCLUSIONS: CONCLUSIONS: 1. Asthmatics are middle-aged women and the tobacco harms them. 2. 90% take drugs (inhalers), with 14% of adverse effects (tachycardia, neuromuscular effects, etc). 3. 68,5% reported self-perceived good control but only the 53,7% has enough control by the ACT, affecting more than 60% of the patients with insufficient control various activities of their normal life. SEX AND AGE TREATMENTS (89,1% take some treatment) DEGREE OF CONTROL CLINICAL AFFECTATION IF ACT≤19 SMOKING 12,8% 87,2% Sm okers N o sm okers 21,3% 78,7% D on´t think that tobacco harm s them Think that tobacco harm s them 70,6% of correlation (p<0,0001) 72% 66,1% 55,6% 76,5% 68% 69,5% 0 10 20 30 40 50 60 70 80 90 N orm al life W ork Sexuality Sport activity H olidays Student activity p<0,0001 p<0,003 ADVERSE EFFECTS (14,1% present some adverse effect) 27,2% 11,3% 11,3% 24,2% 14,5% 35,5% 0 5 10 15 20 25 30 35 40 Tachycardia Sw elling Trem ors N ervousness M ycosis O thers N = 578 p>0,05 for the degree of control p>0,05 for the degree of control p>0,05 for the degree of control ID 475
Transcript of TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS IN PRIMARY CARE. ASMADUAL STUDY
METHODS:METHODS:• Methodology: descriptive cross-sectional catalonian multicenter study, with 55 doctors (family practitioners, pneumologists, allergists and internists) of 20 primary care centers that passed a self-administered survey to their asthmatic patients during april/2012.
• Variables: sex; age; smoking; treatments; adverse effects; degree of control, self-perceived and by the Asthma Control Test (ACT≤19 insufficient control and >19 sufficient control). • Statistics: mean (X), standard deviation (SD), percentages, T-Student independent and Fisher Exact test.
TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS IN TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS IN PRIMARY CARE. ASMADUAL STUDYPRIMARY CARE. ASMADUAL STUDY
V. Lopez – Marina a; P. Rubinstein Aguñin b; D. Rodriguez Vargas a; P. Gonzalez Flores c; A. Pedro Pijuan c; J. Seuba b; N. Perallons Solans c; M. Mourelo Cejeiro c; A. Brau Tarrida c; M. De la Poza c. ASMADUAL GROUP.
Primary Care Center of Piera a; Martorell Medical Center b; Catalonian Health Service c. Spain. OBJECTIVES:OBJECTIVES: To describe drug therapy, side effects and degree of control of the
asthmatic patients.
OBJECTIVES:OBJECTIVES: To describe drug therapy, side effects and degree of control of the
asthmatic patients.
RESULTS:RESULTS:
29,9%70,1%
Men Women
18,7%12,8%12,4%
16,8%
27,6%
10,4%
18,3%
47,9%
0
10
20
30
40
50
60
Salb
uta
mol
Budeso
nid
e
Anti
cholinerg
ics
Budeso
nid
e/
Form
ote
rol
Fluti
caso
ne/
Salm
ete
rol
Becl
om
eta
sone/
Form
ote
rol
Monte
lukast
Oth
ers
53,7%
68,5%
0
10
20
30
40
50
60
70
80
Self-perceived goodcontrol
ACT>19
Age (years old)= X ± SD:
47,3 ± 17,5
Age (years old)= X ± SD:
47,3 ± 17,5
CONCLUSIONS:CONCLUSIONS:
1. Asthmatics are middle-aged women and the tobacco harms them.
2. 90% take drugs (inhalers), with 14% of adverse effects (tachycardia, neuromuscular effects, etc).
3. 68,5% reported self-perceived good control but only the 53,7% has enough control by the ACT, affecting more than 60% of the patients with insufficient control various activities of their normal life.
SEX AND AGE TREATMENTS(89,1% take some treatment)
DEGREE OF CONTROL CLINICAL AFFECTATION IF ACT≤19
SMOKING
12,8%87,2%
Smokers No smokers
21,3%78,7%
Don´t think that tobacco harms them
Think that tobacco harms them
70,6% of correlation (p<0,0001)
70,6% of correlation (p<0,0001)
72%66,1%
55,6%
76,5%
68%69,5%
0102030405060708090
Norm
al
life
Work
Sexuality
Sport
act
ivit
y
Holidays
Stu
dent
act
ivit
y
p<0,0001 p<0,0001 p<0,003 p<0,003
ADVERSE EFFECTS(14,1% present some adverse
effect)
27,2%
11,3%11,3%
24,2%
14,5%
35,5%
05
10152025303540
Tach
ycar
dia
Sw
elling
Trem
ors
Ner
vousn
ess
Myc
osi
s
Oth
ers
N = 578N = 578
p>0,05 for the degree of controlp>0,05 for the degree of controlp>0,05 for the degree of controlp>0,05 for the degree of control
p>0,05 for the degree of controlp>0,05 for the degree of control
ID 475ID 475
