Abstract

Several modifiable variables that lead to poor control of asthma have been identified. The goal was to assess the percentage of patients with insufficient care, adherence to it or critical inhaler technique errors, and their effect on the control of asthma. For the first time, we carried out a cross-sectional multicenter retrospective analysis including asthma patients who were referred from primary to specialist care. According to recommendations, medication adherence, and disease prevention, the data collected was properly prescribed. of the 1682 patients (age 45 ± 17 years, 64.6 percent males), 35.9 percent had insufficient prescription, 76.8 percent had poor adherence, and 17 percent had critical inhaler errors, with slightly less critical errors among users of Easy haler than other users of dry powder inhalers (10.3% versus 18.4%; p < 0.05). Inadequate dosage (OR: 3.65), non-adherence to medication (OR: 1.8), and inhaler misuse were factors linked to poor asthma control (OR: 3.03). A larger number of risk factors have been associated with a higher likelihood of poorly managed asthma.
 Keywords: Modifiable factors, Asthma, Inhaler technique.

Highlights

  • Asthma is a common disorder which accounts for substantial healthcare costs and a loss of productivity at work

  • The primary goals of this research are to assess the adequacy of the recommended medication as well as the presence of inadequate adherence and essential inhalation technique errors in patients first referred to a specialist from primary care; and to study the relationship between these factors and poor control of asthma [3]

  • GINA standards for asthma management were used for this evaluation, as explained below), medication adherence according to the MG questionnaire, inhaler adherence (TAI < 50 reliable;

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Summary

Introduction

Asthma is a common disorder which accounts for substantial healthcare costs and a loss of productivity at work. Exacerbations are correlated with high direct (medications, hospitalization, emergency room treatment, and indirect (school absenteeism, loss of work efficiency, etc.) costs. Asthma exacerbations are one of the most common triggers of visits to the Emergency Department to emphasize inadequate asthma control in affected patients. Several research on asthma in primary care seem to indicate that, despite available treatments, asthma management in clinical practice is suboptimal. The primary goals of this research are to assess the adequacy of the recommended medication as well as the presence of inadequate adherence and essential inhalation technique errors in patients first referred to a specialist from primary care; and to study the relationship between these factors and poor control of asthma [3]

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