The Asthma Control Test (ACT) as Predictor of Asthma Exacerbation among Indonesian Hajj Pilgrims in 2018

Saifuddin A,Zaini Nasir U,Rengganis I

doi:10.31344/ijhhs.v4i2.188

Saifuddin A, Zaini Nasir U + Show 1 more

Open Access

https://doi.org/10.31344/ijhhs.v4i2.188

Copy DOI

Abstract

Objective: Every year, millions of Muslims from around the world gather in Saudi Arabia to perform Hajj. Before leaving for pilgrimage, Indonesian pilgrims go through various health examinations in Regional Primary Health Center (Pusat Kesehatan Masyarakat/ Puskesmas). Since there was no existing research on Asthma Control Test (ACT) assessment for pilgrims with bronchial asthma to predict asthma exacerbations during Hajj pilgrimage period, this cohort study was conducted to fill this gap.Methods: Pilgrims who suffered from asthma were recruited in Daerah Khusus Ibukota (DKI) Jakarta Province region in 2018. The degree classification of asthma in the ACT group was determined as uncontrolled, partially controlled, and fully controlled. ACT scores were calculated in Puskesmas and embarkation. Observation of asthma exacerbations in pilgrims while performing Hajj was performed by doctors. Data were analyzed with SPSS for Windows.Results: A total of 68 participants were included (46 female [67.6%]; 45 aged <60 years [66.2%]). At embarkation, the asthma classification based on the ACT was as follows: 36 (52.9%) and 13 (19.1%) pilgrims had partially controlled and uncontrolled asthma, and 17 (47.2%) and 8 (61.5%) of each group experienced exacerbation, respectively, with p = 0.006 for the ACT values at embarkation. The area under the curve value was 0.717 (95% CI; 0.596-0.838).Conclusion: There was increased asthma exacerbation incidence in the uncontrolled and partially controlled ACT groups at embarkation compared to the fully controlled ACT group. The ACT score was able to predict the occurrence of acute asthma exacerbation during Hajj period.International Journal of Human and Health Sciences Vol. 04 No. 02 April’20 Page : 128-135

Highlights

The Hajj pilgrimage is the fifth pillar of Islam, which is once in a lifetime obligation for every Muslim who is able to fulfill it
The Qur’an, Surah Ali-Imran, verse 97 explains that doing Hajj is a human obligation to Allah for those who are able to travel to the holy land.The implementation of health services for Hajj pilgrims in Indonesia is outlined in the Regulation of the Health Minister of the Republic of Indonesia (PERMENKES RI) of 2016 (Number 15).2All Hajj pilgrims need to be physically fit enough to perform rituals activities because millions of pilgrims do so on the same day and encounter many difficulties, such as strenuous activities and hot weather
The pilgrimage period organized by the Ministry of Religion of the Republic of Indonesia lasted for 40 days, consisting of Hajj pilgrimage and worship in Medina

Summary

Introduction

The Hajj pilgrimage is the fifth pillar of Islam, which is once in a lifetime obligation for every Muslim who is able to fulfill it. The Qur’an, Surah Ali-Imran, verse 97 explains that doing Hajj is a human obligation to Allah for those who are able to travel to the holy land.The implementation of health services for Hajj pilgrims in Indonesia is outlined in the Regulation of the Health Minister of the Republic of Indonesia (PERMENKES RI) of 2016 (Number 15).2All Hajj pilgrims need to be physically fit enough to perform rituals activities because millions of pilgrims do so on the same day and encounter many difficulties, such as strenuous activities and hot weather. The pilgrimage period organized by the Ministry of Religion of the Republic of Indonesia lasted for 40 days, consisting of Hajj pilgrimage (in Mecca, Arafat, Mina and Muzdalifah) and worship in Medina. The 2017 Hajj season coincided with extreme weather, with the highest

Methods

Discussion

Conclusion