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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Control of asthma in the Maghreb: results of the AIRMAG study
Respiratory Medicine, Volume 103, No. SUPPL. 2, Year 2009
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Description
Background: The goal of asthma management is to achieve disease control, defined. as the ability to lead a normal life with normal pulmonary function. However, many epidemiological surveys have demonstrated that asthma control is unacceptable in the majority of patients. Objective: To evaluate asthma control in 624 adults with asthma in the Maghreb, participating in the AIRMAG survey. Methods: As part of a general population survey of asthma in the Maghreb conducted by structured telephone interview, information was obtained on asthma control and treatment. Control was determined with the Asthma Control Test (ACT) and using an algorithm based on the GINA control guidelines. Results: The mean ACT score was 16.6 ± 4.6, corresponding to uncontrolled asthma. Asthma was uncontrolled (ACT score ≤19) in 71.3% of subjects and optimally controlled (ACT score = 25) in 3.7%. Using the GINA-based algorithm, asthma was uncontrolled in 50.9% and controlled in 7.6%. Asthma control differed between countries, being best in Tunisia and worst in Morocco (p = 0.004). Only 163 subjects (26.1%) were receiving a recommended prophylactic treatment (inhaled corticosteroids alone or in association with long-acting β-agonists). Other factors associated with asthma control were educational level, asthma perceptions and frequency of physician consultations. Conclusions: Asthma control is unacceptably poor in the Maghreb. This could be changed by improved access to appropriate treatments, more proactive patient follow-up and better patient education. © 2009 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Benkheder, Ali
Tunisia, Tunis
Ariana Hospital
Bouacha, Hend
Tunisia, Tunis
Université de Tunis el Manar, Hôpital Charles Nicolle
Nafti, Salim
Algeria, Algiers
Centre Hospitalo-universitaire de Mustapha Bacha
Taright, Samya
Algeria, Algiers
Centre Hospitalo-universitaire Mohamed Lamine Debaghine
el Ftouh, Mustapha T.
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Yassine, Najiba
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Fakhfakh, Hachemi
United Arab Emirates, Dubai
Glaxosmithkline, Uae
Ali-Khoudja, Moufida
United Arab Emirates, Dubai
Glaxosmithkline, Uae
Texier, Nathalie
France, Paris
Kappa Santé
El-Hasnaoui, Abdelkader
United Arab Emirates, Dubai
Glaxosmithkline, Uae
Statistics
Citations: 37
Authors: 10
Affiliations: 8
Identifiers
Doi:
10.1016/S0954-6111(09)70023-X
ISSN:
09546111
Research Areas
Genetics And Genomics
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Morocco
Tunisia