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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A multinational study of treatment failures in asthma management
International Journal of Tuberculosis and Lung Disease, Volume 12, No. 1, Year 2008
Notification
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Description
SETTING: Emergency rooms. OBJECTIVE: To assess quality of care and its determinants for asthma patients before emergency room treatment. DESIGN: Consecutive patients with acute severe asthma attending emergency rooms were questioned about the severity of their disease and treatment in the previous 4 weeks. Prescriptions of inhaled corticosteroids were recorded. Other outcomes included self-reported adherence to treatment and loss of work. RESULTS: Thirteen centres in 11 countries recruited 1156 patients. Only 36% of patients with persistent asthma had been prescribed an adequate dose of inhaled corticosteroids. This percentage improved in those receiving regular care from the same doctor (OR 2.86, 95%CI 1.38-5.96), and was at least as good for the 10% of patients receiving 'private' health care (OR 3.08, 95%CI 1.69-5.62). Forty-four per cent of patients had health insurance covering some asthma medications. These patients were more likely to be receiving adequate inhaled corticosteroids (OR 1.74, 95%CI 1.17-2.58), and reported better adherence than those without insurance (OR 3.00, 95%CI 1.64-5.50). Of those on adequate inhaled corticosteroids, 18% had lost work in each of the 4 previous weeks compared with 59% among those more than one treatment step below the recommended dose. CONCLUSIONS: Access to adequate treatment is critical for better management of asthma. © 2008 The Union.
Authors & Co-Authors
Burney, Peter G.J.
United Kingdom, London
National Heart and Lung Institute
Potts, James F.
United Kingdom, London
National Heart and Lung Institute
Aït-Khaled, Nadia
France, Paris
International Union Against Tuberculosis and Lung Disease
Sepulveda, Ricardo
Chile, Santiago
Facultad de Medicina de la Universidad de Chile
Zidouni, Noureddine
Algeria, Algiers
Centre Hospitalier et Universitaire de Béni-messous, Algiers
Benali, Rachid
Algeria, Annaba
Université Badji Mokhtar - Annaba
Jerray, Mohamed
Tunisia, Sousse
Hopital Farhat Hached Sousse
Musa, Omer Abdel Aziz
Sudan, Khartoum
Epi-lab
El-Sony, Asma I.
Sudan, Khartoum
Epi-lab
Behbehani, Naser
Kuwait, Kuwait City
Kuwait University
El-Sharif, Nuha A.
Palestine, Abu Dis
Al-quds University
Mohammad, Yousser
Syrian Arab Republic, Latakia
Université Tichrine
Khouri, Abdullah
Syrian Arab Republic, Aleppo
Aleppo University Hospital
Paralija, B.
Bosnia and Herzegovina, Sarajevo
Univerzitet u Sarajevu
Eiser, N.
United Kingdom, London
University Hospital Lewisham
Fitzgerald, John Mark
Canada, Vancouver
The University of British Columbia
Abu-Laban, R.
Canada, Vancouver
Vancouver General Hospital
Statistics
Citations: 17
Authors: 17
Affiliations: 15
Identifiers
ISSN:
10273719
Research Areas
Health System And Policy