A multinational study of treatment failures in asthma management

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dc.contributor.authorBurney, P
dc.contributor.authorPotts, J
dc.contributor.authorAït-Khaled, N
dc.contributor.authorSepulveda, R M D
dc.contributor.authorZidouni, N
dc.contributor.authorBenali, R
dc.contributor.authorJerray, M
dc.contributor.authorMusa, O A A
dc.contributor.authorEl-Sony, A
dc.contributor.authorBehbehani, N
dc.contributor.authorEl-Sharif, N
dc.contributor.authorMohammad, Y
dc.contributor.authorKhouri, A
dc.contributor.authorParalija, B
dc.contributor.authorEiser, N
dc.contributor.authorFitzgerald, M
dc.contributor.authorAbu-Laban, R
dc.date.accessioned2024-11-26T08:57:37Z
dc.date.available2024-11-26T08:57:37Z
dc.date.issued2007-12-31T22:00:00Z
dc.description.abstractEmSetting: 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.ergency rooms. Conclusions: Access to adequate treatment is critical for better management of asthma.
dc.identifier.citationBurney P, Potts J, Aït-Khaled N, Sepulveda RM, Zidouni N, Benali R, Jerray M, Musa OA, El-Sony A, Behbehani N, El-Sharif N, Mohammad Y, Khouri A, Paralija B, Eiser N, Fitzgerald M, Abu-Laban R. A multinational study of treatment failures in asthma management. Int J Tuberc Lung Dis. 2008 Jan;12(1):13-8. PMID: 18173871.
dc.identifier.other18173871
dc.identifier.urihttps://dspace.alquds.edu/handle/20.500.12213/9513
dc.language.isoen
dc.publisherInt J Tuberc Lung Dis .
dc.titleA multinational study of treatment failures in asthma management
dc.typeArticle
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