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Features of atopic bronchial asthma in adults: treatment and control
- Authors: Nenasheva NM1, Buriev BB1, Nenasheva NM1, Buriev BB1
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- Issue: Vol 6, No 4 (2009)
- Pages: 12-16
- Section: Articles
- URL: https://rusalljournal.ru/raj/article/view/1024
- DOI: https://doi.org/10.36691/RJA1024
- ID: 1024
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Abstract
Background. To study the age and gender structure, as well as clinical and functional characteristics and level of control of atopic bronchial asthma in adults.
Materials and methods. An analysis of 515 outpatient records of patients with bronchial asthma (BA) was done. Two hundred persons were interviewed by phone to evaluate the current condition of BA. The questionnaires were used included as issues related to current asthma condition during the past year as treatment and control of BA. ACT-test was used to evaluate of the control of the BA.
Results. 402 patients (78%, CI: 74-81%) had an atopic form of BA, 103 (20%, CI: 16-23%) - a non-atopic BA and 10 (2%, CI: 1-3%) - both an atopic and a non-atopic forms of BA. Young individuals dominated (66,4%, CI: 62-71%) among patients with an atopic BA. Men (82%, CI: 77-86%) prevailed among young people, while women were in majority in the old group. The most significant allergens in patients with atopic BA for residents of the Moscow region were house dust (363 - 90%, CI: 87-92%) and house dust mites - in 328 patients (81,6%, CI: 77-85%). The tree pollen (51,7%, CI: 47-56%) was the most spread among the pollen allergy. The results of the interactive poll showed that 43% (CI: 36-50%) of BA patients had uncontrolled asthma. Most of patients (79,5%, CI: 73%-84%) noted exacerbations of BA in the past year, among them about 10% (CI: 6-15%) were treated in a hospital, while 8% (CI: 5-13%) - resorted to the emergency help.
Conclusion. Atopic BA is 78% (CI: 74-81%) of the total number of adult patients with asthma, the majority of patients (65,7%, CI: 60-70%) had mild disease. The combination of atopic BA and allergic rhinitis had the 98% (CI: 96-99%) of patients. 43% (CI: 36-50%) patients noted uncontrolled asthma according to the ACT-test. 79,5% (CI: 73-84%) of patients had exacerbations of BA during the past year due to the inadequate treatment.
Materials and methods. An analysis of 515 outpatient records of patients with bronchial asthma (BA) was done. Two hundred persons were interviewed by phone to evaluate the current condition of BA. The questionnaires were used included as issues related to current asthma condition during the past year as treatment and control of BA. ACT-test was used to evaluate of the control of the BA.
Results. 402 patients (78%, CI: 74-81%) had an atopic form of BA, 103 (20%, CI: 16-23%) - a non-atopic BA and 10 (2%, CI: 1-3%) - both an atopic and a non-atopic forms of BA. Young individuals dominated (66,4%, CI: 62-71%) among patients with an atopic BA. Men (82%, CI: 77-86%) prevailed among young people, while women were in majority in the old group. The most significant allergens in patients with atopic BA for residents of the Moscow region were house dust (363 - 90%, CI: 87-92%) and house dust mites - in 328 patients (81,6%, CI: 77-85%). The tree pollen (51,7%, CI: 47-56%) was the most spread among the pollen allergy. The results of the interactive poll showed that 43% (CI: 36-50%) of BA patients had uncontrolled asthma. Most of patients (79,5%, CI: 73%-84%) noted exacerbations of BA in the past year, among them about 10% (CI: 6-15%) were treated in a hospital, while 8% (CI: 5-13%) - resorted to the emergency help.
Conclusion. Atopic BA is 78% (CI: 74-81%) of the total number of adult patients with asthma, the majority of patients (65,7%, CI: 60-70%) had mild disease. The combination of atopic BA and allergic rhinitis had the 98% (CI: 96-99%) of patients. 43% (CI: 36-50%) patients noted uncontrolled asthma according to the ACT-test. 79,5% (CI: 73-84%) of patients had exacerbations of BA during the past year due to the inadequate treatment.
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References
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