TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS IN PRIMARY CARE. ASMADUAL STUDY

1. METHODS:METHODS:
• Methodology: descriptive cross-sectional catalonian multicenter study, with 55 doctors (family practitioners,
pneumologists, allergists and internists) of 20 primary care centers that passed a self-administered survey to their
asthmatic patients during april/2012.
• Variables: sex; age; smoking; treatments; adverse effects; degree of control, self-perceived and by the
Asthma Control Test (ACT≤19 insufficient control and >19 sufficient control).
• Statistics: mean (X), standard deviation (SD), percentages, T-Student independent and Fisher Exact test.
TREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTSTREATMENT AND DEGREE OF CONTROL OF THE ASTHMATIC PATIENTS
IN PRIMARY CARE. ASMADUAL STUDYIN PRIMARY CARE. ASMADUAL STUDY
V. Lopez – Marina a
; P. Rubinstein Aguñin b
; D. Rodriguez Vargas a
; P. Gonzalez Flores c
; A. Pedro
Pijuan c
; J. Seuba b
; N. Perallons Solans c
; M. Mourelo Cejeiro c
; A. Brau Tarrida c
; M. De la Poza c
.
ASMADUAL GROUP.
Primary Care Center of Piera a
; Martorell Medical Center b
; Catalonian Health Service c
. Spain.
OBJECTIVES:OBJECTIVES: To describe drug therapy, side effects and degree of control of the asthmatic
patients.
RESULTS:RESULTS:
29,9%70,1%
Men Women
18,7%
12,8%12,4%
16,8%
27,6%
10,4%
18,3%
47,9%
0
10
20
30
40
50
60
Salbutamol
Budesonide
Anticholinergics
Budesonide/
Formoterol
Fluticasone/
Salmeterol
Beclometasone/
Formoterol
Montelukast
Others
53,7%
68,5%
0
10
20
30
40
50
60
70
80
Self-perceived good
control
ACT> 19
Age (years old)= X ± SD:
47,3 ± 17,5
CONCLUSIONS:CONCLUSIONS:
1. Asthmatics are middle-aged women and the tobacco harms them.
2. 90% take drugs (inhalers), with 14% of adverse effects (tachycardia, neuromuscular effects, etc).
3. 68,5% reported self-perceived good control but only the 53,7% has enough control by the ACT,
affecting more than 60% of the patients with insufficient control various activities of their normal
life.
SEX AND AGE TREATMENTS
(89,1% take some treatment)
DEGREE OF CONTROL CLINICAL AFFECTATION IF
ACT≤19
SMOKING
12,8%87,2%
Smokers No smokers
21,3%
78,7%
Don´t think that tobacco harms them
Think that tobacco harms them
70,6% of correlation
(p<0,0001)
72%
66,1%
55,6%
76,5%
68%69,5%
0
10
20
30
40
50
60
70
80
90
Normal
life
Work
Sexuality
Sport
activity
Holidays
Student
activity
p<0,0001 p<0,003
ADVERSE EFFECTS
(14,1% present some adverse
effect)
27,2%
11,3%11,3%
24,2%
14,5%
35,5%
0
5
10
15
20
25
30
35
40
Tachycardia
Swelling
Tremors
Nervousness
Mycosis
Others
N = 578N = 578
p>0,05 for the degree of control
p>0,05 for the degree of control
p>0,05 for the degree of control
ID 475ID 475