A comparative analysis of errors in inhaler technique among COPD versus asthma patients

Ocaklı, Birsen; Özmen, İpek; Tunçay, Eylem; Güngör, Sinem; Altinoz, Hilal; Adıgüzel, Nalan; Sak, Zafer Ali; Güngör, Gökay; Karakurt, Zühal; Arbak, Peri

doi:10.2147/copd.s178951

Cited by 32 publications

(41 citation statements)

References 33 publications

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“…e ndings of this study showed that there was an e ective improvement in the quality of life in both the groups (test and is in concordance with the nding of Ocakli et al [22] which also stated that most selected form of inhaler therapy was metered dose inhaler than dry powder inhaler. e reason behind more users of MDI as compared to DPI might be it is cheaper and convenient to use than DPI in developing countries like Nepal.…”

Section: Discussionsupporting

confidence: 91%

Pharmacist Led Intervention on Inhalation Technique among Asthmatic Patients for Improving Quality of Life in a Private Hospital of Nepal

Yadav

Thapa

2019

Pulmonary Medicine

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Purpose. Asthma is a chronic disease which cannot be cured but can be controlled. Although drug therapy is used to relieve and prevent symptoms of asthma and treat exacerbations, still a good asthma control and a better quality of life in many patients is suboptimal due to improper use of inhalation technique. Thus, this interventional study was conducted to evaluate the effect of a pharmacist intervention on asthma control, quality of life and inhaler technique in adult asthmatic patients. Patients and Methods. A total of 72 patients who met the inclusion criteria and agreed to give written consent were enrolled in the study. These patients were randomly divided into two groups i.e., test group (36) and control group (36) by simple block randomization technique. Test group were the interventional groups. Mini Asthma Quality of Life Questionnaire (AQLQ), Asthma Control Questionnaire (ACQ) and structured questionnaires were used to sort the information like quality of life, asthma control and demographic details. They were counselled by the pharmacist about the asthma management and proper use of inhalers. Out of 72 patients, only forty six patients came for follow up after one month. Data were entered and analyzed using Statistical Package for Social Sciences (SPSS) software version 20. Results. A significant change was observed in the mean score of quality of life (p=0.001) in test group as well as control group, however change in the mean score of asthma control in the test group (p=0.001) was more significant as compared to the control group (p=0.099). Inhalation technique was found to be improved significantly after intervention among patients using the metered dose inhaler and dry powder inhaler. Majority of the patients were prescribed with Methylxanthines (24.5%) followed by combined Beta 2 agonists and Inhaled Corticosteroids (21.7%). Conclusion. Pharmacist provided intervention improves the quality of life, asthma control and inhalation technique among asthmatic patients.

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Section: Discussionsupporting

confidence: 91%

Pharmacist Led Intervention on Inhalation Technique among Asthmatic Patients for Improving Quality of Life in a Private Hospital of Nepal

Yadav

Thapa

2019

Pulmonary Medicine

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“…Many types of devices are available for the delivery of inhaled drugs [8]; however, studies have shown that * 32-89% of patients do not use their inhaler correctly [9][10][11][12][13][14]. A similar rate of inhaler technique errors occurs for patients with asthma or COPD [15]. Correct inhaler technique is important because inhaler misuse is associated with insufficient disease control and poor patient outcomes [16], such as an increased risk of hospitalization due to an asthma exacerbation.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and Patient Satisfaction with Budesonide/Formoterol Easyhaler® Among Patients with Asthma or COPD Switching from Previous Treatment: a Real-World Study of Patient-Reported Outcomes

Gálffy¹,

Szilasi

Tamási

2019

Pulm Ther

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Introduction: Persistent symptoms, poor disease control, and reduced quality of life (QoL) are common in patients with asthma and chronic obstructive pulmonary disease (COPD). Current therapies are only partially effective and inhaler misuse contributes to insufficient disease control and poor outcomes. This realworld study aimed to evaluate the effectiveness of budesonide/formoterol fumarate (B/F) Easyhaler Ò in everyday clinical practice in Hungary. Methods: Post hoc, subgroup analyses of this 12-week, real-world, multicenter, open-label study were conducted in adults diagnosed with asthma or COPD. Endpoints included the change in patient-reported outcome measures; i.e., symptoms and disease control measured by Asthma Control Test or COPD Assessment Test and health-related (HR)QoL measured by mini-Asthma Quality of Life Questionnaire or modified Medical Research Council dyspnea scale. Changes in lung function and patient satisfaction with B/F Easyhaler versus their previous inhaler were also evaluated. Results were stratified by the inhaler device used at visit 1 (baseline, when patients switched device); comparisons were made with B/F Easyhaler use after 12 weeks, assessed at visit 3. Results: In total, 398 and 563 patients with asthma and COPD, respectively, were analyzed. Significant improvements (p \ 0.0001) in symptoms and disease control, HRQoL, and lung function were reported 12 weeks after switching treatment to B/F Easyhaler from the most commonly used devices (C 10% of patients). Significant increases in patient satisfaction were also reported versus comparators. Conclusions: Patients with asthma or COPD who switched to B/F Easyhaler from their previous inhaler due to lack of disease control achieved significant improvements in symptoms and disease control, HRQoL, and lung function within 12 weeks of real-world use with significant increase in patient satisfaction also Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.8851814.

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“…In this survey, despite the involvement of all the responders, none of them were able to perform all steps of the MDI technique correctly, which will be reflected in the patients that will not have adequate instruction. It is also well known that only 8-20% of the drug reaches bronchial airways when MDI is used correctly, thus when the MDI technique is not properly applied, the amount of drug delivered into the lungs is lower than it should be producing worse disease outcomes [4,[29][30][31]. Therefore, for the proper administration of drugs using MDI, each one of the different steps of the MDI technique must be performed correctly.…”

Section: Discussionmentioning

confidence: 99%

“…Concerning technique, specific steps and good coordination are necessary for the proper use of this device. A less than optimal technique is commonly observed in respiratory patients and can result in decreased drug delivery and potentially reducing efficacy [4].…”

Section: Introductionmentioning

confidence: 99%

Competence in Metered-Dose Inhaler Technique among Healthcare Workers of Three General Hospitals in Mexico: It is Not Good after All These Years

Rodríguez

Medina-Casillas

Muñoz

et al. 2021

Advances in Respiratory Medicine

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Introduction: Inhaled medication is the cornerstone of pharmacological treatment for chronic respiratory diseases. Therefore, it is important to use a metered-dose inhaler (MDI) correctly to get the appropriate dosage and benefit from the drug. Health-care workers (HCW) are responsible for teaching the correct MDI technique. Unfortunately, numerous studies consistently show that HCW have poor MDI technique. This study aimed to evaluate the current knowledge of MDI technique in HCW working in three general hospitals. Material and methods: A hospital-based, cross-sectional descriptive study was conducted in three general hospitals in Aguascalientes, México. Three surveyors simultaneously scored through a 14 dichotomic questions list as bad, regular, good, and very good MDI technique. Data were analyzed with SPSS version 16. Statistical analyses were performed using chi-square test or unpaired t-tests. An analysis of one-way ANOVA was used for comparison of three independent general hospitals. Values of p < 0.05 were considered to indicate statistical significance. Results: A total of 244 HCWs were surveyed: 78.3% were nurses whereas 21.3% were physicians. The inter-observer concordance analysis among observers was 0.97. We observed that 32.4% (79) performed a bad technique, 51.6% (126) a regular technique, 13.5% (33) a good one, and 2.5% HCW (6) a very good technique. No difference between gender, labor category, schedule, service, age, seniority, and education degree between the three hospitals was observed. The most common mistakes were "insufficient expiration prior to activation of the device", and "the distance the inhaler was placed for inhalation" (83 and 84% respectively). Conclusion: We observed that a high percentage of HCW do not follow the MDI technique correctly, being this percentage even higher than the reported in other studies. These observations suggest the urgent need to establish frequent training programs for the correct use of MDI.

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A comparative analysis of errors in inhaler technique among COPD versus asthma patients

Cited by 32 publications

References 33 publications

Pharmacist Led Intervention on Inhalation Technique among Asthmatic Patients for Improving Quality of Life in a Private Hospital of Nepal

Pharmacist Led Intervention on Inhalation Technique among Asthmatic Patients for Improving Quality of Life in a Private Hospital of Nepal

Effectiveness and Patient Satisfaction with Budesonide/Formoterol Easyhaler® Among Patients with Asthma or COPD Switching from Previous Treatment: a Real-World Study of Patient-Reported Outcomes

Competence in Metered-Dose Inhaler Technique among Healthcare Workers of Three General Hospitals in Mexico: It is Not Good after All These Years

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