A percepção do controle dos sintomas em pacientes asmáticos

Ponte, Eduardo Vieira; Petroni, Jaqueline; Ramos, Daniela Campos Borges; Pimentel, Luciana; Freitas, Daise Naiane; Cruz, Álvaro Augusto

doi:10.1590/s1806-37132007000600005

Cited by 24 publications

(10 citation statements)

References 11 publications

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“…In this context, two Brazilian cities implemented distinct public health care programs for asthma (with the creation of referral centers, easy provision of medications, strict public health care protocols, and professional training) and were successful in achieving an important decrease in the number of asthma-related hospitalizations. 27 , 28 Moreover, in one of these cities (Salvador, in the state of Bahia), the implemented asthma control program showed that, when patients with severe asthma had their disease under control, there was a major decrease in the direct costs of asthma in the families (−89%) and an increase in the overall family income. 29 These local initiatives demonstrate the importance of implementing further effective asthma control programs in public health care systems.…”

Section: Discussionmentioning

confidence: 99%

The impact of asthma in Brazil: a longitudinal analysis of data from a Brazilian national database system

et al. 2017

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Objective:To present official longitudinal data on the impact of asthma in Brazil between 2008 and 2013. Methods:This was a descriptive study of data collected between 2008 and 2013 from an official Brazilian national database, including data on asthma-related number of hospitalizations, mortality, and hospitalization costs. A geographical subanalysis was also performed. Results:In 2013, 2,047 people died from asthma in Brazil (5 deaths/day), with more than 120,000 asthma-related hospitalizations. During the whole study period, the absolute number of asthma-related deaths and of hospitalizations decreased by 10% and 36%, respectively. However, the in-hospital mortality rate increased by approximately 25% in that period. The geographic subanalysis showed that the northern/northeastern and southeastern regions had the highest asthma-related hospitalization and in-hospital mortality rates, respectively. An analysis of the states representative of the regions of Brazil revealed discrepancies between the numbers of asthma-related hospitalizations and asthma-related in-hospital mortality rates. During the study period, the cost of asthma-related hospitalizations to the public health care system was US$ 170 million. Conclusions:Although the numbers of asthma-related deaths and hospital admissions in Brazil have been decreasing since 2009, the absolute numbers are still high, resulting in elevated direct and indirect costs for the society. This shows the relevance of the burden of asthma in middle-income countries.

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Section: Discussionmentioning

confidence: 99%

The impact of asthma in Brazil: a longitudinal analysis of data from a Brazilian national database system

et al. 2017

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“…Studies by other authors corroborate the present results. 14 – 16 In the activity limitation subscale, older age was also a determinant of lower QoL scores. Most likely, the clinical presentation of asthma is also affected by aging processes in the respiratory system.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic factors affecting the quality of life of patients with asthma

Uchmanowicz¹,

Panaszek²,

Uchmanowicz³

et al. 2016

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BackgroundIn recent years, there has been an increased interest in the subjective quality of life (QoL) of patients with bronchial asthma. Patients diagnosed with asthma experience a number of problems with regard to everyday activities and functions, which adversely affects their health-related QoL.AimThe aim of this study is to analyze the sociodemographic factors affecting the QoL of patients with asthma.Patients and methodsThe study comprised of 100 patients (73 females and 27 males) aged 18–84 years (mean age 45.7 years) treated in the Department and Clinic of Internal Diseases, Geriatrics and Allergology, Wroclaw Medical University. All patients with asthma who met the inclusion criteria participated in the study. We used medical record analysis and two questionnaires: the asthma quality of life questionnaire (AQLQ) and the asthma control test. Up-to-date sociodemographic data were collected from all participants, including sex, age, marital status, education, and sources of income.ResultsThe sociodemographic variables that correlated positively with QoL in all domains of the AQLQ were professional activity and higher education level of respondents. Factors that negatively influenced the AQLQ domains were older age and lack of professional activity.ConclusionThis study shows that age, physical work, and lack of professional activity decreased the QoL in this patient group. It was found that higher education contributes to better QoL scores.

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“…What could explain such a dissociation between perception and real control level in patients in Latin America (9,10) and in the patients described in the study by Ponte et al? (8) The answer is probably related to the change of the concept of control. The present guidelines (1,11) adopt a more rigid definition that consists of several parameters, in addition to symptom control, which makes this outcome (control) more difficult to achieve than is the simple suppression of the symptoms.…”

Section: Ufsc Federal University Of Santa Catarina Health Sciences Cmentioning

confidence: 99%

“…This partial or inadequate correlation between symptoms and expiratory flows has also been observed when we compare symptoms with the inflammatory process of the airways. (7) In this issue of the Brazilian Journal of Pulmonology, Ponte et al (8) report the experience of perception of symptoms in a less affluent population in Salvador. In a cross-sectional study, 289 patients with asthma, consecutively included with disease of varying severity, were evaluated using structured questionnaires, medication and functional evaluation, in order to determine their perception of the degree to which their symptoms were controlled.…”

mentioning

confidence: 99%