Compliance with guidelines in the treatment of asthma exacerbations in primary care

Abstract

Most exacerbations seen in primary care are mild. Administration of salbutamol was sufficient for the resolution of these exacerbations. However, treatment after discharge was not compliant with guidelines in most cases. The primary care team was able to resolve most of the asthma exacerbations.

Prescribing patterns of nebulized bronchodilators: A prospective chart review

“…[34] In capable, inhaler therapy delivered via spacer proves more cost-effective without compromising clinical gain. [345678] The present investigation indirectly confirms nebulizer overdependence. Major practice guidelines dictate that transition from nebulizer to inhaler should be made as soon as possible and that with proper use this should be achievable within 24 h of treatment.…”

Difficulties in differential diagnosis of COPD and asthma in primary care

“…In the last few years, clinical guidelines, such as the Global initiative for chronic Obstructive Lung Disease (GOLD) 3 and the Global Initiative For Asthma 4 have been developed for the management of COPD and asthma respectively. However, guidelines have been difficult to implement in Spain, particularly in the primary care setting; 5 perhaps because there is a greater focus on secondary than on primary care and these respiratory conditions are perceived as complex, or because some patients in primary care may present with undifferentiated symptoms. 6 Most respiratory guidelines agree that spirometry should be the basis for the diagnosis of COPD, 3,6,7 and differential diagnosis of asthma and COPD is based on a combination of history, physical examination, and confirmation of the presence of airflow obstruction (defined as post-bronchodilator forced expiratory volume in 1 second/forced vital capacity [FEV1/FVC] <0.7) using spirometry.…”

Effectiveness of nordic walking in patients with asthma: A study protocol of a randomized controlled trial

“…EQ-5D-5L has been validated in patients with asthma [52] and in Spanish population [53]. MiniAQLQ has been validated to use in this population [54], and has already been used in Spanish context [55,56].…”