&lt;![CDATA[&lt;B&gt;Asthma management in a public referral center in Porto Alegre in comparison with the guidelines established in the III Brazilian Consensus on Asthma Management&lt;/B&gt;]]&gt;

Mattos, Waldo; Grohs, Luciano Bauer; Roque, Fabiola Cieslak; Ferreira, Maurício; Mânica, Gabriela; Soares, Ernesto

doi:10.1590/s1806-37132006001300003

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…health-related quality of life, and high morbidity and mortality [6,7]. Factors that may contribute to low rates of asthma control include errors in asthma medication use, poor drug adherence, low physician compliance with asthma treatment guidelines [8], and the presence of difficult-to-treat and treatmentresistant asthma in the patient population.…”

Section: Introductionmentioning

confidence: 99%

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

et al. 2019

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Objective: This study aimed to estimate asthma control at specialist treatment centers in four Latin American countries and assess factors influencing poor asthma control. Methods: Patients aged !12 years with an asthma diagnosis and asthma medication prescription, followed at outpatient specialist centers in Argentina, Chile, Colombia, and Mexico, were included. The study received all applicable ethical approvals. The Asthma Control Test (ACT) was used to classify patients as having controlled (ACT 20-25) or uncontrolled (ACT 19) asthma. Frequency and statistical tests were used to assess the association between hospital admissions/exacerbations/emergency department (ED) visits and uncontrolled asthma; multivariate logistic regression was used to assess the association of uncontrolled asthma with clinical/demographic variables. Results: A total of 594 patients were included. Overall controlled-asthma prevalence was 43.4% (95% confidence interval [CI]: 39.0, 47.4). Patients with uncontrolled asthma were more likely to be women (adjusted odds ratio [aOR]: 1.85; p ¼ 0.003), non-white (aOR: 2.14; p < 0.001), obese (aOR: 1.71; p ¼ 0.036), to have a low monthly family income (aOR: 1.75; p ¼ 0.004), to have severe asthma (aOR:1.59; p ¼ 0.26), and, compared with patients with controlled asthma, to have a higher likelihood of asthma exacerbations (34.5% vs. 15.9%; p < 0.001), hospital admissions (6.9% vs. 3.1%; p ¼ 0.042), and ED visits (34.5% vs. 15.9%; p < 0.001) due to asthma. Conclusions: Even in specialist ambulatory services, fewer than half of patients were classified as having controlled asthma. The proportion of uncontrolled patients varied according to clinical and demographic variables.

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Section: Introductionmentioning

confidence: 99%

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

et al. 2019

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“…Similarly, in the present study, short-acting β 2 agonists were ered consistent with the GINA guidelines in only 18.6% of the asthma patients, similarly to what was reported in another study, in which only 30.0% of the patients evaluated received treatment consistent with the Brazilian guidelines for asthma management. (13) The finding that most patients (97.1%) had been treated by non-specialized physicians explains, at least in part, the fact that only half of them had previously been submitted to spirometry. Similarly, approximately 34.0% of the patients had previously been submitted to the PEF maneuver.…”

Section: Discussionmentioning

confidence: 99%

Avaliação da assistência ao paciente asmático no Sistema Único de Saúde

Silveira¹,

Araújo²,

Pereira³

et al. 2009

J. bras. pneumol.

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“…There is evidence that physician adherence to guidelines can be quite low not only in the field of respiratory diseases but also in other medical fields. (3)(4)(5)(6) This seems to be particularly true for nonspecialists and physicians working in the field of primary health care. Although this is a problem that is difficult to solve, educational initiatives and efforts to disseminate the published contents certainly play a central role in solving the problem.…”

Section: José Antônio Baddini Martinezmentioning

confidence: 99%

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Martinez

2012

J. bras. pneumol.

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<![CDATA[<B>Asthma management in a public referral center in Porto Alegre in comparison with the guidelines established in the III Brazilian Consensus on Asthma Management</B>]]>

Abstract: Most of the asthma patients treated at the public referral center in Porto Alegre did not receive treatment that was consistent with the Consensus guidelines. Undertreatment with inhaled corticosteroids was the principal source of that inconsistency.

Cited by 4 publications

References 17 publications

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study

Avaliação da assistência ao paciente asmático no Sistema Único de Saúde

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