A retrospective analysis of practice patterns in the management of acute asthma attack across Turkey

作者：Turktas Haluk^*; Bavbek Sevim; Misirligil Zeynep; Gemicioglu Bilun; Mungan Dilsad

来源：Respiratory Medicine, 2010, 104(12): 1786-1792.

DOI：10.1016/j.rmed.2010.07.005

• Asthma attack
• Asthma control
• Practice pattern
• Treatment

Objective To evaluate patient characteristics and practice patterns in the management of acute asthma attack at tertiary care centers across Turkey
Methods A total of 294 patients (mean age 50 4 +/- 15 1 years, females 80 3%) diagnosed with persistent asthma were included in this retrospective study upon their admission to the hospital with an acute asthma attack Patient demographics, asthma control level, asthma attack severity and the management of the attack were evaluated
Results There was no influence of gender on asthma control and attack severity In 57 5% of the patients, asthma attack was moderate Most patients (78 9%) were hospitalized with longer duration evident in the severe attack Spirometry and chest X Ray were the most frequent tests (85 4%), while steroids (72 0% parenteral, 29 0% oral) and short acting beta agonists (SABA) + anticholinergics (45 5%) were the main drugs of choice in the attack management Attack seventy and pre attack asthma control level was significantly correlated (p < 0 001) Pre attack asthma was uncontrolled in 42 6% of the patients with severe attack Most of the patients were on combination of more than one (two in 38 7% and 3-4 in 31 2%) controller drugs before the attack
Conclusion Providing country specific data on practice patterns in the management of acute asthma attack in a representative cohort in Turkey, prescription of steroids and SABA + anticholinergics as the main drugs of choice was in line with guidelines while the significant rel

• 出版日期2010-12