Factors associated with poor asthma control in the outpatient clinic setting

Abstract

BACKGROUND/OBJECTIVES:The goal of the study was to assess asthma control using asthma control test (ACT) and to explore the factors that effects asthma control among participants with bronchial asthma in the outpatient clinic setting.METHODS:This cross-sectional descriptive study was conducted in the outpatient primary care clinic at King Abdulaziz Medical City in Riyadh. Adult patients who were diagnosed with bronchial asthma by their primary treating physician were recruited over a 6-month period. Patients completed the ACT and questionnaires, which identified factors that affect asthma control.RESULTS:Four hundred asthmatic patients (n = 400) were enrolled, and 70% of these patients were women. Fifty-four percent of patients inappropriately used the inhaler device. The estimated prevalence of uncontrolled asthma at the time of the study was 39.8%. Inappropriate device use by the patient was more frequently associated with uncontrolled asthma (P—value = 0.001). Active smoking (P—value = 0.007), passive smoking (P—value = 0.019), unsealed mattress (P—value = 0.030), and workplace triggers (P—value = 0.036) were also associated with uncontrolled asthma. However, the extent of asthma control did not appear to be related to the existence of regular follow-ups, bedroom carpets, outpatient clinic visits, age, body mass index (BMI), or duration of asthma.CONCLUSIONS:The present study identified a high prevalence of uncontrolled asthma in the primary outpatient clinic setting and common risk factors that may contribute to poor asthma control.

Comprehensive risk factors, asthma control, and life quality pathways in adults with asthma: A structural equation modeling analysis

“…This also had a significantly increased impact on daily life and job choice. 35 Al-Zahrani et al 36 explored multiple factors that affect asthma control, including inappropriate device use by the patient, active smoking, passive smoking, an unsealed mattress, and workplace triggers. To our knowledge, this is the first study to explore relationships between the pathogeneses from working in a poor environment and asthma QoL.…”

Development and Implementation of an Evidence-based Self-regulation Intervention: Effect on Knowledge and Perceived Control Among Adult Patients with Asthma

“…Consistently, a recent asthma control survey showed that only 5% of patients were controlled, 31% were partially controlled, and 64% were uncontrolled [16]. Al-Zahrani, et al [14] have been attributed this to certain risk factors, which included: inappropriate use of the inhaler device, active smoking, passive smoking, unsealed mattress, and workplace triggers were also associated with uncontrolled asthma.…”

“…Al-Zahrani et al [14]; Marchioro et al [15] contended that in accordance with the established international criteria, asthma is uncontrolled in the vast majority of asthma patients. Consistently, a recent asthma control survey showed that only 5% of patients were controlled, 31% were partially controlled, and 64% were uncontrolled [16].…”

Characteristics and outcomes of treatment in status asthmaticus patients at emergency department

“…Moreover, previous report has shown than the providers' factors, for example insufficient knowledge of current recommendations, resistance to changing practice, lack of time and resources also play an important role in the adherence to treatment. 21 The vital signs at presentation do not only indicate the severity and urgency of patients' condition, but also reflect the chance of developing status asthmaticus. 22,23 Our study showed that some initial vital signs (e.g.…”