Perception of asthma control among asthmatics seen inChest Clinic at Tertiary Hospital, Addis Ababa, Ethiopia

Gebremariam, Tewodros Haile; Sherman, Charles B.; Schluger, Neil W.

doi:10.1186/s12890-019-0959-7

Cited by 7 publications

(10 citation statements)

References 28 publications

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“…reported by Fenta et al [20] to 75.8.2% reported by Gebremariam [22]. The reason for these variations could be due to the types of diagnotic tools and assessment methods.…”

Section: Discussionmentioning

confidence: 96%

“…Low monthly income, presence of comorbidities, moderate persistent asthma, severe persistent asthma, and use of SABA alone as anti-asthmatic medication [21]. Use of biomass fuel for cooking, longer duration of asthma (>30 years), incorrect inhalation technique, and asthma exacerbation in the last 12 months [22]. Self-perceived poor asthma control was associated with any activity limitation due to asthma and inconsistent inhaled corticosteroid use [23].…”

Section: Discussionmentioning

confidence: 99%

“…Five studies were included with a total of the sample being 1001. The sample sizes for each study were as follows: 243 in Oromia [19], 197 in Oromia [20], 182 in Addis Ababa [21], 182 in Addis Ababa [22], 206 in Amhara [23]. The prevalence for each study was as follows: Jimma University Specialized and Teaching Hospital(JUSH) (71.3%), JUSH (64.4%), Addis Ababa (75.8%), Addis Ababa (75.8%), and University of Gondar (70%) [19][20][21][22][23].…”

Section: Prevalence Of Uncontrolled Asthmamentioning

confidence: 99%

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Uncontrolled Asthma in Ethiopia: A Systematic Review and Meta-Analysis

Tadesse

Negash

Kiros

et al. 2020

Advances in Respiratory Medicine

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Introduction: Despite significant improvement in the diagnosis and management of this disorder, asthma in the majority of Ethiopians remains poorly controlled. Although the prevalence of uncontrolled asthma is a public health problem in Ethiopia, its reported prevalence varies from study to study. Hence, this review aims to determine the true prevalence of uncontrolled asthma among asthmatic patients in Ethiopia. Material and methods: Different database searching engines were used including PubMed, Scopus, Google Scholar, Africa journal online, World Health Organization (WHO) afro library, and Cochrane review. They were systematically searched for published studies on uncontrolled asthma in Ethiopia from 2014 to 2019. Primary search terms were “asthma”, “uncontrolled asthma”, “uncontrolled wheezing”, and “Ethiopia”. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) Guidelines was followed. Publication bias was examined by the funnel plot. The random-effect model was fitted to estimate the pooled prevalence of uncontrolled asthma among asthmatic patients. All statistical analysis was done using R version 3.5.3 and the RStudio version 1.2.5033 software for Windows. Results: The overall pooled prevalence of uncontrolled asthma was found to be 71.67% [95% CI (0.6772; 0.7562)]. Potential associated factors were: unscheduled visits, frequency of short-acting beta2-agonist (SABA) use, type of treatment and perceived rate of asthma control, low monthly income, age group, presence of comorbidity, moderate persistent asthma, severe persistent asthma and use of SABA alone as anti-asthmatic medication, use of biomass fuel for cooking, longer duration of asthma (> 30 years), incorrect inhalation technique, and asthma exacerbation in the last 12 months. Self-perceived poor asthma control was associated with any activity limitation due to asthma, inconsistent inhaled corticosteroid use, and lack of health education on metered-dose inhaler technique [AOR =4.96; 95% CI (1.08–22.89)]. Conclusions: Nearly two-thirds of patients were determined to have uncontrolled asthma. Thus, this evidence suggests that attention should be given to asthma patients and health care providers.

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“…reported by Fenta et al [20] to 75.8.2% reported by Gebremariam [22]. The reason for these variations could be due to the types of diagnotic tools and assessment methods.…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Prevalence Of Uncontrolled Asthmamentioning

confidence: 99%

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Uncontrolled Asthma in Ethiopia: A Systematic Review and Meta-Analysis

Tadesse

Negash

Kiros

et al. 2020

Advances in Respiratory Medicine

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“…Other studies from Nigeria have reported 82.9% [ 32 ] inadequately controlled asthma. Democratic Republic of Congo (DRC) 56% [ 33 ], the North Africa countries 71.3% [ 34 ] and Ethiopia, Addis Ababa 53.3%-75.8% [ 14 , 35 ] and Jimma 76.1% [ 36 ] have reported uncontrolled asthma. The results of the previous reports were higher than the current finding, which might be explained by the previous studies' findings that enrolled large sample size, studied over an extended duration along with different study settings.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Suboptimal Control of Asthma among Adult Asthma Patients: A Cross-sectional Study

Lual¹,

Yizengaw²

2021

TORMJ

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Introduction: Asthma is a major public health problem that negatively impacts patients, families, and the community. Identifying risk factors for poor asthma control may greatly enhance the establishment of more effective treatment of asthma. The level of asthma control and risk factors for poor asthma control is relatively unknown in Ethiopia. Methods: A cross-sectional study was conducted on 150 adult asthma patients at the Outpatient Department (OPD) chest clinic of Jimma Medical Center (JMC), from February 15 –March 20, 2019. The Statistical Package for Social Science (SPSS) 21.0 was used for data analysis. Multivariate logistic regression was conducted to analyze the potential associated factors of suboptimal control of asthma. Results and Discussion: Of 150 adults diagnosed with asthma recruited in this study, 81 [54.0%] of them were females, and the mean age of the patients was 41.1 ± 12.4 years. Inhaled corticosteroid (ICS) plus short-acting beta-agonist (SABA) (64, 42.7%) was the most frequently used anti-asthmatic medication. Over one-fourth (26.0%) (95% CI, 19.2-33.8) of study participants had suboptimal asthma control. On multivariate logistic regression, being an urban dweller (AOR=3.70, p=0.025) and not applying proper inhalation technique (AOR=16.23, p=0.022) were increased the risk of suboptimal asthma control, while non-prescription anti-asthmatic drugs taking habit (AOR=0.25, p=0.010) reduces the odds of having suboptimal asthma control. Conclusion: Suboptimal asthma control is high among adult asthma patients. Being an urban dweller and not applying proper inhalation techniques were increased the likelihood of suboptimal asthma control, while non-prescription anti-asthmatic drugs taking habits had lower odds of suboptimal asthma control. The authors recommend large sample size studies on the comparative status of asthma control using prescription versus non-prescription anti-asthmatic medication.

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“…Asthma control and its determinants vary from practice setting as environmental, socio-demographic, medication adherence and availability, and household factors differ significantly across settings [ 13 , 14 , 29 ]. Previous work in Ethiopia, showed that in a tertiary hospital in Addis Ababa a third of adult asthmatics had poor asthma control [ 30 ]. However, there are limited data on childhood asthma control from low-income countries including Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Assessment of level of asthma control and related factors in children attending pediatric respiratory clinics in Addis Ababa, Ethiopia

et al. 2022

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Background Asthma is a common airways disease with significant morbidity and mortality in all ages. Studies of pediatric asthma control and its determinants yielded variable results across settings. However, there is paucity of data on asthma control and its factors in Ethiopian children. We aimed to assess the level of asthma control and the related factors in children attending pediatric respiratory clinics at three tertiary hospitals in Addis Ababa. Methods We conducted a cross-sectional study from March 1 to August 30, 2020 using standardized questionnaires and review of patient’s charts. Data was analyzed using SPSS software for window version 26. Results A total of 105 children (56.2% male) were included in the study. The mean age (± SD) and age at Asthma diagnosis (± SD) were 6 (± 3.3) and 4 (± 2.8) respectively. Uncontrolled asthma was present in 33 (31%) of children. Comorbidities (Atopic dermatitis and allergic Rhinitis (AOR = 4.56; 95% CI 1.1–18.70; P = 0.035), poor adherence to controller medications (AOR = 3.23; 95% CI 1.20–10.20; P = 0.045), inappropriate inhaler technique (AOR = 3.48; 95% CI 1.18–10.3; P = 0.024), and lack of specialized care (AOR = 4.72; 95% CI 1.13–19.80; P = 0.034) were significantly associated with suboptimal asthma control. Conclusion One-third of children attending pediatric respiratory clinics in Addis Ababa had uncontrolled Asthma. Treatment of comorbidities, training of appropriate inhaler techniques, optimal adherence to controllers, and proper organization of clinics should be emphasized to improve asthma control among children.

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Perception of asthma control among asthmatics seen inChest Clinic at Tertiary Hospital, Addis Ababa, Ethiopia

Cited by 7 publications

References 28 publications

Uncontrolled Asthma in Ethiopia: A Systematic Review and Meta-Analysis

Uncontrolled Asthma in Ethiopia: A Systematic Review and Meta-Analysis

Factors Associated with Suboptimal Control of Asthma among Adult Asthma Patients: A Cross-sectional Study

Assessment of level of asthma control and related factors in children attending pediatric respiratory clinics in Addis Ababa, Ethiopia

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