Relationship between asthma control status, the Asthma Control Test™ and urgent health‐care utilization in Asia

Lai, Ching‐Long; Ko, Fanny W.S.; Bhome, Arvind; Guia, Teresita S. De; Wong, Gary; Zainudin, B.M.Z.; Nang, An N.; Boonsawat, Watchara; Cho, Sang Heon; Gunasekera, Kirthi; Hong, Jian Guo; Hsu, Jeng Yuan; Viet, Nhung Nguyen; Yunus, Faisal; Mukhopadhyay, Amartya

doi:10.1111/j.1440-1843.2011.01954.x

Cited by 39 publications

(31 citation statements)

References 34 publications

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“…Studies using similar methods to the ones we used to evaluate the correlation of the ACT and the GINA classification are rare. Still Lai et al 16 recently found significant but lower (0.442) correlation between the ACT scores and a GINA-derived control index, whereas Thomas et al found moderate agreement between the ACT and GINA derived asthma control status 14 and found the ACT to be useful in predicting GINA-defined partly controlled/uncontrolled asthma.…”

Section: Discussionmentioning

confidence: 93%

“…These findings were remarkably similar to those found by Thomas et al 14 , who included a large number of European and US asthma patients. Other studies using the ACT to assess control found yet higher numbers of uncontrolled asthma, with results ranging from 55% in a web-based study in the US 15 to 56% in a most recent Asian study 16 and up to 57% in European patients recruited over the internet 17 .…”

Section: Discussionmentioning

confidence: 97%

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The use of the Asthma Control Test in general practice and its correlation with asthma control according to the GINA guidelines

Malka

Neukomm

Chhajed

et al. 2011

Current Medical Research and Opinion

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 97%

The use of the Asthma Control Test in general practice and its correlation with asthma control according to the GINA guidelines

Malka

Neukomm

Chhajed

et al. 2011

Current Medical Research and Opinion

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“…Also, as in other studies, we found that patients with uncontrolled or partially controlled asthma are at higher risk for hospitalization. (16)(17)(18) The proportion of patients who visited the emergency room was also higher among those with uncontrolled or partially controlled asthma (57.5% and 62.0%, respectively) than among those with 537 knowing that the disease is not controlled only on the basis of the questionnaire is enough of a warning to our health care system, given that the proportion of patients was high. Finally, these data were obtained from self-reports, i.e., they were not extracted from medical records.…”

Section: Discussionmentioning

confidence: 97%

Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

et al. 2013

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Objective: To evaluate the impact of asthma on activities of daily living and on health status in patients with controlled, partially controlled, or uncontrolled asthma in Brazil. Methods: We used data related to 400 patients in four Brazilian cities (São Paulo, Rio de Janeiro, Salvador, and Curitiba), obtained in a survey conducted throughout Latin America in 2011. All study subjects were > 12 years of age and completed a standardized questionnaire in face-to-face interviews. The questions addressed asthma control, hospitalizations, emergency room visits, and school/work absenteeism, as well as the impact of asthma on the quality of life, sleep, and leisure. The level of asthma control was determined in accordance with the Global Initiative for Asthma criteria. Results: Among the 400 respondents, asthma was controlled in 37 (9.3%), partially controlled in 226 (56.5%), and uncontrolled in 137 (34.2%). The numbers of patients with uncontrolled or partially controlled asthma who visited the emergency room, who were hospitalized, and who missed school/work were higher than were those of patients with controlled asthma (p = 0.001, p = 0.05, and p = 0.01, respectively). Among those with uncontrolled asthma, the impact of the disease on activities of daily living, sleep, social activities, and normal physical exertion was greater than it was among those with controlled or partially controlled asthma (p < 0.001). Conclusions:In Brazil, asthma treatment should be monitored more closely in order to increase treatment adherence and, consequently, the level of asthma control, which can improve patient quality of life and minimize the negative impact of the disease.Keywords: Asthma/epidemiology; Quality of life; Hospitalization. ResumoObjetivo: Avaliar o impacto da asma nas atividades da vida diária e na saúde em pacientes com asma controlada, parcialmente controlada ou não controlada no Brasil. Métodos: Foram utilizados dados de 400 pacientes de quatro cidades brasileiras (São Paulo, Rio de Janeiro, Curitiba e Salvador) obtidos em um inquérito realizado em países da América Latina em 2011. Todos os indivíduos do estudo tinham idade > 12 anos e responderam a um questionário padronizado por meio de entrevista presencial. As questões abordavam o controle da asma, número de hospitalizações, de consultas de urgência, absenteísmo na escola/trabalho e impacto da asma na qualidade de vida, sono e lazer. O nível de controle da asma foi verificado segundo os critérios da Global Initiative for Asthma.Resultados: Entre 400 entrevistados, a asma estava controlada em 37 (9,3%); parcialmente controlada, em 226 (56,5%); e não controlada, em 137 (34,2%). O número de pacientes com asma não controlada ou parcialmente controlada que apresentaram hospitalizações, visitas ao pronto-socorro e faltas na escola/trabalho foi maior do que o daqueles com asma controlada (p = 0,001, p = 0,05 e p = 0,01, respectivamente). Os participantes com asma não controlada apresentaram um maior impacto da doença em atividades da vida diária, sono, ativida...

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“…[21][22][23] The lower direct cost in HCMC was due to the inexpensive health care services, cheaper medications and lower hospitalisation rate when the patients used controllers. 3,13,24 The increased rate of controlled asthma in our study also contributed to the decrease in direct health care costs. This is in agreement with the fi ndings in the AIRIAP study, which showed that the direct cost signifi cantly decreased when the levels of asthma control based on ACT improved.…”

Section: Public Health Action Implementation Of Gina Guidelines In VImentioning

confidence: 89%

“…However, primary care physicians at these centres have historically managed asthma using outdated treatment approaches, often only prescribing reliever medications (short-acting bronchodilators) when patients have asthma attacks and under-prescribing controller medications. Consequently, the proportion of patients with controlled asthma in Viet Nam is about 2.9%, 3 which falls markedly short of the goal of asthma …”

Section: Discussionmentioning

confidence: 99%

Implementation of GINA guidelines in Ho Chi Minh City: a model for Viet Nam

Tho¹,

Loan²,

Thao³

et al. 2012

public health action

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Relationship between asthma control status, the Asthma Control Test™ and urgent health‐care utilization in Asia

Abstract: The GINA control classification and the ACT are valid symptom-based measures that are significantly associated with urgent health-care utilization.

Cited by 39 publications

References 34 publications

The use of the Asthma Control Test in general practice and its correlation with asthma control according to the GINA guidelines

The use of the Asthma Control Test in general practice and its correlation with asthma control according to the GINA guidelines

Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

Implementation of GINA guidelines in Ho Chi Minh City: a model for Viet Nam

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