Respiratory Care Year in Review 2012: Asthma and Sleep-Disordered Breathing

Myers, Timothy R; Bollig, Suzanne M; Hess, Dean

doi:10.4187/respcare.02481

Cited by 1 publication

(2 citation statements)

References 46 publications

(35 reference statements)

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“…This might be the consequence of poorer management of aerosol delivery devices, possibly related to a lack of adequate education or difficulties in Abbreviation: SDS, Sheehan Disability Score. aAdjusted R understanding the management of drug delivery in asthma, as has been previously observed [18][19]. Our observation of significantly lower ACT scores in patients without studies or with just primary education would appear to support this theory.…”

Section: Discussionsupporting

confidence: 74%

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Self-perceived Sleep Quality and Quantity in Adults With Asthma: Findings From the CosteAsma Study

Burgoa

Rejas

Ojeda

2016

J Investig Allergol Clin Immunol

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Background and Objective: Nocturnal asthma symptoms are associated with poor sleep quality, excessive daytime sleepiness, and poor daytime functioning. The aim of this study was to describe self-perceived sleep quality and quantity in asthmatic adults in a real-world setting according to different determinants of patient health status. Methods: A cross-sectional, observational, seasonal, multiwave survey was designed. Allergists nationwide were asked to consecutively survey adult asthmatics aged 18 to 65 years, evenly distributed by seasons and asthma severity (Global Initiative for Asthma criteria). Sleep quality and quantity were assessed using the self-administered Medical Outcomes Study (MOS) Sleep Scale. The Asthma Control Test was applied to ascertain the degree of asthma symptom control. Results: A total of 1098 individuals (58.7% females, 41.2 [13.6] years) were analyzed. Asthma severity was associated with poor sleep quality and quantity; patients with more severe disease scored higher on the MOS Sleep Scale (P<.001) and also reported significantly fewer daily average hours of sleep (0.3-0.5 hours, P<.001). Level of symptom control and asthma severity were both associated with poor sleep quality and quantity, with the following mean MOS sleep problem index scores: 25.3 (fully controlled asthma), 26.4 (controlled), 32.6 (partly controlled), and 44.6 (uncontrolled) (P<.001), and 48.4 (severe asthma), 39.0 (moderate), 32.6 (mild), and 26.5 (intermittent) (P<.001). Sex was significantly associated with the summary MOS sleep problem index. Conclusions: Sleep quality and quantity was significantly associated with poor health status in asthmatic patients. Guidelines should recommend asking about nocturnal asthma symptoms and encourage clinicians to take a global sleep history. Better control of nocturnal asthma symptoms could lead to improved sleep quality and a decrease in daytime sleep-related symptoms.

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Section: Discussionsupporting

confidence: 74%

“…It is recommended that the ACT should be taken at different times of the year. We classified degree of asthma control into 4 categories based on ACT scores [9]: uncontrolled asthma (≤15 points), partly controlled asthma (16)(17)(18)(19), controlled asthma (20)(21)(22)(23)(24), and fully controlled asthma (25 points).…”

Section: Data Collection and Measurementsmentioning

confidence: 99%