Relation between morbidity and current treatment in patients who present with acute asthma to polyclinics.

摘要: BACKGROUND It has been suggested that resources for asthma intervention should be focused mainly on patients in the community who experience a high burden of disease. These are have acute exacerbations which require urgent treatment. AIM To assess morbidity and identify deficiencies treatment present to primary care clinics. PATIENTS Adult received exacerbation bronchial SETTING 4 polyclinics. METHODS A cross-sectional survey consecutive related regular preventive current activity. Poor control was defined as step 2 or higher (American National Asthma Education Prevention Program, report II, 1997) > = emergency room visits 6 months. RESULTS There were 116 whom 53% women. The mean (SD) age 45(15) years duration 3 (3) days. symptoms successfully treated 93% patients. Quick relief medication used regularly 91% inhaled corticosteroids (ICS) 55%. Oral salbutamol prescribed 14% poorly controlled 54%. In group 33% not ICS 64% receiving "add on" medication. CONCLUSIONS Patients clinics: (1) older had less acutely severe than those presented rooms, (2) over half third with poor inadequately treated.